As part of its unprecedented immigration enforcement actions, the Trump Administration has begun using data that the federal government collects on individuals, including Medicaid data, for immigration enforcement purposes. Despite previous assurances that such information would not be used for immigration enforcement actions, the current administration has reversed this policy and begun sharing data between health care and immigration enforcement agencies. Due to court challenges, current data sharing differs by state, and disputes are ongoing about how information may be shared and used.
This data sharing creates added barriers to care for many lower income individuals, including undocumented immigrants, lawfully present immigrants, and U.S. citizen household members of immigrants. Read on for more details about Medicaid coverage of immigrants, current Medicaid data sharing with U.S. Immigration and Customs Enforcement (ICE), state efforts to push back in the courts and through legislation, and what we know so far about how these policies are impacting health care.
Read our latest Health Care in Motion.

Food Law & Policy, Commentary
New Guidance Outlines Food Donation Requirements from Around the World, Offers Best Practices for Policy Design
May 8, 2026