Immigrations and Customs Enforcement has stopped paying for immigrant detainees to receive health care—and isn’t planning on paying for months, independent journalist Judd Legum reported Tuesday.
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.
ICE had previously paid the Veterans Association Financial Services Center to process claims for reimbursement—but abruptly ended that contract on October 3, 2025. According to government documents reviewed by Legum, ICE was left with “no mechanism to provide prescribed medication” and no way to “pay for medically necessary off-site care.” Immigrants in detention could no longer receive dialysis, prenatal care, oncology, or chemotherapy.
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.
Internal administration data obtained by Legum suggested that ICE has potentially accrued hundreds of millions of dollars of unpaid medical claims. In 2024, the VA processed $246.42 million in medical claims, but despite a significant increase in the detainee population, the VA processed only $157.2 million in claims in 2025.
“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.”
As ICE has upended health care access for immigrants in detention, national detentions have hit record levels, and the numbers of people dying in ICE custody have risen with them.
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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