Prairie State Wire

Immigration and Customs Enforcement (ICE) agents have increased their presence in Illinois, with healthcare facilities no longer considered “sensitive areas” or off-limits to enforcement activities as of January 2025. This change means that hospitals and clinics may be visited by ICE agents during the course of their duties.

According to guidance provided to healthcare professionals, ICE agents are permitted access to public spaces within medical facilities, such as waiting rooms, lobbies, cafeterias, and parking lots. However, they cannot enter non-public or private areas—including examination rooms, operating rooms, offices, or patient rooms—without a valid judicial warrant signed by a judge or without consent from an authorized facility representative.

Healthcare workers are reminded that they are not required to share protected health information under HIPAA privacy laws and do not need to disclose a patient’s immigration status. Staff members also are not obligated to answer questions from ICE agents.

Facilities are encouraged to establish written protocols for handling encounters with law enforcement officers. Recommendations include designating specific staff members who are authorized to interact with ICE agents and ensuring those individuals receive training on reviewing warrants for validity. It is also suggested that legal counsel be notified if agents arrive at the facility.

After any interaction with ICE personnel, it is advised that staff document the incident in writing. Patients should be reassured about their rights through educational materials, including information that they do not have to answer questions and can request an attorney be present during questioning.

Staff and patients are advised to remain calm and courteous during interactions with federal authorities.

Additional resources for preparing for potential ICE enforcement actions can be found through the National Immigration Law Center’s guides for healthcare providers and professionals.

For further questions or concerns regarding these protocols or related policies, individuals can contact the Health Policy Research and Advocacy team by email.