Senate report details dozens of cases of medical neglect in federal immigration detention centers

A U.S. Senate investigation has uncovered dozens of credible reports of medical neglect and poor conditions in immigration detention centers nationwide — with detainees denied insulin, left without medical attention for days and forced to compete for clean water — raising scrutiny about how the government oversees its vast detention system.

The report released by Sen. Jon Ossoff, a Democrat from Georgia, is the second in a series of inquiries examining alleged human rights abuses in the immigration detention system. It builds on an August review that detailed mistreatment of children and pregnant women and draws from more than 500 reports of abuse and neglect collected between January and August.

The latest findings document more than 80 credible cases of medical neglect and widespread complaints of inadequate food and water. Senate investigators say that points to systemic failures in federal detention oversight.

The report cites accounts from detainees, attorneys, advocates, news reports and at least one Department of Homeland Security employee, describing delays in medical care that, in some cases, proved life-threatening. One detainee reportedly suffered a heart attack after complaining of chest pain for days without treatment. Others said inhalers and asthma medication were withheld, or that detainees waited weeks for prescriptions to be filled.

A Homeland Security staff member assigned to one detention site told investigators that “ambulances have to come almost every day,” according to the report.

Ossoff said the findings reflect a deeper failure of oversight within federal immigration detention.

“Americans overwhelmingly demand and deserve secure borders. Americans also overwhelmingly oppose the abuse and neglect of detainees,” Ossoff told The Associated Press. “Every human being is entitled to dignity and humane treatment. That is why I have for years investigated and exposed abuses in prisons, jails, and detention centers, and that is why this work will continue.”

The medical reports also detailed how a diabetic detainee went without glucose monitoring or insulin for two days and became delirious before medical attention was given and that it took months for another detainee to receive medication to treat gastrointestinal issues.

Expired milk, foul water, scant food are reported

The Senate investigation also identified persistent complaints about food and water, including evidence drawn from court filings, depositions and interviews. Detainees described meals too small for adults, milk that was sometimes expired, and water that smelled foul or appeared to make children sick. At one Texas facility, a teenager said adults were forced to compete with children for bottles of clean water when staff left out only a few at a time.

The Associated Press asked U.S. Immigration and Customs Enforcement for comment on the report’s findings multiple times Wednesday and Thursday, but the agency did not provide a response. The Homeland Security Department previously criticized Ossoff’s first report in August, saying the allegations of detainees being abused were false and accusing him of trying to “score political points.”

Attorneys for some of those detained at facilities across the country said they’ve seen some of the issues with medical care and food firsthand.

Stephanie Alvarez-Jones, a Southeast regional attorney for the National Immigration Project, said one of the organization’s clients was denied a prescribed medical device while being detained at Angola’s Camp J facility in Louisiana in the last two months. The man, in his 60s, experienced stroke-like symptoms, including partial paralysis, and was eventually taken to the hospital, where he was transferred to an intensive care unit for several days.

Doctors there prescribed him a walker to help him move during his recovery, but Alvarez-Jones said the detention staff would not let him have it when he first returned and placed him in a segregation cell.

“He still could not walk by himself,” she said. “He still had paralysis on his left side.” She added: “He was not able to get up and get his food, to shower by himself or to use the bathroom without assistance. So he had to lay in soiled bedsheets because he wasn’t able to get up.”

Alvarez-Jones said the guards had insinuated to the man that they believed he was faking his illness. He was eventually given the choice of staying in the segregation cell and being allowed a walker, or returning to the general detainee population. She said he’s been relying on the help of others in the general population to eat and use the bathroom as he recovers.

The Baltimore field office is examined

Amelia Dagen, a senior attorney with the Amica Center for Immigrant Rights, is working on a lawsuit against the Immigration and Customs Enforcement and Removal Operations Baltimore Field Office as well as officials in charge of national immigration enforcement efforts.

Dagen said several of the organization’s clients have had to fight for access to medication at the Baltimore holding facility. Through the lawsuit, she said the government agency had to admit in the court record that it does not have a food vendor to provide three meals a day or any onsite medical staff at the facility that was initially only supposed to hold detainees for about 12 hours.

But since January and the various immigration enforcement actions, it’s much more likely that detainees are held for as much as a week in the Baltimore Hold Room.

“What we started hearing very quickly, maybe in February, was that the food they were being fed three times a day was incredibly inadequate,” Dagen said. “We would hear sometimes it would be a protein bar or sometimes just bread and water. There is very little nutritional value and very little variety. I mean, sometimes it was a military ration component, but just the rice and beans, not a full meal.”

Dagen said the detainees also have to ask for bottles of water and they aren’t always given. The ICE office has taken the stance that the sinks attached to the cell toilets are a continuous supply of water. But Dagen said the detainees complained the sink water has a bad taste.

“This is 100% a problem of their own making,” she said of the authorities. “These hold rooms were not used in this way prior to 2025. They are setting themselves these quotas, removing discretion to release people and trying to arrest numbers of people that are just impractical … fully knowing they don’t have the ability to hold these people.”