A federal judge ruled that ICE can access certain Medicaid data—including addresses, phone numbers, birth dates, and immigration status—to locate people for deportation, rejecting a legal challenge from 22 states and Washington, D.C. In the states that sued, the ruling bars ICE from collecting data on lawful permanent residents or citizens and from accessing sensitive health information, but in the 28 states that did not sue, no such limits apply. U.S. District Judge Vince Chhabria said federal data-sharing policies were "totally unclear" and could cause states "irreparable harm." California's health department called the practice "a grave breach of public trust," while advocates warn it may deter immigrant families from seeking health care.