The Division's
relationship with
the Immigration and
Customs Enforcement
(ICE), formerly the
Immigration and
Naturalization
Service (INS), dates
back to 1891 when
the Immigration Act
authorized the
Public Health
Service to examine
and quarantine
aliens at Ellis
Island. The
Division of
Immigration Health
Service (DIHS)
provides a
nationwide clinical
operations function
within the Bureau of
Primary Health Care
(BPHC), Health
Resources and
Services
Administration (HRSA)
responding to
specifications of
inter-service
agreements with the
U.S. Department of
Homeland Security
(DHS) to provide or
arrange health care
services for
undocumented
migrants detained by
the U.S. Immigration
and Customs
Enforcement (ICE).
Funds managed by
this billet total
more than $70.2
million. This
includes $40.2
million for direct
operations and $30
million allocated
for medical claims
in FY 05.
The DIHS health care
system is a complex
system that includes
several distinct
activities and
services required by
DHS to support the
enforcement of
immigration law and
maintain national
security. The system
includes:
· Ambulatory
care clinics,
in-patient units,
mental health units,
and medical staging
facilities
co-located with
Immigration Service
Processing Centers
and contract
detention
facilities;
· A managed
care/utilization
management system
which arranges
health services to
support undocumented
migrants detained in
over 500 federal,
state and local
jails;
· A managed
care/utilization
management system
which provides
health care support
for unaccompanied
undocumented
juveniles under the
care of Office of
Refugee
Resettlement,
Department of Health
and Human Services,
·
Medical claims
processing for the
US Border Patrol,
· Consultation and
support upon request
for US Customs
Inspections,
· Year round
medical personnel to
augment US Coast
Guard missions at
sea in the Caribbean
on migrant
interdiction
operations,
· Certified
Flight Nurses who
provide in-flight
medical support for
removal of sick or
dangerous deportees,
- Medical
Facilities, and
other measures of
health care support.
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