ICE will soon have nation’s Medicaid data. What to know

(NewsNation) — The personal health information of 79 million people will soon be in the hands of Immigration and Customs Enforcement officials, who will use the data trove to track down immigrants in the United States illegally.

ICE plans to use the nation’s Medicaid database to “receive identity and location information on aliens identified by ICE,” according to an agreement obtained by the Associated Press.

Information available to ICE officials will include:

  • Addresses
  • Birthdates
  • Ethnic and racial information
  • Social Security numbers

The agreement between the Centers for Medicare and Medicaid Services and the Department of Homeland Security does not allow ICE officials to download the data.

Instead, officials will be allowed to access the data for a limited period from 9 a.m. to 5 p.m., Monday through Friday, until Sept. 9.

Medicaid is only available to noncitizens in emergencies

While immigrants who have entered and remained in the U.S. illegally are not eligible for Medicaid, every state is required to provide emergency Medicaid coverage for life-saving situations. Some states also make exceptions for children and certain adults.

That means, despite not qualifying for the federally funded coverage, some noncitizens’ information is still available in Medicaid records.

The Kaiser Family Foundation estimated that emergency care for undocumented patients accounted for less than 1% of Medicaid spending from 2017 to 2023.

Democrats, advocates slam ICE-Medicaid data disclosure

Politicians and immigrant advocates alike have opposed the agreement due to concerns over data privacy and human rights violations.

Sen. Adam Schiff, D-Calif., said on social media that “the massive transfer of the personal data of millions of Medicaid recipients should alarm every American.”

Immigration attorney Anibal Romero echoed Schiff’s concerns.

“So eventually, what could end up happening is someone might transfer information about … a U.S. citizen, with a Latino name, and all of a sudden, now I have ICE officers in my house, even though I was born here only because my name is Raul Lopez,” Romero told NewsNation. “So it’s scary. I think it’s wrong.”

Early this month, a coalition of 20 Democrat-led states sued the Trump administration over the agreement.

California Attorney General Rob Bonta said it has “created a culture of fear that will lead to fewer people seeking vital emergency medical care.”

“We’re headed to court to prevent any further sharing of Medicaid data — and to ensure any of the data that’s already been shared is not used for immigration enforcement purposes,” Bonta added.

In a statement, DHS spokesperson Tricia McLaughlin said the agencies are “exploring an initiative to ensure that illegal aliens are not receiving Medicaid benefits that are meant for law-abiding Americans.”

The White House has deferred questions about the agreement to ICE, but the Trump administration has continued to argue that this type of access is necessary for its immigration crackdown.

NewsNation’s Anna Kutz and the Associated Press contributed to this report.

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These revolting outbursts point to something undeniable — and extremely urgent



After criticizing media coverage about him aging in office, Trump appeared to be falling asleep during a Cabinet meeting at the White House on Tuesday.

But that’s hardly the most troubling aspect of his aging.

In the last few weeks, Trump’s insults, tantrums, and threats have exploded.

To Nancy Cordes, CBS’s White House correspondent, he said: “Are you stupid? Are you a stupid person? You’re just asking questions because you’re a stupid person.”

About New York Times correspondent Katie Rogers: “Third rate … ugly, both inside and out.”

To Bloomberg White House correspondent Catherine Lucey: “Quiet. Quiet, piggy.”

About Democratic lawmakers who told military members to defy illegal orders: guilty of “sedition … punishable by DEATH.”

About Somali immigrants to the United States: “Garbage” whom “we don’t want in our country.”

What to make of all this?

Trump’s press hack Karoline Leavitt tells reporters to “appreciate the frankness and the openness that you get from President Trump on a near-daily basis.”

Sorry, Ms. Leavitt. This goes way beyond frankness and openness. Trump is now saying things nobody in their right mind would say, let alone the president of the United States.

He’s losing control over what he says, descending into angry, venomous, often dangerous territory. Note how close his language is coming to violence — when he speaks of acts being punishable by death, or human beings as garbage, or someone being ugly inside and out.

The deterioration isn’t due to age alone.

I have some standing to talk about this frankly. I was born 10 days after Trump. My gray matter isn’t what it used to be, either, but I don’t say whatever comes into my head.

It’s true that when you’re pushing 80, brain inhibitors start shutting down. You begin to let go. Even in my daily Substack letter to you, I’ve found myself using language that I’d never use when I was younger.

When my father got into his 90s, he told his friends at their weekly restaurant lunch that it was about time they paid their fair shares of the bill. He told his pharmacist that he was dangerously incompetent and should be fired. He told me I needed to dress better and get a haircut.

He lost some of his inhibitions, but at least his observations were accurate.

I think older people lose certain inhibitions because they don’t care as much about their reputations as do younger people. In a way, that’s rational. Older people no longer depend on their reputations for the next job or next date or new friend. If a young person says whatever comes into their heads, they have much more to lose, reputation-wise.

But Trump’s outbursts signal something more than the normal declining inhibitions that come with older age. Trump no longer has any filters. He’s becoming impetuous.

This would be worrying about anyone who’s aging. But a filterless president of the United States who says anything that comes into his head poses a unique danger. What if he gets angry at China, calls up Xi Jinping, tells him he’s an asshole, and then orders up a nuclear bomb?

It’s time the media reported on this. It’s time America faced reality. It’s time we demanded that our representatives in Congress take action, before it’s too late.

Invoke Section 4 of the 25th Amendment.

  • Robert Reich is a professor of public policy at Berkeley and former secretary of labor. His writings can be found at https://robertreich.substack.com/.
  • Robert Reich's new memoir, Coming Up Short, can be found wherever you buy books. You can also support local bookstores nationally by ordering the book at bookshop.org