Court Decision Reinstates Sharing of Medicaid Data with Immigration Officials

Thu Jan 08 2026 14:33:49 GMT+0200 (Eastern European Standard Time)

A federal judge has ruled that the U.S. Department of Health and Human Services can resume sharing personal data of certain Medicaid enrollees with immigration authorities, despite concerns over privacy and immigrant safety.

In a recent ruling, U.S. District Judge Vince Chhabria allowed the Department of Health and Human Services (HHS) to share basic identifying information of undocumented Medicaid recipients with Immigration and Customs Enforcement (ICE). This decision follows legal challenges from states opposing the data-sharing practice, which they argue jeopardizes privacy and safety for immigrant communities. While the judge's ruling permits only limited types of information to be shared, the implications of this policy continue to raise alarms among activists and immigrant advocates.

NEW YORK (AP) — Starting Monday, the nation’s health department can resume sharing the personal data of certain Medicaid enrollees with deportation officials, following a ruling from a federal judge that undermines privacy safeguards sought by several states.

U.S. District Judge Vince Chhabria's decision specifically permits the sharing of basic biographical information from 22 plaintiff states about immigrants who are residing illegally in the United States. This ruling comes after the Centers for Medicare and Medicaid Services expressed intentions to restart the data sharing as part of the Trump administration's stringent immigration policy.

Previously, Chhabria had blocked such sharing in August, citing concerns over the implications of using this data against individuals living without legal status. His latest ruling allows HHS to release “basic biographical, location and contact information” for undocumented immigrants but prohibits sharing sensitive medical data or information about U.S. citizens and lawful immigrants.

Advocates for immigrants worry that this data-sharing policy could deter individuals from seeking emergency medical assistance due to fear of deportation. Initial disclosures of personal data to ICE reignited privacy concerns and prompted lawsuits from states advocating for immigrant protections.

The ruling highlights ongoing tensions between immigration enforcement and healthcare access, reflecting the broader implications of the Trump administration's immigration crackdown, which has seen collaborative efforts across federal authorities to detain individuals living unlawfully in the U.S.

It remains to be seen how health officials will navigate these new guidelines and what impact they will have on the immigrant community’s willingness to access medical care.