ICE left detainees without a functioning medical-payment system for ten months after VA ended its claims-processing role
The Department of Veterans Affairs abruptly ended its two-decade role processing ICE's offsite medical-care payments on October 3, 2025, after political pressure and a lawsuit from a conservative advocacy group; ICE itself called the loss an "absolute emergency" that would "delay critical medical care" and risk detainees' "health, welfare, and lives." Ten months later, ICE's replacement contractor, Acentra Health, had received $44.6 million of a $67.5 million no-bid contract but had paid offsite medical providers zero dollars after missing multiple promised start dates, a gap that coincided with a separate Senate investigation documenting dozens of cases of untreated or unmanaged medical conditions in ICE custody.
