The Brief

Doctors at Adventist Health White Memorial hospital in Boyle Heights told LAist that hospital administrators are allowing federal immigration agents to interfere in medical decisions and block doctors from properly treating detainees who need emergency care.

Administrators at White Memorial have told doctors not to call a detained patient’s family members, even to find out what type of medication they’re on or what conditions they have, doctors told LAist. Hospital leaders also have told doctors to allow immigration agents to remain by a detained patient’s side, even during consultations, inhibiting frank discussions between doctors and their patients and potentially violating patient privacy laws. Doctors say this is not typical protocol for any patients, including those brought in by local police or sheriff’s deputies.

These doctors are equally concerned about their inability to ensure follow-up care for patients released to the ICE processing facility known as B-18 in downtown L.A., where critics say some detainees have been held for days on end with no proper beds or medical care.

Why this matters

White Memorial is part of a network of private, nonprofit hospitals affiliated with the Seventh-day Adventist Church, with $7 billion in annual revenue. The hospital has been operating for more than 110 years. Its calling is to “help improve the lives of our friends and neighbors in East Los Angeles and Boyle Heights,” according to its website.

Five physicians at White Memorial shared the details with LAist about ICE’s presence at the hospital and hospital administrators’ response on the condition that they not be named for fear of retaliation from their employer or from immigration authorities. LAist reviewed internal emails supporting their claims.

“We have an ethical and moral duty to provide excellent medical care and to serve the patient’s interest,” one doctor at White Memorial told LAist. But the doctor said the frequent presence of masked, armed immigration agents in the hospital makes it “very difficult to do that.”

The physicians told LAist they believe the directives from their bosses conflict with the responsibilities all doctors have to their patients and with guidance from the California attorney general.

White Memorial did not respond to a request for an interview from LAist or to our emailed list of questions.

In a statement, a White Memorial spokesperson said the hospital’s staff “are passionately committed to providing the highest standard of medical care to all who come through our doors, regardless of their circumstances” and that the hospital has “protocols in place that are designed to help support the lawful respect of patient rights.”

“We are doing everything in our power to provide safe and compassionate care to our community during this time of unrest,” the statement reads. It also urged people not to "delay the medical care you need.”

Tricia McLaughlin, a spokesperson for the Department of Homeland Security, which includes ICE, did not respond to specific questions from LAist or agree to an interview.

In a statement, she wrote that “ICE is not denying any illegal alien access to proper medical care or medications.” McLaughlin said it was “longstanding practice to provide comprehensive medical care from the moment an alien enters ICE custody.”

She added that she hoped LAist “would consider NOT writing this garbage” in the wake of the recent shooting outside an ICE detention center in Texas, where one detainee was killed and two injured.

“These types of smears are contributing to our officers facing a 1000% increase in assaults against them,” she wrote.

An analysis of federal court filings for assault on a federal officer by Colorado Public Radio shows a sharp increase in charges in recent months. The data is far short of the scale suggested by officials.

The bigger picture

A version of the conflicts described at White Memorial is happening across the state and the country as hospitals are forced to contend with fallout from the Trump administration’s mass deportation program. Caught in the middle are doctors and other medical professionals who have a legal duty to provide medical care to patients and ethical concerns about policies they feel affect the traditional standards of care.

The five doctors who spoke with LAist say the conflicts are especially acute at White Memorial, a hospital whose patient and surrounding population is mostly Latino and where several doctors told LAist they’re seeing two to three detained patients per shift.

The situation also raises questions about medical privacy at a time when the federal government is seeking access to sensitive personal information, including medical information from both immigrants and U.S.-born citizens.

Lorenzo Antonio González is a physician who volunteers with Unión del Barrio, which patrols Boyle Heights and other neighborhoods to warn people about ICE raids. He does not work at White Memorial but is aware of the doctors’ concerns. He said he fears ICE’s frequent presence at the hospital will further the chilling effect already causing many Boyle Heights neighbors — where more than 80% of households speak Spanish and a quarter of residents are noncitizens — to forgo medical care and avoid leaving their homes. González called White Memorial’s alleged behavior “an  erosion of trust within this pillar of a community.”

Anti-ICE protestors march out of Mariachi Plaza during the 'Reclaim Our Streets" event in the Boyle Heights neighborhood on July 1, 2025.

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Mario Tama

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How we got here

As immigration raids ramped up in Los Angeles this year, some detainees have needed urgent medical care, either because they were injured while being detained, had a pre-existing illness, or because they became ill while being held at the downtown immigration facility.

Some of these incidents became headlines. In July, a Salvadoran woman was brought to Glendale Memorial Hospital with injuries suffered during a raid. In that case, camera crews descended on the hospital as activists protested the presence of ICE agents in the public lobby.

Meanwhile, White Memorial stayed out of the news. In June, a hospital leader sent an email to colleagues, flagging several incidents involving immigration detainees, including one in which agents remained in the room with a detained patient during the patient’s entire stay at the hospital. The email also noted that agents told doctors they could not call the patient’s family members when the patient couldn’t remember her medications, according to the email and doctors who spoke with LAist.

Doctors at White Memorial and other hospitals told LAist it’s not typical for law enforcement officers to remain in the room during patient care, even with criminal detainees, unless there’s a serious security risk. People in ICE custody are civil, not criminal detainees. Doctors also told LAist it’s common practice to call family members, with a patient’s permission, to inquire about their medical history and current medications.

So the doctors at White Memorial pressed hospital administrators for a clear policy and legal guidance on how to balance ICE agent demands with the hospital’s responsibilities for patient care.

The answer that came back from hospital administrators: defer to the agents.

Hospital leaders told doctors — both verbally, doctors say, and in writing in several emails reviewed by LAist — that immigration agents are allowed to be present at all times, even during discussions about a patient’s sensitive medical information. Doctors also were told they could not call a detained patient’s family member without an agent’s permission. In one email to subordinates, a hospital leader told White Memorial staff that doing so could be a “security risk.”

“That’s like encouraging medical negligence,” one White Memorial doctor told LAist in response to this guidance.

At least one doctor told LAist they are defying hospital leaders’ guidance, deferring instead to their medical duty to the patient and to follow medical privacy laws.

“There’s no way you can get me to not call a patient’s family if they’re hurt and need support,” the doctor said.

Why detainee care is under scrutiny

The concerns about White Memorial come at a time when the care of people in ICE custody is under scrutiny. In August, a man was severely injured while being detained at a car wash in Carson. Agents brought him to Harbor-UCLA medical center for treatment and remained by his bed, to which the man was cuffed, for over a month, according to a recent court ruling. He was never charged with violating any immigration laws, and in October, a federal judge ordered the agents monitoring him to leave the man’s hospital room and remove restrictions on the man’s “ability to make telephone calls to family and friends and to confer confidentially with counsel outside the presence of ICE agents.”

X'tiosu is located on the corner of Wabash and Forest avenues in Boyle Heights

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Concerns about the medical care of detainees also extends to formal ICE detention centers. In September, Ismael Ayala-Uribe, a Westminster man who was being held at the Adelanto ICE Processing Center, became the 17th person to die in ICE custody this year. Last year, 12 people died in ICE custody, according to agency statistics.

Ayala-Uribe, 39, was a former DACA recipient who supporters say had lived in the country since he was 4 years old. He was picked up in an ICE raid in Fountain Valley in August and sent to Adelanto. From there, a medical provider at the detention facility sent Ayala-Uribe to a nearby hospital, where he was evaluated for an abscess, scheduled for surgery and sent back to the facility. He died in custody the following day.

Earlier this year, as immigration raids ramped up, the advocacy group Disability Rights California interviewed 18 people detained at the Adelanto ICE facility. In a subsequent report, the group concluded that "due to the surging numbers of people at Adelanto, conditions appear to have quickly deteriorated.” The report claimed detainees faced "inadequate access to medical treatment, such as life-saving medication and wound care and exposure to widespread respiratory illnesses."

In response to LAist’s emailed questions about medical care for ICE detainees, McLaughlin, the ICE spokesperson, said detainees received “medical, dental and mental health intake screening within 12 hours of arriving at each detention facility, a full health assessment within 14 days of entering ICE custody or arrival at a facility and access to medical appointments and 24-hour emergency care. This is the best healthcare … many aliens have received in their entire lives," she wrote.

McLaughlin did not respond to LAist’s follow-up email asking her to specifically respond to questions about hospital care for detainees outside of detention centers or to questions about the availability of health care at the B-18 processing center, which unlike the Adelanto facility, is not an official detention center.

In a recent, ongoing lawsuit over the L.A. immigration raids, the ACLU and other groups called out alleged unsanitary conditions and a lack of medical care at B-18.

“Individuals with conditions that require consistent medications and treatment are not given any medical attention, even when that information is brought to the attention of the officers on duty,” reads the initial complaint, filed in July.

One doctor at White Memorial told LAist she had called ICE supervisors at the holding center on several occasions to inquire about follow-up care for patients and was told there were no doctors at the facility and there was no way to obtain medication.

What this all means for detainees — and doctors

Other groups have tried to bring attention to the problems associated with immigration agents in hospital settings. The Committee of Interns and Residents, which is is part of the Service Employees International Union, publicly denounced the presence of ICE agents at University of California hospitals in July, saying it creates “an unsafe environment that … directly contradicts our mission to provide safe, effective and quality healthcare to every member of our community.”

Mahima Iyengar, a doctor at L.A. General hospital and secretary-treasurer of the committee, told LAist that having a law enforcement officer present during doctor-patient conversations can compromise care.

“There's that level of trust that people have with their doctor that they don't necessarily have when somebody else is listening,” Iyengar told LAist. “Your doctor is then not getting as much information as they need, and that information … very well could be what helps them come up with a diagnosis or what helps them decide what treatment [the patient] is going to be on.”

Iyengar said doctors also are unlikely to feel comfortable asking a patient important non-medical questions when an ICE agent is present.

“A lot of what determines our patients' health are all of these social determinants, like where they're living, how they're getting to the hospital, if they have money, if they have kids that need childcare right now while they're hospitalized,” she said. “All of those questions are important questions to ask that I would not personally feel comfortable asking if an officer was standing right there.”

McLaughlin, the ICE spokesperson, did not respond to LAist’s specific questions about whether the agency recognizes detained patients’ privacy rights at hospitals.

What do legal experts say?

Last December, California Attorney General Rob Bonta issued “guidance and model policies” for health care facilities in responding to the anticipated increase in immigration enforcement. The guidance is not mandatory for private hospitals, like White Memorial, but all health care facilities were “encouraged to adopt” model policies. Doctors who spoke with LAist said they had read the guidance and felt beholden to it.

The document states that:

• State and federal medical privacy laws apply to all patients “regardless of immigration status.” 
• Health care facility staff “should identify circumstances in which granting immigration enforcement officers access to patients may interfere with physicians’ duty to provide competent medical care, to safeguard patient confidences and privacy, and to otherwise prioritize their obligations to their patients”; and
• Facilities “should educate patients about their privacy rights and reassure them that their healthcare information is protected by federal and state laws.”

A spokesperson for Bonta told LAist the attorney general could not comment on whether the office had received complaints about ICE privacy breaches in health care settings because they are confidential.

“We continue to monitor compliance with all state and federal laws,” the spokesperson said in an email.

LAist also asked two health care legal experts about White Memorial’s direction to staff to allow ICE agents to be present during patient exams and bar calls to detained patients’ family members. Both said the guidance could violate medical privacy laws and ethical standards.

“From a patient safety perspective, it certainly raises red flags,” said Paul Schmeltzer, an L.A.-based health care and data privacy lawyer, referring especially to the prohibition on calling a detained patient’s family member. Schmeltzer also said letting an ICE agent remain next to a patient throughout their hospital stay without the patient’s consent is likely illegal. Patient privacy is protected under the federal Health Insurance Portability and Accountability Act, or HIPAA, and California’s Confidentiality of Medical Information Act. Both generally prohibit doctors and hospitals from disclosing a patient’s medical information without their permission or a search warrant or other court order.

Schmeltzer said he saw “no permissible situation” under these laws for “disclosing” a detained patient’s hospital treatment to an ICE agent.

“The fact that an ICE agent is present in the room while this patient is receiving treatment, that's a disclosure,” he said.

Deven McGraw, chief regulatory and privacy officer for the company Citizen Health,  a patient data platform, agreed.

“ You're basically saying, ‘Yeah, patient, you don't have a choice but to disclose your medical information to this law enforcement official,'” she said.

McGraw was in charge of enforcing HIPAA at the federal Department of Health and Human Services Office for Civil Rights from 2015 to 2017. She said there are personal and public health reasons for shielding a patient’s medical information from law enforcement. For example, a patient might hide that they have a communicable disease out of fear they’ll be targeted or isolated.

“ We're supposed to treat people,” McGraw said. “The failure to treat them has potential consequences for their own health, plus the health of others.”

Schmeltzer and McGraw both said the administration at White Memorial might be making a calculated decision when weighing the hospital’s potential liability for violating the privacy rights of immigration detainees versus angering the Trump administration. Only the federal government and state attorneys general can prosecute a hospital for violating HIPAA, Schmeltzer and McGraw noted. 

Some of the behavior described by doctors could be prohibited under a new state law, enacted in September as an “urgency” measure. The law requires health care facilities to ban immigration agents from entering non-public areas without a valid warrant and to advise staff on how to respond to agents’ requests for entry.

Even before the law, groups like the Committee of Interns and Residents had begun to train colleagues on the privacy rights of detained patients and how to handle ICE agents. Iyengar said doctors at L.A. General, for example, distribute “Know Your Rights” cards to immigrant patients and hospital employees are instructed to immediately call hospital directors if immigration agents appear.

“ Even just if there is an ICE officer in the hospital, that will put people off from visiting a loved one, or if word gets out, the community finds out, and they don't want come to that hospital,” she said. “So, it's just an unsafe environment to have an ICE officer in a hospital, especially [a hospital] that's serving mostly immigrants.”

LAist’s Ted Rohrlich also contributed to this story.

After California lawmakers passed a state housing law that allows taller apartment buildings near train lines, Los Angeles leaders are facing a tradeoff: If they want to delay full implementation of the law, they’ll have to choose some parts of the city to upzone.

Gov. Gavin Newsom signed Senate Bill 79 into law last year. Starting July 1, the law is set to allow apartment buildings up to nine stories tall to be built next to subway stations and smaller buildings within a half-mile of light rail and rapid bus stops.

L.A. Mayor Karen Bass and a slim majority of the L.A. City Council had expressed opposition to SB 79, in keeping with the long-standing preference of many city leaders to leave untouched the three-quarters of L.A.’s residential land zoned for single-family homes.

Now, some L.A. leaders are scrambling to pull a delay lever that was built into SB 79. The provision allows cities to put off the law’s broadest effects until 2030, as long as they agree to allow more housing development in certain neighborhoods in the interim.

“If we don't do this, what happens is SB 79 goes into effect full-on,” said Bob Blumenfield, chair of the council’s Planning and Land Use Committee, during a meeting on Tuesday. “I really want to avoid that happening.”

Options for delay

The state law lets cities delay implementation in neighborhoods deemed to be “low resource,” in areas at high risk of fires or sea level rise or are designated as historically significant. Even with those carve-outs, some higher-income neighborhoods near train stops will still be subject to upzoning.

The city’s Planning Department produced a report last week laying out three different approaches for the City Council to delay SB 79. All of them involve local incentive programs that would allow developers to build apartment buildings in neighborhoods currently zoned for single-family homes.

The first option would allow buildings up to four stories tall, while the second and third options would permit buildings up to eight stories.

During the committee meeting Tuesday, homeowners spoke against the changes the new law would bring and the city’s upzoning plans.

“Single-family neighborhoods are where families put down roots — they are the beating heart of Los Angeles and SB 79 runs a stake right through that heart,” said Shelley Wagers with the Beverly Grove Neighborhood Association. “We must use every tool to prevent irreversible harm and buy time.”

Advocates for increased housing development said they favored the report’s third option, which would allow mid-sized apartment buildings within a half-mile of existing train stops, as well as planned stations and rapid bus stops.

Scott Epstein, policy director for Abundant Housing L.A., said that approach “offers the best opportunity to meet our housing targets and ensure that neighborhoods rich in transit services and high-quality schools are doing their part.”

What happens next

The Planning and Land Use Committee could not get a three-person majority to agree on the best path forward, so the decision will now go to the full City Council for further debate.

Blumenfield said his recommendation as committee chair was to allow mid-rise apartment buildings in many neighborhoods, but only near existing train stops, not planned stations or rapid bus stops. He also recommended more exemptions for certain historic preservation zones.

Nithya Raman, a committee member who is also running for L.A. Mayor, said she found the report’s recommendations difficult to follow. Passing a delayed implementation plan could stave off changes in some neighborhoods, but only for a while, she said.

“Eventually we will have to do something,” Raman said. “So the question is just what do we do now and what do we do later.”

But council members have little time to figure out which approach they prefer. City planners told the committee that in order to have a delay ordinance in place by July 1, the council would need to decide what direction to take by early March.

This story was originally published by The LA Local on Feb. 25, 2026.

As federal immigration enforcement raids continue across Los Angeles, a broader demographic of people is stepping up to volunteer their time to monitor and document immigration raids in their neighborhoods, according to Ron Gochez, organizer with the rapid‑response network Unión del Barrio.

“We have senior citizen retirees showing up saying, ‘I’m an old white woman — how can I help?’ We have students from community colleges and universities. We have people who look like longtime activists and people who look like they’ve never done this before,” he said. “It’s solidarity being shown by Angelenos of all shapes, sizes, colors and ages.”

While longtime Latino organizers have led the patrols, their numbers are growing thanks to the new volunteers who aren’t necessarily Latino.

Unión del Barrio has outgrown their usual meeting space at the United Teachers union building in Koreatown, which used to draw a few dozen people.

Along with their patrols, the group supports families impacted by immigration raids and issues real-time alerts over social media.

In late January, the day after federal agents shot and killed Alex Pretti in Minneapolis, about 400 people showed up for a training session, Unión del Barrio organizer Ron Gochez said.

“The very next day, we had 1,000 people on a Zoom training for educators — and we couldn’t have more because the Zoom limit was 1,000,” Gochez said.

Organizers in Pasadena expected a few dozen volunteers at All Saints Episcopal Church and were surprised when nearly 800 showed up for the training session, according to Pasadena Now.

For the first time, the majority of volunteers at a recent training session were white, Gochez said.

“I think the administration and ICE thought that by killing Alex (Pretti), that people would be scared and intimidated and would stop participating,” he said.

Instead, it has had the opposite effect.

Other immigrant advocacy groups say they’re seeing a similar surge in support. Representatives at the Coalition for Humane Immigrant Rights (CHIRLA) and the Immigrant Defenders Law Center report a spike in volunteers, donations, and attendance at “Know Your Rights” workshops.

The legal advocacy group says they’re going to continue sustaining deportation defense, managed information hotlines, and expect that engagement to remain strong as federal immigration enforcement intensifies.

Ron Gochez, a member of Unión del Barrio, speaks to volunteers in South Los Angeles in February 2025.

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Residents living near Koreatown and Pico Union have seen a sharp increase in immigration raids in recent months. Unión del Barrio volunteer, Oscar, who provided only his first name out of concerns over retaliation from the federal government, has seen firsthand the effects of the raids.

“This part of Los Angeles — Pico Union, K-town, MacArthur Park, Westlake — has been hit incredibly hard throughout the last year,” Oscar said, pointing to raids along the El Salvador Community Corridor in Pico Union. “They’ve gone up and down Pico multiple times.”

Westlake, a dense immigrant neighborhood predominantly made up of renters and noncitizen workers, has also been identified as one of the most vulnerable areas in L.A. to ICE raids, according to a county-sponsored study.

Oscar leads patrol training sessions, but before joining Union del Barrio, he patrolled his neighborhood with a friend to report on immigration enforcement. “It just didn’t feel like enough,” he said. “I wanted to be part of a space of dedicated organizers.”

Overall, he’s seen more people working together across racial and gender lines, with a common goal of protecting their communities, helping deliver groceries to impacted famlies, monitor their neighborhoods and feel like they have something to do in the face of the ongoing immigration raids.

Immigration agents detain a man selling flowers in Boyle Heights on Wednesday, Jan. 28, 2026.

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“People are coming in angry, determined,” he said. “but ultimately I think people feel empowered during the training.”

Unión del Barrio has expanded beyond its usual territory in South Los Angeles and the group now patrols in Boyle Heights, Long Beach, the San Fernando Valley, Beverly Hills and Brentwood, Gochez said.

“We have eyes and ears everywhere,” Gochez said. “I’m very comfortable saying there are thousands of people patrolling in the greater L.A. area.”

Although the group rarely solicits donations, Gochez said they have seen an uptick in funding, which helps cover costs from patrolling and printing “Know Your Rights” flyers and other materials.

Despite the heightened attention, Unión del Barrio has not altered its training curriculum, making sure that volunteers are following the law, but also aware that their safety is not guaranteed when they head out to monitor the immigration raids.

Organizers strongly discourage undocumented individuals or those on probation or parole from participating in community patrols, instead encouraging them to contribute in other ways.

“We’re not trying to become martyrs,” Gochez said. “We don’t want to be arrested, beaten or killed. But there is risk involved.”

The L.A. City Council voted unanimously Tuesday to make permanent a city pilot program that diverts police away from some mental health crisis calls.

Since launching in 2024, clinicians with the city’s Unarmed Model of Crisis Response have handled more than 17,000 calls for service, ranging from mental health crises to wellbeing checks. According to city reports, about 96% of those calls were resolved without police.

“We can’t keep deploying armed officers to handle mental health crisis calls because the outcome is Angelenos paying with loss of life and millions of their tax dollars for legal settlements,” Councilmember Eunisses Hernandez, who co-authored the motion to enshrine the program, said at Tuesday’s meeting.

According to Hernandez, in 2023, more than a third of LAPD shootings involved someone experiencing a mental health crisis.

Councilmember Marqueece Harris-Dawson said the data from city reports was "incontrovertible and unassailable," showing the program’s success at diverting police and fire first responders away from mental health crisis situations.

Council members said the move to make the unarmed model permanent was also a matter of fiscal responsibility. According to a news release from the offices of Hernandez and Councilmember Bob Blumenfield, on average it costs the city roughly $85 per hour to dispatch LAPD officers, while a response from a UMCR team costs roughly $35 per hour.

Last fall, progressive policy advocacy group LA Forward, convened a summit of local and state officials with the goal of making UMCR permanent and expanding it.

Godfrey Plata, deputy director of LA Forward, told LAist his group was “incredibly excited” to see the city make the pilot program permanent.

Plata said he sees enshrining the program as a first step in expanding the program citywide, which his group hopes to do by the 2028 Olympics.

How the program works

In 2024, the city partnered with three nonprofit organizations — Exodus Recovery, Alcott Center and Penny Lane Centers — to provide teams of trained clinicians in service areas spread across L.A. The teams are available 24 hours a day, seven days a week within the Police Department’s Devonshire, Wilshire, Southeast, West LA, Olympic and West Valley divisions.

Crisis response workers are trained in de-escalation techniques, mental health, substance use, conflict resolution and more, according to a report on the program from the Office of City Administrative Officer. The teams don’t have the authority to order psychiatric holds for people in crisis, but they can work with them to find help locally, and spend more time on follow up than law enforcement can.

In its first year, Los Angeles’s Unarmed Model of Crisis Response sent teams of unarmed clinicians to  more than 6,700 calls for service, ranging from mental health crises to wellbeing checks. Only about 4% were redirected to the LAPD. Average response times have been under 30 minutes.

Examples of these interactions include members of the teams taking food to a woman who was crying and hungry, working with a business owner to engage with someone sleeping in a parking lot and sitting with a family for nearly three hours to help resolve a conflict involving a relative.

What’s next

The motion approved Tuesday also directs city officials to form a working group made up of the LAPD, the L.A. Fire Department and other agencies to address inefficiencies in the dispatch system. The goal of the working group will be to centralize unarmed crisis response dispatch and improve response times.