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ICE is getting unprecedented access to Medicaid data

submitted by josefr+(OP) on 2025-07-18 15:15:58 | 267 points 202 comments
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4. keving+u7[view] [source] 2025-07-18 15:47:32
>>josefr+(OP)
I don't understand why ICE would need access to Medicaid data. You need to be a citizen or lawful permanent resident to access that program, not to mention all the other additional criteria. The idea of illegal immigrants somehow bypassing all the checks and balances successfully en masse feels a little silly to me.

Just a quick check of the official website to try and get onto Medicaid in WA state shows that it requires a social security number and citizenship information: https://www.wahealthplanfinder.org/us/en/health-coverage/get...

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7. dmix+F8[view] [source] [discussion] 2025-07-18 15:53:07
>>keving+u7
There's something called "Qualified Non-citizens", federal funding is prohibited for non-citizens but states could optionally cover it

https://www.medicaid.gov/medicaid/enrollment-strategies/down...

so ultimately there is some source of non-citizen data to be gleaned

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8. promet+H8[view] [source] [discussion] 2025-07-18 15:53:10
>>keving+u7
They have a pamphlet available one more click away from the link you shared that gives detailed information on how undocumented immigrants can get free/reduced-cost health care, and what all of their options are: https://www.wahealthplanfinder.org/content/dam/wahbe-assets/...
21. ck2+Yb[view] [source] 2025-07-18 16:08:24
>>josefr+(OP)
Imagine 7000 people per day being "disappeared" for the next 1200 days

(peak covid was 3000 deaths per day)

This country is going to get really horrific, really really fast

https://www.pbs.org/newshour/show/gop-gives-ice-massive-budg...

> Tom Homan, as well as Deputy Chief of Staff Stephen Miller have made very clear that they intend on spending the billions in this bill. Tom Homan said this week that they want to arrest 7,000 people every day for the remainder of the administration

46. michae+Jl[view] [source] 2025-07-18 16:50:50
>>josefr+(OP)
This sounded like a straight-forward HIPAA violation, but I checked. There's a carve out for LE.

You can see the bones of a stronger limit during drafting (as "required" by warrants), but then weakened to allow mere "administrative requests".

> Law Enforcement Purposes. Covered entities may disclose protected health information to law enforcement officials for law enforcement purposes under the following six circumstances, and subject to specified conditions: (1) as required by law (including court orders, court-ordered warrants, subpoenas) and administrative requests; (2) to identify or locate a suspect, fugitive, material witness, or missing person; (3) in response to a law enforcement official's request for information about a victim or suspected victim of a crime; (4) to alert law enforcement of a person's death, if the covered entity suspects that criminal activity caused the death; (5) when a covered entity believes that protected health information is evidence of a crime that occurred on its premises; and (6) by a covered health care provider in a medical emergency not occurring on its premises, when necessary to inform law enforcement about the commission and nature of a crime, the location of the crime or crime victims, and the perpetrator of the crime.

https://www.hhs.gov/hipaa/for-professionals/privacy/laws-reg...

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47. promet+0m[view] [source] [discussion] 2025-07-18 16:51:51
>>keving+fd
Couple of notes: Medicaid DOES cover emergency services for undocumented immigrants, to the tune of 16.2 billion dollars during the Biden administration. (Reference: https://budget.house.gov/imo/media/doc/cbo_on_medicaid_for_i...)

Just because it's illegal doesn't mean it isn't happening. From a May 25, 2025 article on the official CMS website: "The Centers for Medicare & Medicaid Services (CMS) announced today increased federal oversight to stop states from misusing federal Medicaid dollars to cover health care for individuals who are in the country illegally. Under federal law, federal Medicaid funding is generally only available for emergency medical services for noncitizens with unsatisfactory immigration status who would otherwise be Medicaid-eligible, but some states have pushed the boundaries, putting taxpayers on the hook for benefits that are not allowed."

From this article: https://www.cms.gov/newsroom/press-releases/cms-increasing-o...

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50. michae+cn[view] [source] [discussion] 2025-07-18 16:56:29
>>duxup+z1
I think HIPAA always had a carve-out for LE. Trump is lawless, but this might not be.

>>44606965

77. neonat+hy[view] [source] 2025-07-18 17:49:04
>>josefr+(OP)
https://web.archive.org/web/20250718155208/https://www.wired...

https://archive.ph/a9KaW

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94. noneth+OB[view] [source] [discussion] 2025-07-18 18:08:02
>>thr0wa+zA
The article states that the agreement claims compliance with a 2019 System of Records Notice, which it says allows the data to be used "to assist another federal or state agency."

The article notes that a former information security lead from the VA says the SORN needs to be updated for this specific ICE/CMS agreement and has not been. Clearly that fact is a disputed.

The ACLU argues that the sharing is only allowed if it contributes to the accuracy of Medicare or Medicaid, administers a federal health benefits program, or is necessary to implement a federally funded health benefits program. Im not sure if this it true (sharing only allowed in these cases) but if so it seems reasonable that detecting fraud would contribute to the accuracy and integrity of Medicaid. Furthermore, ICE does administer a federal health benefits program (IHSC [1]), so the basis for the ACLU's objection really seems unfounded, although the administration doesnt cite this basis and is quite upfront that its about identifying illegal aliens.

[1] https://www.ice.gov/detain/ice-health-service-corps

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100. autoex+LD[view] [source] [discussion] 2025-07-18 18:18:35
>>tastyf+2n
The problem is even worse when that data is in private hands. One of the most common ways the government gets data they couldn't justify subpoenaing themselves is to simply hand over cash to corporations who have already collected that data for other uses. for example: https://www.eff.org/deeplinks/2022/08/how-law-enforcement-ar...
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153. tastyf+S11[view] [source] [discussion] 2025-07-18 20:39:34
>>jahews+uW
This is something that the President is *literally talking about*: https://www.cnn.com/2025/07/18/us/us-citizenship-revocation-...

But, of course, you already know that. So why bother with the theatrics?

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192. anthk+FX1[view] [source] [discussion] 2025-07-19 06:47:13
>>Terr_+MR
TBH things like EFF and such were a reality, and the devs for sure they were aware, as they knew geeky/nerdy games like Nethack too; and deducing knowledge about free software and digital rights it's trivial.

Also, Deus Ex and the Unreal Engine had a GL renderer with worked amazingly great with Wine back in the day, it was one of the best games to run in early 00's. Yeah, the game was propietary and yadda, yadda; but there's the Surreal engine (libre implementation of Unreal1) on the works.

Another game on dystopias which looks parodical but it's heavily reality grounded it's Liberal Crime Squad. As an European I know near nil about the USA goverment branches and how the goverment it's built, but that game taught me the process exceptionally well. And, yes, it's a must play giving how current politics are going:

https://github.com/Kamal-Sadek/Liberal-Crime-Squad

It has an Augmentation system a la Deus Ex too.

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193. braebo+852[view] [source] [discussion] 2025-07-19 08:26:41
>>cogman+sI
Close — All that matters is what Leonard Leo believes. That’s _his_ Supreme Court majority[1], and this is their happy ending — five of those justices were educated in his Federalist Society pipeline, vetted and selected through networks hand‑built by Leo… riding the Trump wave to judicial and political dominance, despite the turbulence[2] [1] https://www.npr.org/2024/11/24/nx-s1-5199049/federalist-soci...

[2] https://www.politico.com/news/2025/05/30/trump-federalist-so...

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