ICE did not immediately respond to the Daily Caller News Foundation’s request for comment. Los Angeles County (LA County) is home to >1 million undocumented immigrants—the largest of any county in the United States. The Los Angeles County Sheriff’s Department has refused more than 25,000 requests to surrender illegal immigrants detained in its jails to immigration agents in the 2020 fiscal year, Fox News reported. September 27, 2020. LA County Sheriff Alex Villanueva has blocked the transfer of illegal immigrants to Immigration and Customs Enforcement (ICE) due to concerns over the conditions at ICE facilities and the possible impact on ongoing criminal investigations, Fox News reported. If the address matches an existing account you will receive an email with instructions to reset your password. The health system currently has limited ability to address such dramatic implications of the new Public Charge Rule, especially for such a large population. Although the pandemic's substantial health and financial impacts are being felt globally and nationally, there is heightened concern that current federal policies may further deter undocumented immigrants from seeking care during a critical public health emergency.46 Services related to the diagnosis and treatment of COVID-19 do not make an individual a public charge; however, other utilized public health benefits may still count against citizenship eligibility.39,47 Lack of clarity around this issue may perpetuate health disparities among undocumented immigrants. A different name, a different birthdate, we've had patients that actually told us later on that ‘I used my friend's name’ and we asked them, ‘Why?’… ‘Well, I was scared.’”, (8) “It's just their culture in the sense of, ‘The less you know about me, the safer I am at home because of my immigration status.’”, Excessive complexity in navigating services, (9) “Patients rarely understand how to navigate the financial side of accessing healthcare outside of showing up in the emergency room”, (10) “Most people working in LAC-DHS, unless you're working in Patient Financial Services, have no idea of [patient health access programs/insurances]. Attributed to the LA Times, June 2002: 1. Empirical evaluation of this policy's impact represents an essential area for future study, especially as it may inform subsequent revision to the policy. California Sues Trump Administration Over Effort To Not Count Undocumented Immigrants As LA County Reports 58.8% Participation In 2020 Census. There was a significant no-show rate…”—LA County Community Clinic Outreach and Health Education administrative staff member. LOS ANGELES – (ICE / PRESS RELEASE) — U.S. Immigration and Customs Enforcement (ICE) continues to lodge immigration detainers on criminal aliens in the custody of non-cooperative local law enforcement. Fourth, health care worker interviews represent two of four county hospitals and a sampling of community clinics, and perceptions/practices and patient populations elsewhere may differ. “Patients rarely understand how to navigate the financial side of accessing healthcare outside of showing up in the emergency room”—LAC-DHS Patient Financial Services administrator. Twitter . All rights reserved, USA and worldwide. Second, Latinx immigrants comprise a majority of the population, and as such, their concerns and needs dominated participant feedback. LOS ANGELES (KABC) -- The Department of Homeland Security recently announced more crackdowns across the United States targeting undocumented immigrants … Although My Health LA is not a federal program, becoming eligible requires a completed—and rejected—application for Medi-Cal, and many undocumented immigrants choose more costly prepayment plans because less personal identifying information is required and/or they fear the Medi-Cal application itself could make them a public charge. They are able to enroll the patients into these sliding scale programs first and allow them to be seen by a provider. 2020; Published by Mary Ann Liebert, Inc. Fielding School of Public Health, University of California, Los Angeles, Los Angeles, California, USA. In this context, we sought to (1) understand LA County health care worker perceptions of access to primary care for undocumented immigrants and (2) identify potentially modifiable barriers to ideal utilization of care among undocumented immigrants in LA County by interviewing health care workers providing care or access services for this population during 2018–19. ICE will reportedly need to acquire a judicial warrant to transfer detainees into federal custody. “Prior to current sanctuary laws, we had officers working in local jails, identifying criminal aliens being booked and taking immediate custody of them once local law enforcement had completed their case – all within the safe and secure confines of those local, county and state facilities. They're confused when you start talking about undocumented [patients] and [health] insurance and access.”, (11) “I'm not afraid to say I even have doctors who tell their patients come to LA County even though they're from Orange County, which is not good because you're setting them up for big charges and they're not going to qualify for anything.”, (12) “There's definitely a huge amount [of misinformation about healthcare access options]. It's only a proposal. Potentially identifying information on participants has been omitted to preserve anonymity. Table 2. Clinic registration staff felt stretched beyond their capabilities when attempting to educate patients on the legal implications of Medi-Cal application and use, simultaneously trying to correct misconceptions and mitigate harms from false information. http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Differences in language were reported to exacerbate these difficulties. “Immigration enforcement is about applying the law – our actions, efforts and resources remain diligently focused on targeting those who not only threaten and undermine our national security, but who demonstrate a repeated and willful disregard for public safety within the United States.”.
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