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DIHS History


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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Division Orientation Briefing (powerpoint presentation - 8.3Mb)

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