In Health, Immigration, News Releases

FOR IMMEDIATE RELEASE:
July 17, 2025

CONTACT:
Adam Bitely, 202-689-9266

American Civil Liberties Union of Michigan and the Michigan League for Public Policy condemn the Trump administration’s move to share Medicaid data with ICE

LANSING, Mich. – The American Civil Liberties Union of Michigan and the Michigan League for Public Policy strongly condemn a newly revealed agreement between the Trump administration’s Department of Homeland Security and the Centers for Medicare and Medicaid Services (CMS) that grants Immigration and Customs Enforcement (ICE) access to the personal data of all 79 million Medicaid enrollees, including more than 2.6 million Michiganders.

This unprecedented policy marks what appears to be the first time in Medicaid’s history that such comprehensive health data has been handed over to immigration enforcement, giving ICE access to names, birthdates, addresses, Social Security numbers, and racial and ethnic information of patients, many of whom are legally entitled to emergency medical care under federal law.

“This policy is a direct attack on public health, civil liberties, and the trust that underpins our health care system,” said Monique Stanton, president and CEO of the Michigan League for Public Policy. “When a parent brings their child to the ER, they shouldn’t have to weigh whether saving their child’s life will put their entire family at risk of deportation. Weaponizing Medicaid data for immigration enforcement will create a dangerous chilling effect, deterring immigrants and their families from seeking the care they need, while putting entire communities at risk.”

Federal law requires all states to provide Emergency Medicaid services, regardless of immigration status. But advocates warn that the data-sharing agreement will deter families—including those legally eligible—from seeking even emergency treatment out of fear that their enrollment could result in detention or deportation.

Michigan is home to over 157,000 residents living in mixed-status families, including more than 71,000 U.S. citizens. These families already face elevated rates of uninsurance—10.6% of immigrants in Michigan are uninsured, compared to just 5% of native-born residents. Policies that increase barriers to care will only worsen health disparities and strain emergency services.

The data-sharing arrangement also raises serious legal and ethical concerns, as it appears to violate federal medical privacy protections, including the Health Insurance Portability and Accountability Act (HIPAA). Even CMS officials expressed alarm, with internal memos revealing last-minute appeals to the White House to pause the information transfer, efforts that were ultimately ignored.

“Health experts warn that the long-term implications go beyond immigration policy,” said Stanton. “Delays in prenatal and pediatric care could lead to preventable birth complications and childhood illnesses. Avoiding preventive treatment will drive up emergency costs for hospitals and taxpayers. And the mental health toll from fear, trauma, and family separation will ripple across generations.”

“At Trump’s behest, Congress just cruelly cut nearly $1 trillion from Medicaid, a health care program that some of our nation’s most vulnerable people rely on – including low-income moms and children, people with disabilities, and seniors,” said Ramis Wadood, ACLU of Michigan staff attorney. “Now, this wicked administration intends to terrorize Medicaid enrollees by sending ICE agents to their doors to possibly drag them away from their families in the name of rounding up people believed to be in the country illegally. Sending ICE the personal data of 79 million people will put them in the crosshairs of the Trump administration’s senseless and dehumanizing mass deportation machine. The attacks on our immigrant friends and neighbors, as well as the millions on Medicaid, are an affront to all of us – our rights and our freedom – and together, we must fight back.”

“We cannot allow this betrayal of trust to stand,” Stanton added. “No one should have to choose between their health and their family’s safety. The federal government must immediately halt this reckless policy and restore the legal and ethical standards that protect every patient, regardless of where they were born.”

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American Civil Liberties Union of Michigan is a nonpartisan nonprofit leading the fight to defend and preserve the rights our Constitution and laws guarantee all people through public education, advocacy, organizing, and litigation. We work in concert with the national ACLU, headquartered in New York City, as well as a network of ACLU affiliate offices in every state across the country, including Washington, D.C. and Puerto Rico.

The Michigan League for Public Policy, www.mlpp.org, is a nonprofit policy institute focused on opportunity for all. Its mission is to use data to educate, advocate and fight for policy solutions that undo historic and systemic racial and economic inequities to lift up Michiganders who have been left out of prosperity. It is the only state-level organization that addresses poverty in a comprehensive way.