ICE has not paid a medical provider for detainee care since October 3, 2025. The VA ended its arrangement to process ICE's medical claims last October, ICE called the result an "absolute emergency" in writing, and hospitals and ambulance companies are now owed millions.

Detainees are being billed for care ICE's own detention standards say must be provided free. St. John Barned-Smith and Ko Lyn Cheang spent months on this for the San Francisco Chronicle. https://www.sfchronicle.com/politics/article/ice-detainee-medical-care-22384190.php