No Food Aid on 11/1

Diogenes said:
Here you go, imbecile:

Yes, there is evidence that undocumented immigrants (also referred to as undocumented aliens) receive limited Medicaid services nationwide through the federal Emergency Medicaid program, which reimburses hospitals for emergency care provided to individuals who meet Medicaid's income and other eligibility criteria but lack qualifying immigration status.

This program, established under federal law (including the Emergency Medical Treatment and Labor Act of 1986), covers acute conditions requiring immediate attention to prevent death, serious harm, or disability, such as labor and delivery, trauma, or acute illnesses.

In fiscal year 2023, Emergency Medicaid spending totaled $3.8 billion, with a significant portion going toward care for undocumented immigrants.

All 50 states participate, though definitions of "emergency" can vary (e.g., some states reimburse for dialysis or cancer treatment if deemed emergent). Undocumented immigrants are ineligible for comprehensive, non-emergency federal Medicaid coverage.

Additionally, at least 14 states plus the District of Columbia use solely state funds to provide broader Medicaid-like coverage to certain undocumented immigrants, such as children, pregnant individuals, or low-income adults, often to reduce uncompensated hospital costs and improve public health outcomes.

These programs cover routine care like primary visits, prescriptions, and preventive services, and as of September 2025, they serve over 1 million people regardless of immigration status. Examples include:
  • California: Covers undocumented children and, until budget constraints limited new adult enrollments in 2025, low-income adults up to age 50.
  • New York: Provides full-scope coverage for undocumented children and seniors over 65.
  • Illinois: Offers Medicaid-equivalent benefits to undocumented adults aged 42–64 (with coverage ending December 31, 2025, due to fiscal pressures).
  • Washington: Covers undocumented children and pregnant individuals, with an enrollment cap for adults reached in 2025.

CMS Increasing Oversight on States Illegally Using Federal Medicaid Funding for Health Care for Illegal Immigrants | CMS

The Centers for Medicare & Medicaid Services (CMS) announced today increased federal oversight to stop states from misusing federal Medicaid dollars to cover health care for individuals who are in the country illegally. Under federal law, federal Medicaid funding is generally only available for...
www.cms.gov www.cms.gov

www.kff.org

5 Key Facts About Immigrants and Medicaid | KFF

Confusion persists about immigrants’ eligibility for federal programs, with about half or more of U.S. adults and immigrants adults saying they are unsure or incorrectly believe that most immigrants to the U.S. are eligible to enroll in federal health insurance programs, including Medicaid, as...
www.kff.org www.kff.org

ccf.georgetown.edu

The Truth About Medicaid Coverage for Immigrants – and the Looming Threats

There has been a lot of information and misinformation about Medicaid coverage for immigrants circulating in the news, including wildly inaccurate reporting that undocumented immigrants are driving…
ccf.georgetown.edu ccf.georgetown.edu

ccf.georgetown.edu

The Truth About Medicaid Coverage for Immigrants – and the Looming Threats

There has been a lot of information and misinformation about Medicaid coverage for immigrants circulating in the news, including wildly inaccurate reporting that undocumented immigrants are driving…
ccf.georgetown.edu ccf.georgetown.edu
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Non-citizens who are in the country illegally should have to be mandatorily reported to ICE / authorities when admitted to emergency treatment. That means they can be subsequently arrested and deported (after due process of course) while being formally billed for the treatment charges.

Sure, we know they're almost certain not to pay, but it gives an added incentive to not try and return to the US after deportation. That is, if they were to, they'd be subject to having all assets acquired in the US go forfeit to pay off their bill after being charged with a felony for illegally returning to the US.
 
Diogenes said:
Likely a HIPAA violation.
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Nope. The health provider needn't provide any healthcare related information on the patient other than their immigration status, and that has NOTHING to do with their healthcare. It'd be no different than someone coming in with a gunshot wound and the hospital calling the police to report a possible crime.
 
T. A. Gardner said:
Nope. The health provider needn't provide any healthcare related information on the patient other than their immigration status, and that has NOTHING to do with their healthcare. It'd be no different than someone coming in with a gunshot wound and the hospital calling the police to report a possible crime.
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Mandating that healthcare providers report non-citizens who are in the country illegally to ICE or authorities when admitted for emergency treatment could potentially conflict with HIPAA (Health Insurance Portability and Accountability Act) regulations, but the issue is complex and depends on specific circumstances.HIPAA protects the privacy of individually identifiable health information and generally prohibits covered entities (e.g., hospitals, healthcare providers) from disclosing protected health information (PHI) without patient consent, except in specific situations outlined in the law. These exceptions include disclosures required by law, for public health purposes, or in cases of imminent danger, but they do not explicitly include immigration enforcement.Key considerations:
  1. HIPAA Exceptions: HIPAA allows disclosures of PHI when required by other laws. If a federal or state law mandated reporting undocumented individuals to ICE upon emergency treatment, this could potentially override HIPAA's privacy protections. However, no such federal mandate currently exists for healthcare providers in this context. Any state or local law requiring such reporting would need to be carefully evaluated for compliance with federal HIPAA regulations.
  2. Emergency Treatment Context: The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals to provide emergency care regardless of a patient’s immigration status or ability to pay. Mandating reporting to ICE could deter undocumented individuals from seeking emergency care, potentially creating public health risks, which could conflict with the intent of EMTALA and public health exceptions under HIPAA.
  3. Potential HIPAA Violation: If a hospital or provider reported a patient’s immigration status to ICE without a legal mandate or patient consent, and this involved sharing PHI (e.g., name, medical records, or other identifying information), it could constitute a HIPAA violation. The Department of Health and Human Services (HHS) has emphasized that HIPAA protections apply to all individuals, regardless of immigration status.
  4. Ethical and Practical Concerns: Beyond HIPAA, such a mandate could raise ethical concerns for healthcare providers, who are obligated to prioritize patient care and trust. It could also lead to legal challenges if the mandate is seen as conflicting with federal privacy laws or constitutional protections.
In summary, a mandate requiring healthcare providers to report undocumented non-citizens to ICE during emergency treatment would not inherently violate HIPAA if it were codified as a legal requirement, as HIPAA allows disclosures required by law. However, absent such a law, voluntarily reporting PHI to ICE could violate HIPAA. Additionally, such a policy could conflict with other federal laws like EMTALA and deter patients from seeking care, raising broader legal and public health concerns. For a definitive assessment, consult a legal expert in healthcare and immigration law.






 
Diogenes said:
Mandating that healthcare providers report non-citizens who are in the country illegally to ICE or authorities when admitted for emergency treatment could potentially conflict with HIPAA (Health Insurance Portability and Accountability Act) regulations, but the issue is complex and depends on specific circumstances.HIPAA protects the privacy of individually identifiable health information and generally prohibits covered entities (e.g., hospitals, healthcare providers) from disclosing protected health information (PHI) without patient consent, except in specific situations outlined in the law. These exceptions include disclosures required by law, for public health purposes, or in cases of imminent danger, but they do not explicitly include immigration enforcement.Key considerations:
  1. HIPAA Exceptions: HIPAA allows disclosures of PHI when required by other laws. If a federal or state law mandated reporting undocumented individuals to ICE upon emergency treatment, this could potentially override HIPAA's privacy protections. However, no such federal mandate currently exists for healthcare providers in this context. Any state or local law requiring such reporting would need to be carefully evaluated for compliance with federal HIPAA regulations.
  2. Emergency Treatment Context: The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals to provide emergency care regardless of a patient’s immigration status or ability to pay. Mandating reporting to ICE could deter undocumented individuals from seeking emergency care, potentially creating public health risks, which could conflict with the intent of EMTALA and public health exceptions under HIPAA.
  3. Potential HIPAA Violation: If a hospital or provider reported a patient’s immigration status to ICE without a legal mandate or patient consent, and this involved sharing PHI (e.g., name, medical records, or other identifying information), it could constitute a HIPAA violation. The Department of Health and Human Services (HHS) has emphasized that HIPAA protections apply to all individuals, regardless of immigration status.
  4. Ethical and Practical Concerns: Beyond HIPAA, such a mandate could raise ethical concerns for healthcare providers, who are obligated to prioritize patient care and trust. It could also lead to legal challenges if the mandate is seen as conflicting with federal privacy laws or constitutional protections.
In summary, a mandate requiring healthcare providers to report undocumented non-citizens to ICE during emergency treatment would not inherently violate HIPAA if it were codified as a legal requirement, as HIPAA allows disclosures required by law. However, absent such a law, voluntarily reporting PHI to ICE could violate HIPAA. Additionally, such a policy could conflict with other federal laws like EMTALA and deter patients from seeking care, raising broader legal and public health concerns. For a definitive assessment, consult a legal expert in healthcare and immigration law.






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If it were made a mandatory law to report illegals because it can be assumed to be an ongoing criminal activity, that would clear up the above mealy mouthed weasel wording in that.
 
T. A. Gardner said:
If it were made a mandatory law to report illegals because it can be assumed to be an ongoing criminal activity, that would clear up the above mealy mouthed weasel wording in that.
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Well, the government is shut down, and drafting and passing such an Act isn't doing to happen overnight, if ever.
 
TOP said:
You would be correct...
That's why they stopped doing it...When I was a lunch lady teaching, we were able to get and redistribute so much food...
And then someone caught the "sue" bug that you mentioned, and they slowly but surely just had to stop.... It's ridiulous the amount of food that goes to waste, although that too is changing a bit...
Food rescue groups and new rules are popping up...
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FIFY
 
ThatOwlWoman said:
Hilariouisly copied from elsewhere. Real "doctors" have NOTHING to do with billing... especially when employed by a hospital as you pretend to be. Occasionally an actual physician might be called upon to reverse an insurance company denial. They're far too busy to get into billing issues.

Your story is bunkum, Quackter.
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What a moron you are. Of course I had a billing company do my billing but I gave them the diagnosis codes of the procedures that I did and I knew what the approximate reimbursement for those procedure would be. If you don't know the value of the procedures that you do then you don't know if your billing company is doing a good job or not.

Now tell me again how no vein in the human body carries oxygenated blood. :rofl2: I guess they don't tell Nursing Home LPNs that pulmonary veins carry fully oxygenated blood.. LVNs only know about changing bed pans.
 
ThatOwlWoman said:
Hilariouisly copied from elsewhere. Real "doctors" have NOTHING to do with billing... especially when employed by a hospital as you pretend to be. Occasionally an actual physician might be called upon to reverse an insurance company denial. They're far too busy to get into billing issues.

Your story is bunkum, Quackter.
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I worked for n ER staffing company that contracted us to provide coverage in Emergency Rooms. I never actually worked for a hospital. I worked for a staffing company. As an anesthesiologist I had a company that provided anesthesia care The billing company I used billed insurance companies and Medicare and Medicaid. I worked AT the hospital but not FOR the hospital. Even for a Nursing Home LVN you seem particularly stupid.
 
domer76 said:
USDA will not tap contingency funds for food aid, so nothing will be issued on 11/1.

Odd, isn’t it? They can find donors for Trump’s ballroom and an anonymous donor for the military. They can fund ICE out there abusing civil liberties. But we can’t find funds for 12% of our neediest.

The 8 wealthiest people in the world have more wealth than 3-4 billion.

The country continues its decline under Trump. Who knows how long it will take us to recover.
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By order of the president there will be no food aid starting 11/1/2025.

There are contingency funds for this. They don't need to be appropriated or shifted, just released.
 
Crepitus said:
By order of the president there will be no food aid starting 11/1/2025.

There are contingency funds for this. They don't need to be appropriated or shifted, just released.
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Trump could do it with a stroke of his pen. He did more questionable stuff when he reallocated funds for military housing to fund his wall.
 
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