首頁新聞健康照護服務部就聯邦使用 Medi-Cal 資料及會員隱私權發表聲明​​ 

加州醫療保健服務部關於聯邦使用加州醫療補助健康保健計劃資料與會員隱私之聲明​​ 

六月 13, 2025​​ 

SACRAMENTO — The California Department of Health Care Services (DHCS) remains committed to protecting the privacy and well-being of all Medi-Cal members. Recent reports and legal developments have raised serious concerns about how federal agencies use Medicaid data, including personal information for the more than 14 million Californians covered by Medi-Cal. We want to share what we know.​​ 

12 月29,2025 ，聯邦法院裁定 Medicare& Medicaid 服務中心 (CMS) 僅可與移民及海關執法局 (ICE) 分享非「合法居住」在美國的個人的有限資訊。然而，由於聯邦政府尚未向加州提供任何有關其計劃如何執行法院命令的資訊，因此仍存在一些不確定性。我們將隨時更新此頁面，提供更多資訊。​​ 

Information that may be shared about people who are not “lawfully residing” in the United States includes citizenship or immigration status, address, phone number, date of birth, and Medicaid ID. CMS must exclude anyone who is “lawfully residing” in the United States. If data of individuals who are not lawfully residing in the United States cannot be separated from the data that is still protected (e.g., data of lawful permanent residents, U.S. citizen data, sensitive health records, etc.), CMS cannot share the data with ICE. These restrictions remain in place while the multistate lawsuit is ongoing.​​ 

聯邦法律要求 DHCS 透過「轉型聯邦醫療補助統計資訊系統」 (Transformed Medicaid Statistical Information System, T-MSIS)，每月向 CMS 提交報告。這些報告包括每位 Medi-Cal 會員的基本人口統計和資格詳細資料，例如姓名、地址、出生日期、社會安全號碼（若有提供）或 Medicaid ID，以及移民身份。雖然法院命令允許 CMS 在特定情況下分享有限的資料，但 DHCS 仍致力於保護會員隱私，並密切監控發展情況。​​ 

In sharing data for immigration enforcement purposes, CMS has broken a 60-year commitment to protect the health and well-being of millions of families. Make no mistake: This is a grave breach of public trust. No one should be forced to live in fear of seeing the doctor or going to the emergency room.​​ 

今天取消 Medi-Cal 保險並不能消除已傳送給移民執法機關的資訊。若個人擔心聯邦政府可能會基於移民原因使用其個人資訊，請諮詢合格的律師或合格的非營利性法律援助組織。​​ 

  • 有合格的組織提供移民相關法律服務：​​ 
  • Information about mental health resources is available on the Immigration and California Families webpage.​​ 
  • For information about your legal rights if you encounter immigration agents, there are fact sheets here in English and here in Spanish, with additional translations in development.​​ 
  • 如果您感到舒適，您可以聯繫當地的大使館或領事館尋求法律協助或指導。​​ 

我們致力於透明度、隱私權，並確保所有加州人，不論其移民身份如何，都能安全地獲得所需的護理。我們將繼續與社區合作夥伴接觸、分享最新資訊，並維護所有 Medi-Cal 會員的健康、福祉和隱私。​​ 

時間表：​​ 

  • 2025 年 6 月：DHCS 得知 CMS 可能已與美國國土安全部共用 Medi-Cal 會員資料。​​  
  • 2025 年 7 月：CMS 確認一項協議，允許 ICE 從 7 月9,2025, 到 9 月9,2026 存取 Medi-Cal 會員的資訊，包括姓名和地址。ICE 表示打算將此資料用於移民執法。​​  
  • August 12, 2025: A federal court issued a preliminary injunction blocking the federal government from using California’s Medi-Cal data for immigration enforcement and preventing CMS from sharing that data. California joined a multistate lawsuit that led to this injunction.​​  
  • 12 月29,2025: 法院澄清 CMS 可以分享非「合法居住」在美國的個人的有限資料。​​ 

2026 年 1 月 2 日更新​​ 

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通訊辦公室​​ 
(916) 440-7660
DHCSPress@dhcs.ca.gov​​