Medicaid records off-limits to immigration enforcement
H.R. 5319 — LINE Act · Filed by Sydney Kamlager-Dove (D-CA) · 22 cosponsors · Introduced Sep 11, 2025 · Referred to committee
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What it does
This bill prohibits the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS) from sharing Medicaid enrollment data with U.S. Immigration and Customs Enforcement (ICE) or other law enforcement for immigration enforcement purposes. It creates a firewall between the federal health insurance program for low-income Americans and immigration authorities, preventing the government from using Medicaid records to identify, locate, or pursue immigrants for deportation.
Why we flagged it
The bill's operative mechanism is a data-sharing prohibition designed to protect health privacy and preserve healthcare access for vulnerable populations by severing the link between Medicaid enrollment records and immigration enforcement.
What the text implies
- May reduce ICE's ability to locate individuals through health system records, potentially affecting immigration enforcement operations and deportation capacity.
- Could increase healthcare enrollment among undocumented immigrants and mixed-status families who currently avoid Medicaid due to fear of immigration consequences.
- Establishes a precedent that federal benefit programs should be walled off from law enforcement data-sharing, potentially affecting other agencies' access to HHS data.
- May create tension between state Medicaid agencies and federal immigration authorities if states have separate data-sharing agreements with ICE.
Section numbers refer to the bill text the analysis read — linked under Primary records below.
Who it affects
The bill protects vulnerable populations—immigrants, mixed-status families, and low-income citizens—from having their health enrollment data weaponized for immigration enforcement, reducing fear of seeking Medicaid benefits and preserving the confidentiality of health information. This strengthens privacy rights and removes a chilling effect on healthcare access among populations already at risk of deportation.
Named in the bill
Centers for Medicare and Medicaid Services (CMS), Department of Health and Human Services (HHS), U.S. Immigration and Customs Enforcement (ICE), Social Security Act (Title XIX - Medicaid), Immigration and Nationality Act
Where it stands
22 cosponsors: 22 Democrats.
- Sep 11, 2025 — Introduced · Congress.gov: “Introduced in House”
- Sep 11, 2025 — Referred to House Committee on Oversight and Government Reform and House Committee on Financial Services · Congress.gov: “Referred to the Committee on Financial Services, and in addition to the Committee on Oversight and Government…”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (774 characters) on Aug 21, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,222 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-10-20.
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