ICE Health Service Corps, the entity that provides immigrants in detention with health care, quietly posted last week that Acentra, the agency’s new third-party administrator for medical claims, would not begin processing claims until at least April 30. “Please continue to hold all claim submissions while IHSC works to bring the new system online in the interim,” the post read.
To be clear, ICE is not simply not paying for detainees’ medical treatment: Multiple reports suggest they are not providing it at all, even though federal law requires them to do so. Georgia Senator Jon Ossoff released a report in October documenting at least “85 credible reports of medical neglect” at U.S. detention centers.
“Assuming the medical needs of a typical ICE detainee remain constant, the data suggests nearly a $300 million gap between needed care from third-party providers and what ICE paid,” Legum wrote. “This gap is a combination of unpaid bills since October 3 and ICE detainees who are simply being denied necessary medical treatment.”
Seven immigrants died in ICE custody in December, making it the deadliest month since Donald Trump returned to the White House. And 2025 was the deadliest year for immigrants in detention since 2004.
So far, January is on track to be even worse: At least six people have already died in ICE custody this year, including one man who reportedly was choked to death by an ICE agent.
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