Federal immigration enforcement activity has increased across Indiana, and healthcare facilities should be prepared for possible encounters with U.S. Immigration and Customs Enforcement (ICE) agents.
Recent reporting indicates ICE is expanding its footprint beyond Indianapolis, including establishing office space in Carmel. Enforcement activity has also increased in other regions of the state, including coordinated highway operations in northwest Indiana. Statewide administrative
arrests have risen significantly in recent months.
While hospitals and physician offices were previously considered “sensitive locations” under earlier federal policy, that guidance has been rescinded. ICE agents may now enter medical facilities under certain circumstances.
For Indiana physicians and medical practices, preparation and legal clarity are essential.
Practical guidance for physicians includes:
Establish a written policy. Develop a clear protocol outlining how staff should respond to law enforcement requests. The policy should be reviewed by legal counsel to ensure compliance with federal and state law.
Train staff in advance. Front-desk personnel, clinical staff and administrators should understand who is authorized to speak with law enforcement, how to verify documentation and when to notify leadership or legal counsel.
Verify credentials and legal authority. If ICE or other federal agents arrive at your facility, request official identification and review any warrant or documentation presented. Distinguish between public areas and nonpublic clinical spaces before permitting access.
Protect patient privacy. HIPAA requirements remain in effect. Do not release protected health information without proper legal authorization. Consult legal counsel or compliance officers when questions arise.
Document the interaction. Record the date, time, names and badge numbers of agents, documents presented and information requested or provided.
Avoid interference. Healthcare providers should not obstruct lawful federal enforcement actions. The physician’s role remains the delivery of medical care while complying with applicable law.
Prioritize patient safety and continuity of care. If enforcement activity occurs on site, ensure patients receiving treatment remain clinically stable and that care is not interrupted.
As ICE activity expands into communities such as Carmel and other parts of Indiana, healthcare facilities should take proactive steps to ensure preparedness. Clear policies, staff training and legal review can help practices navigate enforcement encounters while maintaining compliance and protecting patient care.
Here are some articles from various sources to help navigate different situations: