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ICE Is Getting Unprecedented Entry to Medicaid Information
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ICE Is Getting Unprecedented Entry to Medicaid Information

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Last updated: July 18, 2025 12:06 am
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Published: July 18, 2025
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Immigration and Customs Enforcement officers are having access to the non-public information of practically 80 million individuals on Medicaid with a purpose to purchase “info regarding the identification and site of aliens in america,” in keeping with an info trade settlement seen by WIRED.

The settlement, which is titled “Data Alternate Settlement Between the Facilities for Medicare and Medicaid Companies and the Division of Homeland Safety (DHS) for Disclosure of Id and Location Data of Aliens,” was signed by CMS officers on Tuesday and first reported by AP Information.

Per the settlement, ICE officers will get login credentials for a Facilities for Medicare and Medicaid Companies (CMS) database containing delicate medical info, together with detailed information about diagnoses and procedures. Language within the settlement says it would permit ICE to entry private info resembling house addresses, telephone numbers, IP addresses, banking information, and social safety numbers. (In a while within the settlement, what ICE is allowed to entry is outlined otherwise, specifying simply “Medicaid recipients” and their intercourse, ethnicity, and race however forgoing any point out of IP or banking information.) The settlement is about to final two months. Whereas the doc is dated July 9, it’s only efficient beginning when each events signal it, which might point out a 60-day span from July 15 to September 15.

The transfer comes as President Donald Trump’s administration has continued to increase its crackdown on immigration. The administration goals to deport 3,000 individuals per day—4 instances as many as have been deported within the fiscal yr of 2024, in keeping with ICE. Its plans to take action seemingly includes vacuuming up information from throughout the federal government. WIRED beforehand reported that the so-called Division of Authorities Effectivity (DOGE) and DHS have been engaged on a grasp database, pulling in information from throughout DHS and different businesses, with a purpose to surveil and deport immigrants.

Medicaid, state and federally government-funded well being care protection for the nation’s poorest, is basically out there solely to some non-citizens, together with refugees and asylum seekers, survivors of human trafficking, and everlasting residents. Some states, like New York, present Medicaid protection for kids and pregnant individuals, no matter their immigration standing. States report their Medicaid expenditures and information to the federal authorities, which reimburses them for a number of the prices.

“This was by no means even thought-about throughout my 5 years at DHS engaged on immigration enforcement,” says John Sandweg, the appearing director of ICE throughout President Barack Obama’s administration. “You need to watch out of a doable chilling impact the place individuals who would possibly apply for advantages and be eligible for advantages—or who search emergency medical care—gained’t accomplish that as a result of they’re frightened the knowledge they supply on the hospital might make them a goal for immigration motion.”

This isn’t the priority of the administration now, spokespeople inform WIRED. “Beneath the management of Dr. [Mehmet] Oz, CMS is aggressively cracking down on states that could be misusing federal Medicaid funds to subsidize look after unlawful immigrants,” Andrew Nixon, the director of communications on the Division of Well being and Human Companies (HHS), tells WIRED. “This oversight effort—supported by lawful interagency information sharing with DHS—is concentrated on figuring out waste, fraud, and systemic abuse. We’re not solely defending taxpayer {dollars}—we’re restoring credibility to considered one of America’s most important applications. The American individuals deserve accountability. HHS is delivering it.”

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