Federal Court Blocks DHS Access to Medicaid Data, Safeguarding Patient Privacy Amid Immigration Enforcement Concerns

SEATTLE — A federal judge has issued a preliminary injunction preventing the Department of Homeland Security from utilizing Medicaid data obtained from Washington and 19 other states for immigration enforcement activities. This decision also restricts the Department of Health and Human Services from sharing Medicaid information with DHS.

The injunction was granted in response to a lawsuit initiated by a coalition led by Washington and California on July 1. The suit claims that the transfer of Medicaid data violates legal protections and seeks to halt any further use of this information for immigration purposes. Washington State Attorney General Nick Brown emphasized the necessity of protecting individuals’ private health information, stating that fear of federal actions should not deter anyone from seeking essential medical care.

The ruling will remain in effect until HHS and DHS complete a thorough decision-making process that adheres to the Administrative Procedure Act or until the litigation is resolved. The lawsuit argues that the Trump administration’s policies foster anxiety among eligible noncitizens, which in turn leads to disenrollment from emergency Medicaid programs. Consequently, states and safety net hospitals may be left to carry the financial burden of providing federally mandated emergency healthcare.

Washington’s Medicaid program, part of the comprehensive Apple Health initiative, serves individuals in need of health services. Washingtonians enrolled in Apple Health did so with the understanding that their personal information would remain confidential and not be utilized for purposes outside healthcare delivery.

The Apple Health program extends full-scope medical services to residents, irrespective of immigration status. According to the attorney general’s office, over 1.9 million clients are currently enrolled in Apple Health, which includes approximately 49,000 individuals whose immigration status makes them ineligible for certain federally funded programs. Services provided under Apple Health encompass a wide spectrum of healthcare, such as inpatient and outpatient care, primary and preventive services, long-term support, and behavioral health assistance.

The implications of this ruling are critical, reflecting ongoing tensions between public health policy and immigration enforcement. The decision aims to alleviate fears that may discourage individuals from accessing essential healthcare services.

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