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Trump Administration Grants ICE Access to 79 Million Medicaid Records

Under a non-public CMSDHS pact, ICE can query enrollees’ personal data during limited weekday hours through Sept. 9.

Special needs teacher Deja Nebula sets up an art installation displaying names and faces of people who have been detained, deported, or sent to offshore camps during ICE raids in Southern California, at Olvera Street Plaza in Los Angeles, on Thursday, July 3, 2025. (AP Photo/Damian Dovarganes)
Residents gather during a community vigil on Monday, June 30, 2025, to stand in solidarity with an immigrant family after ICE agents detained Rosalina Luna Vargas on Saturday, June 28, in front of her children, in Pasadena, Calif. (AP Photo/Damian Dovarganes)
Federal agents patrol the halls of immigration court at the Jacob K. Javitz Federal Building on July 16, 2025, in New York City.
People shout at federal immigration agents during a raid in the agriculture area of Camarillo, Calif., July 10, 2025. (AP Photo/Michael Owen Baker)

Overview

  • The July 17 agreement gives ICE online access to the CMS database containing names, birth dates, home addresses, ethnic details and Social Security numbers for all Medicaid enrollees.
  • ICE may view the data only from 9 a.m. to 5 p.m. Monday through Friday and is prohibited from downloading or storing any records.
  • The administration says the measure will curb improper benefit use by ineligible individuals, while advocates warn it could deter immigrants and mixed-status families from seeking emergency medical care.
  • California Attorney General Rob Bonta and 19 other states have filed lawsuits arguing the data transfer violates HIPAA, the Privacy Act and the Medicaid Act.
  • CMS career legal officials urged the Justice Department to pause the data sharing over concerns it breaches federal statutes protecting health information.