2025年,特朗普政府使ICE能够获得医疗补助数据,加剧了移民家庭的恐惧,并阻止了他们获得保健服务。 In 2025, the Trump administration enabled ICE to access Medicaid data, fueling immigrant families' fear and deterring healthcare access.

2025年底,特朗普政府扭转了数十年的政策,允许医疗援助计划注册人员数据(包括姓名、住址和移民身份)与ICE共享,这在移民家庭、甚至是具有法律地位的移民家庭中引发了恐惧。 In late 2025, the Trump administration reversed decades of policy by allowing Medicaid enrollee data—including names, addresses, and immigration status—to be shared with ICE, sparking fear among immigrant families, even those with legal status. 医疗保健和医疗援助服务中心开始要求每月核实移民身份,虽然22个州对数据共享规定了限制,但包括得克萨斯州和犹他州在内的其他28个州则没有。 The Centers for Medicare & Medicaid Services began requiring monthly verification of immigration status, and while 22 states have imposed limits on data sharing, 28 others, including Texas and Utah, have none. 类似ICE撤销2013年政策及学校执法等联邦行动加剧了焦虑,导致保健提供者报告病人避免护理。 Federal actions like ICE’s rescission of a 2013 policy and enforcement at schools have heightened anxiety, leading health providers to report patients avoiding care. 尽管人口与健康调查没有确认数据使用情况,但这一转变削弱了人们对医疗援助计划作为安全网的信任,家庭将医疗需求与可能的遣返风险权衡起来。 Despite no confirmation from DHS on data use, the shift has eroded trust in Medicaid as a safety net, with families weighing medical needs against potential deportation risks.