Potential Implications of the New Medicaid Data Sharing Agreement Between CMS and ICE

KFF January 14, 2026
Drishti Pillai, Samantha Artiga, Alice Burns, Jennifer Tolbert

Introduction

The Trump Administration has taken action to share Medicaid data provided by states to the Centers for Medicare and Medicaid Services (CMS) with the Department of Homeland Security (DHS) and Immigration and Customs Enforcement (ICE) for immigration enforcement purposes. This action represents a reversal in prior policy that asserted CMS would not share such information and ICE would not use such information for immigration enforcement purposes, including assurances made to the public, applicants and enrollees, health care providers, and states that information collected to determine eligibility for health coverage programs would not be used for immigration enforcement.

This issue brief provides an overview of a new data sharing agreement for CMS to share Medicaid data with ICE and its...

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