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August 30, 2019

Lawmakers Lead Bicameral Investigation into the Elimination of Medical Deferred Action

WASHINGTON – Today, Congresswoman Ayanna Pressley (D-MA), along with Judiciary Chairman Jerry Nadler, Immigration and Citizenship Subcommittee Chairwoman Zoe Lofgren (D-CA), Congresswoman Judy Chu (D-CA), Congressman Lou Correa (D-CA), Congressman Mark DeSaulnier (D-CA), Senator Elizabeth Warren (D-MA), Senator Edward J. Markey (D-MA) and other lawmakers penned a letter to Acting Department of Homeland Security (DHS) Secretary Kevin McAleenan, Acting U.S. Customs and Immigration Services (USCIS) Director Ken Cucinelli, and Acting U.S. Immigration and Customs Enforcement (ICE) Director Matthew T. Albence demanding answers on USCIS’s decision to end consideration of non-military deferred action requests, commonly known as medical deferred action. In the letter, the lawmakers called on the agencies to turn over any documents discussing the policy change by September 13, 2019.


Medical deferred action provides temporary relief from deportation for immigrants, and their families, with life-threatening health conditions that cannot be properly treated if they were deported. Earlier this month, applicants for medical deferred action began receiving letters from USCIS rejecting their request for deportation deferral and notified them that they have 33 days to depart the country or risk deportation. USCIS did not issue a public announcement of the medical deferred action policy change nor did the agency provide an opportunity for public comment. According to news reports, USCIS is also forcing applicants to apply for medical deferred action through Immigration and Customs Enforcement (ICE) even though ICE claims that they do not have any existing protocols that will allow them to process medical deferred action applications.


“In recent years, USCIS has repeatedly implemented far-reaching new measures without adequate notice or clear explanation,” wrote the lawmakers. “This policy change is unfair to families who followed longstanding USCIS procedures for requesting deferred action, only to discover in a denial letter that those policies have changed.  Additionally, it is extremely troubling that USCIS applied this policy retroactively, stunning families who requested protection long before the policy took effect.”


Next Friday, September 6, 2019, at 1pm ET the House Committee on Oversight and Reform, Subcommittee on Civil Rights and Civil Liberties will hold a hearing on medical deferred action titled: “The Administration’s Apparent Revocation of Medical Deferred Action for Critically Ill Children.” The hearing will take place in the Rayburn House Office Building, Room 2154.


Congresswoman Pressley is a staunch ally and advocate for immigrant communities in Massachusetts and has continuously spotlighted the Trump Administration’s racist and xenophobic policies. Earlier this week, she sent a letter to USCIS condemning the agency’s abrupt shutdown of the Boston Asylum office. Last month, she testified before the House Committee on Oversight and Reform on the human rights crisis she witnessed at DHS facilities in El Paso, Texas. In June, Congresswoman Pressley sent a letter to municipal leaders in the Massachusetts 7th Congressional District calling for a unified effort to protect and defend immigrants from the Trump Administration’s dangerous ICE raids. She has also consistently denounced any attempts by congress to provide additional funding to DHS – an agency that continues to vilify, criminalize and dehumanize immigrants.


In addition to lawmakers leading the letter, the letter is also signed by Representatives Cedric Richmond (D-LA), Jennifer Wexton (D-VA), Cheri Bustos (D-IL), Salud O. Carbajal (D-CA), John Sarbanes (D-MD), Seth Moulton (D-MA), John Garamendi (D-CA), Gregory W. Meeks (D-NY), Brendan Boyle (D-PA), Ted Deutch (D-FL), Ruben Gallego (D-AZ), Gilbert R. Cisneros, Jr. (D-CA), Jamie Raskin (D-MD), Andre Carson (D-IN), Al Lawson (D-FL), Anthony G. Brown (D-MD), Bonnie Watson Coleman (D-NJ), Jahana Hayes (D-CT), Barbara Lee (D-CA), Antonio Delgado (D-NY), Jared Huffman (D-CA), Madeleine Dean (D-PA), Alexandria Ocasio-Cortez (D-NY), Scott H. Peters (D-CA), Marcia Fudge (D-OH), Alma S. Adams, P.h.D. (D-NC), Gerald E. Connolly (D-VA), Doris O. Matsui (D-CA), Robert C. “Bobby” Scott (D-VA), Stephen F. Lynch (D-MA), Brian Higgins (D-NY), Juan Vargas (D-CA), Stephanie Murphy (D-FL), Kim Schrier, M.D. (D-WA), Nanette Diaz Barragan (D-CA), Frank Pallone, Jr. (D-NJ), Danny K. Davis (D-IL), Raja Krishnamoorthi (D-IL), Paul D. Tonko (D-NY), Carolyn B. Maloney (D-NY), Karen Bass (D-CA), Ted W. Lieu (D-CA), Jimmy Gomez (D-CA), Daniel T. Kildee (D-MI), Jim Cooper (D-TN), Jim Himes (D-CT), Deb Haaland (D-NM), David Trone (D-MD), Mark Pocan (D-WI), Debbie Dingell (D-MI), Anna G. Eshoo (D-CA), Lloyd Doggett (D-TX), Adam B. Schiff (D-CA), Debbie Mucarsel-Powell (D-FL), Peter Welch (D-VT), Donald S. Beyer, Jr. (D-VA), Dina Titus (D-NV), Dwight Evans (D-PA), Ann Kirkpatrick (D-AZ), C.A. Dutch Ruppersberger (D-MD), Joseph P. Kennedy, III (D-MA), Steve Cohen (D-TN), Bill Pascrell, Jr. (D-NJ), Joaquin Castro (D-TX), Tony Cardenas (D-CA), Raul M. Grijalva (D-AZ), Earl Blumenauer (D-OR), Steven Horsford (D-NV), Richard E. Neal (D-MA), Lori Trahan (D-MA), Chellie Pingree (D-ME), Katie Hill (D-CA), Nydia Velázquez (D-NY), Sylvia Garcia (D-TX), Rashida Tlaib (D-MI), Jesús G. “Chuy” Garcia (D-IL), Ro Khanna (D-CA), Andy Levin (D-MI), James P. McGovern (D-MA), Adriano Espaillat (D-NY), Gwen Moore (D-WI), Veronica Escobar (D-TX), Julia Brownley (D-CA), Grace Meng (D-NY), Adam Smith (D-WA), Jan Schakowsky (D-IL), Eliot Engel (D-NY), Bill Foster (D-IL), Donald M. Payne Jr. (D-NJ), Conor Lamb (D-PA), Susan A. Davis (D-CA), Elijah E. Cummings (D-MD), Alan Lowenthal (D-CA), Ilhan Omar (D-MN), Linda Sánchez (D-CA), Grace Napolitano (D-CA), Albio Sires (D-NJ), Diana DeGette (D-CO), Jackie Speier (D-CA), Pramila Jayapal (D-WA), Nita Lowey (D-NY), Yvette D. Clarke (D-NY), Terri A. Sewell (D-AL), Rick Larsen (D-WA), Katherine M. Clark (D-MA) and Senators Mazie Hirono (D-HI), Kirsten Gillibrand (D-NY), Bernard Sanders (D-VT), Richard Blumenthal (D-CT), Tammy Baldwin (D-WI), Cory A. Booker (D-NJ), Amy Klobuchar (D-MN), Ron Wyden (D-OR), Robert Menendez (D-NJ), Dianne Feinstein (D-CA), Thomas R. Carper (D-DE), Kamala D. Harris (D-CA), Sherrod Brown (D-OH), and Richard J. Durbin (D-IL).


The full text of the letter can be found here and below:


Kevin McAleenan

Acting Secretary

Department of Homeland Security

3801 Nebraska Avenue, NW

Washington, D.C.  20528


Matthew T. Albence                                                                      

Acting Director                                                                 

U.S. Immigration and Customs Enforcement                       

U.S. Department of Homeland Security 

500 12th Street, SW          

Washington, D.C 20536 


Ken Cuccinelli

Acting Director

U.S. Citizenship and Immigration Services

Administrative Appeals Office

20 Massachusetts Ave., NW, MS 2090

Washington, D.C.  20529-



Dear Acting Secretary McAleenan, Acting Director Albence, and Acting Director Cuccinelli,


We write to express our grave concerns with U.S. Citizenship and Immigration Services’ (USCIS) recent decisions to end consideration of non-military deferred action requests and, supposedly, to transfer processing authority to U.S. Immigration and Customs Enforcement (ICE).  This decision will needlessly endanger vulnerable children and families nationwide seeking medical deferments for individuals receiving life-saving treatment for serious illnesses.  We urge you to immediately reverse this shift in policy, resume consideration of these urgent requests, provide the justification for the policy change, and provide clarification on the agency’s plans for implementation.


Medical deferred action is a subset of deferred action — “an act of administrative convenience to the government which gives some cases lower priority.” Medical deferred action has been a form of prosecutorial discretion exercised to permit immigrants with major medical illness, and their families, to remain in the United States, work legally, and be safe from deportation while receiving treatment.  Individuals requesting deferred action from USCIS are among the most vulnerable.  Children and families submit such requests due to severe medical conditions like cancer, epilepsy, cerebral palsy, muscular dystrophy, and cystic fibrosis.  In many cases, these treatments are life-saving. 


This month, applicants from across the country seeking medical deferred action have received letters from USCIS summarily denying their requests.  The notices state that USCIS “field offices no longer consider deferred action requests,” and that applicants “are not authorized to remain in the United States.”   The notices further explain that if applicants do not leave the United States within 33 days, they could be “removed from the United States and found ineligible for a future visa or other U.S. immigration benefit.”


These summary denials have understandably caused anguish and fear for families whose children and other loved ones are in the United States receiving treatment for potentially fatal diseases, and who might not be able to receive life-saving treatment elsewhere.   According to agency estimates, USCIS receives approximately 1,000 deferred action requests annually.   This decision will have lasting and serious implications for affected families and in many cases will result in individuals being forced to return to countries where the absence of necessary medical care threatens their survival.


USCIS’s letters have also spawned confusion.  Because the letters indicate that USCIS is no longer considering any non-military deferred action requests, they suggest a dramatic curtailment of deferred action even beyond the medical-need context.  In addition, the letters make no mention of other recourse available to the applicants.  Although USCIS reportedly claimed that ICE will now be considering deferred action requests, the letters do not refer applicants to ICE, and there have been no formal notices of how to petition ICE for deferred action.   In response to inquiries from Senator Markey’s staff, ICE stated that it does not and will not consider a deferred action request until the individual in question has been through removal proceedings and has an order of removal.  ICE officials further stated the agency does not intend to change its deferred action policy, even following USCIS’s decision.  ICE officials have made similar statements publicly.  Officials rejected claims that the agency will be handling these requests and have stated that “ICE is not going to implement any sort of a program or procedure or policy to take over that function.” 


Regardless of whether ICE will take on this responsibility, however, it is unacceptable for USCIS to abandon its longstanding responsibility for deferred action requests.  Requiring that prospective applicants request this humanitarian relief by applying to an immigration enforcement agency that detains and deports hundreds of thousands of immigrants annually, will deter many vulnerable children and families from coming forward and seeking life-saving protection. 


Importantly, USCIS’s failure to provide advance public notice of this policy shift reflects USCIS’s growing disregard for transparency and accountability.  In recent years, USCIS has repeatedly implemented far-reaching new measures without adequate notice or clear explanation.   This policy change is unfair to families who followed longstanding USCIS procedures for requesting deferred action, only to discover in a denial letter that those policies have changed.  Additionally, it is extremely troubling that USCIS applied this policy retroactively, stunning families who requested protection long before the policy took effect.  


On its face, this change represents another cruel action by the Trump Administration to attack our most vulnerable immigrant neighbors.  We therefore urge you to immediately reverse this inhumane and unnecessary policy and to approve the pending medical deferment requests.  In addition, we request answers to the following questions by September 13, 2019:


  1. How many non-military deferred action requests (excluding Service Center requests) has USCIS received from Fiscal Year (FY) 2015 to FY 2019?  Please provide the data broken down by fiscal year and note the number of these requests that pertain to medical deferred action.

  1. What is USCIS’s current policy with respect to deferred action, both in the medical-need context and in other contexts?  Please provide copies of all current Department of Homeland Security (DHS)—including USCIS and ICE—guidance and policies regarding deferred action.

  1. The new USCIS policy reportedly took effect on August 7, 2019.   As of that date, how many deferred action requests were pending at USCIS field offices?  Please provide the number of requests at each field office and the dates on which they were submitted.

  1. Since August 7, 2019, how many applicants for deferred action has USCIS denied under this new policy?
  2. How many of these applicants requested deferred action on the basis of medical need? 
  3. How many of these applicants requested deferred action on other bases?

  1. What was the rationale for the policy change?  Please provide any emails, memoranda, guidance, or other documents discussing the rationale for the policy change. 
  2. Who were the most senior officials in the White House and in DHS who approved the change before August 7, 2019?
  3. Please indicate whether, prior to this policy change’s effective date of August 7, 2019, USCIS engaged with external stakeholders to solicit feedback on the anticipated consequences of this policy change.

  1. Why did USCIS decide not to provide advance notice to the public or to Congress before this change was enacted?

  1. What formal notice has been provided—to the public or to Congress—that this change has been enacted?


  1. ICE was reportedly “blindsided” by this policy change.   Did USCIS and ICE collaborate on this policy change before the August 7, 2019 enactment date?  If so, for how long did USCIS and ICE work together on formulating this change?  If not, why not?
  2. Please provide any emails, memoranda, guidance, or other documents discussing the rationale and transition process for the policy change.

  1. What processes and structures does ICE have in place to facilitate the processing of deferred action requests? Does ICE ever consider requests for deferred action prior to the completion of removal proceedings?
  2. If not, does ICE intend to change its processes to account for USCIS’s decision to no longer consider non-military deferred action requests?
  3. How will DHS process deferred action requests for those who have had no contact with the removal system previously, who have standing for a deferred action request, and who may incur a re-entry bar while waiting for immigration court proceedings to be completed? Will the government authorize their presence so these families do not accrue unlawful presence?

  1. How (if at all) does USCIS plan to transfer information on denied or currently pending requests to ICE in order to process deferred action requests?

  1. What is the formal process in which ICE will consider deferred action requests? 
  2. What is ICE’s process for receiving and considering future deferred action requests?
  3. How will that information be communicated to individuals applying for deferred action via USCIS field offices?
  4. An ICE spokesperson has reportedly said, “As with any request for deferred action, ICE reviews each case on its own merits and exercises appropriate discretion after reviewing all the facts involved.”   Does this suggest that ICE will use different criteria or standards than USCIS had been using when considering deferred action requests?
  5. What standards will ICE use to consider deferred action requests?

  1. The denial letters sent by USCIS provide less information than has reportedly been provided by USCIS and ICE spokespersons to the news media.
  2. Why wasn’t information regarding ICE consideration of deferred action requests stated in the denial letters sent by USCIS?
  3. Why weren’t the outstanding requests referred to ICE automatically for processing, instead of being rejected automatically?

  1. Without deferred action, some of these individuals currently in the United States for medical treatment—including children—risk deteriorating health conditions and even death.  Was this taken into account when the policy change was enacted?  If so, how was it taken into account?

  1. Prior to August 7, 2019, did USCIS conduct any studies concerning the anticipated chilling effect of requiring prospective deferred action applicants to seek that relief from ICE rather than USCIS?  If so, please provide documentation of these studies and their results.  If not, please explain why not.


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