By Alex Olgin Dr. Acklema Mohammad checks a patient at El Nuevo San Juan Health Center in the Bronx in New York City in 2024. Community health clinics, like this one, are often located in immigrant communities and rely on Medicaid. Eduardo Munoz Alvarez/AP hide caption For decades, people applying for Medicaid were told their personal information β including their names, addresses and immigration status β would not be used for immigration enforcement. But a December court ruling changed that. And that change has sent ripples of fear through families and communities. "My daughter's life depends on Medicaid," says P., who asked that NPR identify her by her first initial only. P. and her family have legal immigration status, but she fears that the health insurance keeping her medically fragile daughter alive could also put her family at risk of being detained or deported by immigration authorities. For decades Medicaid promised eligible immigrants they wouldn't share information with immigration authorities.β¦