
A safety guard stands in entrance of the St. John’s Neighborhood Well being clinic in South Los Angeles.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
The foyer on the St. John’s Neighborhood Well being clinic in South Los Angeles bustles with sufferers. However neighborhood well being employee Ana Ruth Varela is apprehensive that it is about to get quite a bit quieter. Many sufferers, she mentioned, are afraid to depart their properties.
“The opposite day I spoke with one of many sufferers. She mentioned: ‘I do not know. Ought to I’m going to my appointment? Ought to I cancel? I do not know what to do.’ And I mentioned, ‘Simply come.’ “
Since Donald Trump’s return to the White Home, worry of mass deportations carried out by U.S. Immigration and Customs Enforcement has gripped immigrant communities.
For years, a long-standing coverage prevented federal immigration brokers from making arrests at or close to delicate areas, together with faculties, locations of worship, hospitals and well being facilities. It was one of many first insurance policies President Trump rolled again in January, simply hours after his inauguration.
Appearing Division of Homeland Safety Secretary Benjamine Huffman revoked the directive on Jan. 21. In an accompanying press launch, a DHS spokesperson mentioned the motion would help brokers in trying to find immigrants who’ve dedicated crimes. “The Trump Administration won’t tie the palms of our courageous regulation enforcement, and as a substitute trusts them to make use of frequent sense,” the assertion mentioned.
The velocity of the change took Darryn Harris unexpectedly.
“I assumed we had extra time,” mentioned Harris, chief authorities affairs and neighborhood relations officer for St. John’s.

On the St. John’s Neighborhood Well being clinic in South Los Angeles, Darryn Harris teaches well being staff about sufferers’ constitutional proper to stay silent throughout immigration arrests.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
Harris is racing to show greater than 1,000 St. John’s staff methods to learn warrants as they practice for a brand new function – educating sufferers their constitutional rights.
California Legal professional Normal Rob Bonta, a Democrat, is advising clinics to submit details about sufferers’ proper to stay silent and to offer sufferers with contact info for legal-aid teams.
Bonta can be urging well being care suppliers to keep away from together with sufferers’ immigration standing in payments and medical data. His workplace directs that whereas employees shouldn’t bodily hinder immigration brokers, they’re underneath no obligation to help with an arrest.
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One of many few crimson playing cards that remained at a current go to to the St. John’s well being clinic. The cardboard supplies pattern statements for folks interacting with federal immigration brokers.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
Although immigration arrests happened in hospitals throughout Trump’s first time period, the general coverage was nonetheless certainly one of deference to “delicate areas.” Now, nonetheless, DHS states that the earlier guidelines hindered regulation enforcement efforts by creating websites the place folks with out authorized standing might evade seize.
Matt Lopas, director of state advocacy and technical help for the Nationwide Immigration Legislation Heart, mentioned that to ensure that immigration officers to entry well being info or go into non-public areas resembling examination rooms, they have to current a warrant signed by a decide.
“It is extremely necessary that each well being care middle has someone who’s skilled to have the ability to learn these warrants” and decide their validity, Lopas mentioned.
Coaching employees at 31 well being clinics
Within the San Francisco Bay Space, Zenaida Aguilera has been tapped to learn warrants for La Clínica de La Raza. She is the compliance, privateness, and danger officer for the clinic community. If immigration brokers present up, she’s on name for all 31 of the group’s neighborhood clinics.
Aguilera can be now in control of coaching a whole lot of well being staffers. She’s skilled about 250 so far, however the majority of her work is but to return.
“Now we have about most likely a thousand extra employees,” she mentioned.

The outside of the St. John’s Neighborhood Well being clinic in South Los Angeles.
Jackie Fortiér/KFF Well being Information
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Jackie Fortiér/KFF Well being Information
She fears the Trump administration will goal California for immigration enforcement due to its roughly 2 million residents with out authorized standing, the best of any state, in accordance with the Pew Analysis Heart. In 2022, 11 million folks had been within the U.S. with out authorization.
Aguilera mentioned La Clínica plans to submit sufferers’ constitutional rights in clinic lobbies and can present sources resembling contact info for legal-aid teams.
“We wish to simply do the work of caring for our sufferers reasonably than practice our employees on what to do if there’s an ICE official that tries to return into our clinics,” Aguilera mentioned.
This text comes from a NPR’s well being reporting partnership with KFF Well being Information.