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EL PASO (AP) – An investigation by KFF Health News and The Associated Press has found that hundreds of detainees across at least 33 states allege immigration detention facilities are failing to provide adequate medical care.

Detainees allege they didn’t receive medications on time — or at all — for conditions including high blood pressure, diabetes, depression, epilepsy, Parkinson’s and HIV. Requests for help went unanswered for weeks. Blood sugars rose. Infections festered. Cancers remained untreated. Detainees collapsed and had seizures.

U.S. jails and immigration detention centers have long struggled to meet the medical needs of the people in their charge. But the system is sagging under an influx of detentions since President Donald Trump returned to office: More than 75,000 immigrants were being detained by U.S. Immigration and Customs Enforcement as of mid-January, up from around 40,000 a year earlier.

KFF Health News and AP asked the Department of Homeland Security to respond to the findings six days before publication but it did not provide comment. DHS acting chief medical officer, Sean Conley, previously said “it is both policy and longstanding practice for aliens to receive timely and appropriate medical care from the moment they enter ICE custody” and that the department recruits healthcare professionals to maintain high standards. “This is better, more responsive healthcare than many aliens have ever received in their entire lives,” he has said.

Individual facilities and private prison companies contracting with DHS that responded to requests for comment on this story said they follow ICE standards and detainees receive adequate medical care when it is required. Some said they were unfamiliar with the allegations outlined in court documents; others blamed the detainees themselves for lapses in their medical care.

KFF Health News and AP analyzed thousands of court cases filed since Trump’s second inauguration that use a legal route known as habeas corpus to argue people are being held illegally by ICE. The records offer a rare window into how those detained say — often under penalty of perjury — ICE is handling their medical needs. Reporters also interviewed more than 50 detainees, family members and lawyers.

The investigation revealed that medical neglect is alleged across the sprawling detention system, including in offices not designed to house people, county jails and quickly staged sites with nicknames such as “Alligator Alcatraz.”

The full story can be read here. Here are the takeaways:

Sick people remain detained

Previously, detainees with serious medical needs would likely have been released on humanitarian parole, in part to avoid the cost of their care, Vermont attorney Andrew Pelcher said.

Now, under “mandatory detention,” people are staying locked up with serious — and expensive — conditions.

A Romanian citizen underwent several heart surgeries, including an emergency triple bypass in April 2025, before he was arrested in July. As part of his recovery, the 52-year-old was required to take 16 daily medications. While detained by ICE in Baltimore, his court filings allege, he went two days without any medication before officials moved him to a facility in New Jersey.

The AP and KFF Health News are not naming anyone identified in court documents without their consent.

He was hospitalized three times with chest pains, in part because the detention center did not provide all his medications despite “countless requests,” medical records and court documents say. Hospital discharge papers cited by his lawyer show he received only eight of the 16 medications after his second release from the hospital.

Several weeks later in August, he had a stroke while on a video call with his daughter, according to court filings. “He was struggling to breathe, and was pointing at his chest where he was again experiencing pain, and suddenly stopped speaking.” His daughter screamed for help through the video monitor, according to his petition. “Eventually an officer came in to assist him and cut the feed.”

The man lost his ability to speak for four days, the document says. He was returned to detention, where he remained until a federal judge ordered his release in November.

Desperate families try to help from afar

Detainees receiving inadequate healthcare have little recourse. The Department of Homeland Security last year gutted the Office of the Immigration Detention Ombudsman. In early May, they shut the office entirely arguing that Congress didn’t fund it.

Ombudsman staffers used to help facilitate medical care or investigate complaints of neglect, according to Matt Boles, an immigration attorney in Georgia. Now, he said, there’s no one to call.

Meanwhile, detainees’ families said they feel helpless, making desperate calls to facilities, the government and their legislators while watching their loved ones deteriorate.

Riya Khan saw her mother get sicker at the California City Detention Facility, which is owned by CoreCivic, a private prison company. When she visited a week after her mother arrived at the facility in the Mojave Desert, Riya said, the 64-year-old woman was shaking as she stumbled into her seat. Her breathing was labored.

Masuma Khan came to the U.S. from Bangladesh in 1997. Like 70% of those in detention, Khan has no criminal history. She was detained in October when she showed up for her regular ICE check-in.

For the month she was detained, according to her daughter, she only intermittently received her medications for conditions including high blood pressure, hypothyroidism and prediabetes.

CoreCivic treats chronic conditions in line with applicable medical standards, spokesperson Brian Todd said.

“Nothing matters more to CoreCivic than the health, safety and well-being of the people in our care,” Todd said.

Khan said she got her asthma medication for the first time two days before she was released and her eye drops for glaucoma never arrived. Staffers told Khan she needed to buy some of her medications from the commissary but it didn’t stock them, her daughter said.

‘Brazen indifference to really obvious problems’

Dora Schriro, who worked for ICE and now serves as a special adviser to the American Bar Association, said case law requires the government to treat people in immigration detention with the same care it affords those in traditional jails awaiting trial. But administrators are granted discretion and medical care standards vary.

Detainees are frequently moved across the country, often without warning, interrupting treatment. A woman from El Salvador said she missed a week of HIV medication when she was transferred from Colorado to a county jail in Wyoming.

A Russian man wrote that, while detained in Texas, he saw a gastroenterologist about his painful gallstones and scheduled an appointment with a surgeon. “Unfortunately, I never got to see him, due to my being moved around various detention centers.”

Advocates say that even obvious disabilities, like legal blindness, are ignored.

A detainee who lost one eye and had severe glaucoma in the other required twice-daily drops to maintain what vision remained. But, he said, some days the drops never came.

He wrote that his vision was quickly deteriorating, and he was scared he’d lose it entirely and never be able to see his infant son again.

AUSTIN — Acting Texas Comptroller Kelly Hancock said Monday state sales tax revenue totaled $4.5 billion in May, 6.6 percent more than in May 2025. The majority of May sales tax revenue is based on sales made in April and remitted to the agency in May.

“State sales tax collections showed solid growth well above the rate of general price inflation last month, driven in large part by strong increases in certain sectors influenced by business spending,” Hancock said. “Results from nearly all major economic sectors were positive.”

Receipts from the sectors mainly affected by business spending were overall very robust compared with a year ago, with the manufacturing and construction sectors both exhibiting growth of more than 15 percent. Remittances from the wholesale trade sector came in nearly 6 percent more than their May 2025 total. Collections from the mining sector were down slightly.

Among the large sectors driven primarily by consumer spending, remittances from the largest sector, retail trade, were up more than 3 percent compared with last May, and remittances from the services sector increased by more than 8 percent. Within the retail trade sector, collections from electronic shopping outlets were up more than 13 percent and general merchandise stores remitted nearly 2 percent more than in May 2025.

Receipts from restaurants were up 4.3 percent from a year ago, above the rate of inflation for food away from home.

Total sales tax revenue for the three months ending in May 2026 was up 8.7 percent compared with the same period a year ago. Sales tax is the largest source of state funding for the state budget, accounting for 58 percent of all tax collections.

Texas collected the following revenue from other major taxes:

• motor vehicle sales and rental taxes — $599 million, down 13 percent from May 2025;
• motor fuel taxes — $333 million, down 2 percent from May 2025;
• oil production tax — $677 million, up 64 percent from May 2025;
• natural gas production tax – $217 million, down 4 percent from May 2025;
• hotel occupancy tax — $74 million, up 6 percent from May 2025; and
• alcoholic beverage taxes — $156 million, up less than 1 percent from May 2025.

Fiscal 2026 franchise tax collections totaled $6.5 billion year-to-date through May.

Compared with collections through May 2025, year-to-date franchise tax collections were down 0.5 percent, lower than was projected in the Comptroller’s 2026-27 Certification Revenue Estimate. Franchise tax entities may request an extension until November 15. Accordingly, franchise tax revenue from the most recent report year will continue to be received through November 2026.

For details on all monthly collections, visit the Comptroller’s Monthly State Revenue Watch.

POLK COUNTY (KETK) — After receiving multiple allegations of ongoing sexual abuse, Polk County officials have arrested a volunteer of several local churches last week. According to the Polk County Sheriff’s Office, they received reports on May 27 from adults and minors that 40-year-old Doyle Hodge II was sexually abusing them. After opening an investigation, deputies identified five possible victims, with additional individuals continuing to come forward.

Detectives obtained an arrest warrant for Hodge to ensure the safety and well-being of the children involved. On Friday, he was taken into the Polk County Jail for sexual assault of a child and is being held on a $100,000 bond.

The investigation remains active, and additional charges are expected to be filed.

According to the sheriff’s office, Hodge was a volunteer at several of the local churches. Anyone with any additional information regarding the case or who believes they may be a victim is encouraged to contact investigator Kayla Hemperly at 936-327-6810.

WISE COUNTY – On Monday, June 1, at 7:00 a.m., Texas Department of Public Safety Highway Patrol Troopers responded to a single-vehicle motorcycle crash in rural Wise County.

A preliminary investigation indicated that the rider of a Harley-Davidson motorcycle was traveling south on FM 920 at an unsafe speed and failed to negotiate a curve. The rider went off the road and laid the motorcycle over. The rider was not wearing a helmet.

The rider, Shaun Allan Waits, a 56-year-old male of Weatherford, Texas, was pronounced dead on the scene.

This investigation is ongoing, and no additional information is available at this time.

CORPUS CHRISTI (THE TEXAS TRIBUNE) – Corpus Christi City Council is set to discuss Tuesday whether to revive a controversial and ambitious endeavor to build a desalination plant to convert seawater into drinkable water — a project the council rejected nine months ago over high costs and environmental concerns.

A stubborn drought and rising demand has left the city strapped for water, but the coastal community is still divided on whether an expensive plant is worth the cost to taxpayers and the local ecosystem.

Desalination removes salt and other minerals from seawater or salty groundwater, but plants are expensive to build and require lots of energy to run.

The city’s water department, the mayor and some City Council members view the proposed plant, the Inner Harbor Desalination Project, as the key to a long-term, steady water supply. City Manager Peter Zanoni often calls it a “drought-proof” solution capable of producing up to 30 million gallons of drinking water a day.

If approved Tuesday, the earliest the facility would deliver water is late 2029, too far away to help the city dodge its immediate emergency needs. According to projections, the city is expecting to impose emergency water restrictions in December, when demand is expected to exceed supplies in six months, though recent rain may push restrictions back into early 2027.

Mayor Paulette Guajardo, a strong supporter of the project, said the city needs to think long-term. “At the blink of an eye, three years will be here,” she said.

The facility is estimated to cost $978.8 million, which the water department said is a “guaranteed maximum price.” That’s about 25% cheaper than previous cost estimates.

The water department has already corralled a number of contractors to jump on the plant, which would be built along the bay in Hillcrest, a historically Black neighborhood. It’s fully permitted and about 60% designed. The soonest it would deliver water, if approved Tuesday, would be late 2029.

Climbing costs played a big role in the City Council’s September decision to abandon the original plan, but critics are also concerned about where the plant’s salty leftovers would be released. Under the proposal under consideration Tuesday, millions of gallons of the brine byproduct — which can be twice as salty as seawater — would be discharged into Corpus Christi Bay, home to a variety of fish, crabs and seagrass.

The city hired a consultant, Spheros Environmental Group, to review the Inner Harbor project’s ecological impact on the bay. The report, finalized last week, concluded that the plant would not disrupt the bay’s ecosystem, Zanoni said.

That report follows a 2020 study evaluating the city’s original desalination project by Freese and Nichols, an engineering consulting firm based in Houston, which found that sea creatures living in the bay can tolerate high salt conditions, and that the proposed plant’s discharge would not surpass that threshold.

But Isabel Araiza, co-founder of the citizens group For the Greater Good, is not convinced.

“It just makes sense in a practically closed-based system, you don’t dump 54 million gallons of brine and sludge into the bay every single day and not expect that to destroy the bay,” Araiza said.

She’s asking city leaders to instead focus on forcing the region’s largest water users — oil refineries and petrochemical plants — to conserve water. Over the past decade, Corpus Christi aggressively courted large industrial facilities that require large amounts of water, promising a sufficient supply.

Now, the city’s main reservoirs have shriveled up, threatening 25% water cuts for all city customers that could begin in December or early 2027. City leaders on Tuesday also will discuss how those restrictions would be implemented, and how high surcharge rates would be, if a Level 1 emergency is triggered — the point when the city is six months away from supply falling short of demand.

Araiza said the proposed desalination plant is “not a sustainable solution economically or environmentally, it’s an industrial want,” and that “the right moral and ethical choice” is to reject it again.

But some community members view the desalination plant as the city’s last lifeline.

Nelda Martinez, who lives along the bay, pleaded with City Council members to move forward with the Inner Harbor project.

“People that you serve are worried if they’re going to have their job tomorrow,” she said during a March meeting. “There have been businesses that have shut down. There have been businesses that now are planning their exit plans. There are people and entities that have decided that they’re not going to move here.”

Ginny Cross, vice president of advocacy for United Corpus Christi Chamber of Commerce, said she hopes city leaders move forward with a desalination plant because an evergreen water source could save businesses from threats of future surcharges. Mandatory restrictions would be especially hard on car washes and landscaping companies, she said.

“We obviously want our public officials to be good stewards of our tax dollars, but I fear that the days of plentiful, inexpensive water are gone,” Cross said. “I hate that reality for everybody, but I think we’re either going to have expensive plentiful water, or expensive scarce water. I think if we’re going to pay for it, we’d rather have lots of it.”

The city is also considering two desalination plant proposals from private companies. In March, the City Council agreed to hear a plan from Aquatech, a desalination company offering to finish building a water plant for plastics manufacturer Corpus Christi Polymers if the city agrees to purchase water from it.

City representatives also are in talks with AXE H2O, a 2-month-old Houston company that is offering to fully fund and build a desalination facility in the Coastal Bend area. Before work could begin, the city would have to commit to buying at least 50 million gallons a day for at least 30 years.

Kenneth Dees, a water resources engineer based in Fort Worth, said Corpus Christi and the rest of the state should start preparing to shell out more for water, including desalination plants, as the drought deepens and infrastructure ages.

“We’re not running out of water, we’re running out of cheap water,” Dees said.

The original article for this story appears here.