Undocumented Access in Inland Empire

Medicaid-ICE Data Sharing Creates 'Cloud of Fear' Across San Bernardino Immigrant Communities — Direct Threat to FQHC Patient Retention

A San Bernardino CHW describes a 'cloud of fear' sweeping immigrant communities following ICE raids across Southern California and Trump administration plans to share Medi-Cal/Medicaid enrollment data with ICE. The impact is most acute in the Inland Empire where 40%+ of FQHC patients are Latino/immigrant. FQHCs are reporting declining appointment adherence and children being pulled from well-child visits. The chilling effect compounds the H.R. 1 Medi-Cal eligibility cliff (75K noncitizens in SD County alone losing coverage October 2026).