California leads to 20 states on the transfer of Medicaid data to the DHS

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California directs a coalition with 19 other states in a trial against the Trump administration for having transferred Medicaid data to the Ministry of Internal Security (DHS), which houses American immigration and customs application (ICE).
The Democratic Attorney General, Rob Bonta, said that the federal trial filed Tuesday in the North District of California represents the 28th time in 23 weeks – or more than once a week – that California defies the president in court.
“On information and beliefs, the health centers of the US Health and Human Ministry (HHS) for Medicare & Medicaid Services (CMS) have given a mine of health data protected by individuals obtained from states, including California, Illinois and Washington, to other federal agencies, including the Ministry of Internal Security (DHS)”, according to the complaint. “Millions of information on the health of individuals was transferred without their consent and in violation of the federal law.”
These states authorize non -American citizens to register for Medicaid programs which say they pay their expenses using only dollars of state taxpayers. The Associated Press reported for the first time last month that sharing data by HHS in DHS included addresses, names, social security numbers, immigration status and complaint data for registered in these states.
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The California Attorney General Rob Bonta directs a coalition of 20 attorneys of the State in a new trial against the Trump administration filed on Tuesday. (Justin Sullivan / Getty Images)
“In doing so, the Trump administration has silently destroyed long-standing railings that protected public sensitive health data and restricts its use only for the purposes that the congress authorized, violating federal laws, including the requirements of the Act respecting the administrative procedure (APA)”, indicates the trial. The complaint alleges violations of several other federal laws on privacy, in particular the 1996 law on portability and health responsibility, known as Hippa.
HHS said that data transfer to DHS is entirely “to ensure that Medicaid services are reserved for people who legally have the right to receive them.”
“But the congress itself extended the coverage and the federal funds for the Medicaid emergency to all the people residing in the United States, even those who have no satisfactory immigration status,” said the complaint. “States have and will continue to verify the admissibility of individuals to Medicaid services funded by the federal government using established federal systems and cooperate with federal surveillance activities to ensure that the federal government pays only for the Medicaid services which are legally authorized.”
The attorneys general of Arizona, Colorado, Connecticut, Delaware, Hawaii, Illinois, Massachusetts, Maine, Maryland, Michigan, Minnesota, Nevada, New Jersey, New Mexico, New York, Oregon, the Island of Rhode, Vermont and Washington The costume.
“President Trump, secretary Kristi Noem and secretary Robert F. Kennedy Jr. Arment Medicaid to feed their anti-immigration campaign,” said Bonta at a virtual press conference. “They threaten personal health data of 78.4 million people registered in Medicaid and the health insurance program for children, chip, for their mass monitoring plans and federal immigration application.”

DHS secretary, Kristi Noem, attends a round table after turning a migrant detention center, nicknamed “Alligator Alcatraz”, located on the Dade-Collier training and transitional airport site in Ochopee, Florida, July 1, 2025. (Andrew Caballero-Reynolds / AFP via Getty Images)
“It is not a question of cutting the waste or going after fraud,” said Bonta. “It is a question of continuing the vulnerable people who have entrusted the state and the federal government to help them access health care, a fundamental human right.”
The complaint indicates that they intend to “protect their Medicaid state programs and prevent them from being used in the service of an anti-immigrant crusade, or for other purposes without relation to the administration of these programs”.
Under the direction of the administrator of Dr. Mehmet Oz, the Centers for Medicare & Medicaid Services (CMS) “are aggressively abuse against states which can abuse federal funds from Medicaid to subsidize care for illegal immigrants – which includes California”, HHS spokesperson, Andrew Nixon, said in a statement to Fox News Digital. “This surveillance effort – supported by the sharing of lawful interinstitutions with the DHS – is focused on identifying waste, fraud and systemic abuses.”
“HHS has acted entirely within its legal authority – and in complete compliance with all applicable laws – to ensure that Medicaid services are reserved for people who have legally the right to receive them,” added Nixon. “We are not only protecting taxpayers’ dollars – we restore credibility to one of the most vital programs in America. The American people deserves responsibility. HHS provides it.”
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The complainants claim that their states “will lose the federal funds like fear and confusion resulting from disclosure provoke non-citizens and family members to disinterested, or refuse to register, in the Medicaid emergency for which they are otherwise eligible, leaving the States and their security security hospitals to pay the bill for emergency emergency services mandated by the federal government.”

The secretary of HHS, Robert F. Kennedy Jr., testifies before the health subcommittee of the Energy and Trade Committee of the Chamber on June 24, 2025. (Kayla Bartkowski / Getty Images)
“States will also support negative public health costs associated with a reduction in the use of health care for childbirth and other emergency conditions,” said the complaint. “Meanwhile, the public will undergo irreparable damage due to increased morbidity and mortality.”
Bonta noted that the Medi-Cal program of California offers public health coverage for one in three Californians, including more than two million non-citizens. Given that not all non-citizens are not eligible for Medi-Cal services funded by the federal government, California uses state funds to provide a version of the Medi-Cal program to all eligible state residents, “whatever their immigration status,” he said.
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“The Trump administration has changed the longtime privacy protections with its decision to illegally share sensitive and personal health data with ice. In doing so, it has created a culture of fear that will lead to fewer people looking for vital emergency medical care,” Bonta added in a statement. “I am disgusting by this last salvo in the president’s anti -immigration campaign. We are heading to the court to prevent any sharing of Medicaid data – and to ensure that one of the already shared data is not used for the purposes of implementing immigration.”
The Associated Press contributed to this report.