Trump Action Archive

Supporting reports

• Health insurers request largest premium increases in five years following tax credit cuts — On July 18, health policy tracker KFF reported that health insurers have requested state regulatory approval for the highest premium increases in more than five years. Insurers attribute the increases primarily to the end of enhanced premium tax credits under the Affordable Care Act that provided financial assistance to enrollees. Insurers predict healthcare costs for those who used the tax credits will rise more than 75% starting in January 2026, which will drive healthier enrollees from the market and cause prices to rise further for remaining enrollees.

Supporting reports

• Centers for Medicare and Medicaid Services granted ICE access to Medicaid records — The Centers for Medicare and Medicaid Services signed an agreement with the Department of Homeland Security enabling Immigration and Customs Enforcement to access Medicaid recipients' personal data, including name, ethnicity, race, birthdate, home address, and social security number. The agreement was signed on Monday, July 14, 2025. Undocumented immigrants are ineligible for Medicaid but may use it for emergency lifesaving services. Senator Adam Schiff warned the data transfer would harm families and discourage people from seeking healthcare.
• DHS and CMS establish data-sharing agreement granting ICE access to Medicaid database — The Department of Homeland Security and Centers for Medicare and Medicaid Services entered into a data-sharing agreement permitting Immigration and Customs Enforcement agents to access Medicaid records containing personal information—home addresses, Social Security numbers, ethnicities—of 79 million beneficiaries to locate undocumented immigrants. Trump administration officials overrode career civil servants' warnings that the arrangement violated federal statutes. The administration justified the agreement as preventing fraud and waste, though critics warn it will deter vulnerable populations from seeking medical care.

Supporting reports

• Hundreds of detainees without criminal charges held at "Alligator Alcatraz" immigration facility in Florida Everglades — The Trump administration's "Alligator Alcatraz" detention facility in Ochopee, Florida holds hundreds of immigrants with no criminal records or charges, according to disclosures following a Democratic lawmakers' visit on Saturday. The Miami Herald obtained a list of 700 detainees showing at least 250 had committed only civil immigration violations. Authorities refused to release the full detainee list. Conditions include three exposed toilets per 32-person cage, inadequate water access, and excessive heat. Federal agencies claim the facility is state-run, contradicting public statements by Homeland Security Secretary Kristi Noem and Trump about federal funding.
• Detained immigrants at "Alligator Alcatraz" reported inhumane conditions — CBS News reported that immigrants who are detained at the new facility dubbed "Alligator Alcatraz" in the Florida Everglades have said conditions there are inhumane, including only being served one meal a day that had maggots in it, no water to take a shower, and a lack of access to healthcare.
• Rep. Wasserman Schultz documents inhumane conditions at immigration detention facility — Democratic Rep. Debbie Wasserman Schultz conducted an oversight tour of "Alligator Alcatraz," a new immigration detention facility, and reported that detainees are "living in cages" with 32 people per cage and only three toilets per cage. She noted that the sink is attached to the toilet unit, forcing detainees to obtain drinking water and brush teeth where they defecate.
• Miami Herald reports 250+ detainees at Alligator Alcatraz have no criminal record — The Miami Herald reported that more than 250 people detained at "Alligator Alcatraz" have no criminal record, contradicting official claims that the facility would be reserved for the "worst of the worst." The finding suggests the facility is being used to detain individuals without serious criminal histories.