The threat of immigration enforcement and presence of law enforcement at health care facilities deters immigrants and communities of color from seeking needed medical services. Border communities are particularly vulnerable given the frequent presence of U.S. Border Patrol agents at hospitals, which is compounded by the enforcement actions of U.S. Immigration and Customs Enforcement (ICE) that threaten immigrant communities across the country.
The impact of immigration officials’ presence and actions at health care facilities is especially acute during times of public health crisis, such as the COVID-19 pandemic. Health care providers should be informed of their rights, the rights of their patients, and the steps they can take to protect their patients and ensure access to care without fear or discrimination.
To that end, this guide provides information to hospitals, medical centers, community health centers, other health care facilities, health care professionals, medical associations, and advocates on how to prepare for and respond to:
- enforcement actions by immigration officials;
- interactions with law enforcement that could result in immigration consequences for their patients;
- and law enforcement presence that deters access to care.
*For footnotes and bibliography, please reference the PDF version of this resource below.
Advocating On Behalf of Patients in Immigration Custody: A Resource for Health Care Providers and Medical Staff
Published Jun 9, 2026 This resource provides guidance for health care professionals on how to advocate and care for their patients with ICE and CBP agents present.
New NILC Resource Helps Medical Staff Advocate for Patients in Immigration Custody
Published Jun 9, 2026 The National Immigration Law Center (NILC) published new guidance today for hospitals and clinics caring for patients in immigration custody, a challenge that medical staff are increasingly facing as a result of the Trump administration’s...
Detained Immigrants Are Using Habeas Corpus to Escape Medical Neglect
Published Apr 8, 2026 68,000 people are currently trapped in immigration detention throughout the country without adequate medical care, including over 1,400 people at Otay Mesa. In the first three months of 2026, at least 14 people died in immigration...
Dignified Health Care Shouldn’t Stop With ICE Detention
Matthew Lopas and Jennifer Whitlock
Published Jun 9, 2026 Health care workers and advocates deserve tools that can help them navigate the rising presence of ICE in hospitals, which is why we put together our new resource: Advocating on Behalf of Patients in Immigration Custody....