San Francisco Chronicle

State scaling back migrant COVID-19 aid

- By Don Thompson Don Thompson writes for California Healthline, which is produced by Kaiser Health News, an editoriall­y independen­t program of the Kaiser Family Foundation, where this story first appeared.

All day and sometimes into the night, buses and vans pull up to three statefunde­d medical screening centers near California’s southern border with Mexico. Federal immigratio­n officers unload migrants predominan­tly from Brazil, Cuba, Colombia and Peru, most of whom await asylum hearings in the United States.

Once inside, coordinato­rs say, migrants are given face masks to guard against the spread of infectious diseases, along with water and food. Medical providers test them for the coronaviru­s, offer them vaccines, and isolate those who test positive for the virus. Asylum-seekers are treated for injuries they may have suffered during their journey and checked for chronic health issues, such as diabetes or high blood pressure.

But now, as the liberallea­ning state confronts a projected $22.5 billion deficit, Gov. Gavin Newsom said California can no longer afford to contribute to the centers, which also receive federal and local grants. The Democratic governor in January proposed phasing out state aid for some medical services in the next few months, and eventually scaling back the migrant assistance program unless President Biden and Congress step in with help.

California began contributi­ng money for medical services through its migrant assistance program during the deadliest phase of the pandemic two years ago. The state helps support three health resource centers — two in San Diego County and one in Imperial County — that conduct COVID testing and vaccinatio­ns and other health screenings, serving more than 300,000 migrants since April 2021. The migrant assistance program also provides food, lodging and travel to unite migrants with sponsors, family or friends in the U.S. while awaiting their immigratio­n hearings, and the state has been covering the humanitari­an effort with an appropriat­ion of more than $1 billion since 2019.

Though the White House declined to comment and no federal legislatio­n has advanced, Newsom said he was optimistic that federal funding will come through, citing “some remarkably good conversati­ons” with the Biden administra­tion. The president recently announced that the United States would turn back Cubans, Haitians and Nicaraguan­s who cross the border from Mexico illegally — a move intended to slow migration. The U.S. Supreme Court is also now considerin­g whether to end a Trump-era policy known as Title 42 that the U.S. has used to expel asylum-seekers, ostensibly to prevent the spread of the coronaviru­s.

Already, one potential pot of federal money has been identified. The Federal Emergency Management Agency and the U.S. Department of Homeland Security issued a statement to KHN noting that local government­s and nongovernm­ental providers will soon be able to tap into an additional $800 million in federal funds through a shelter and services grant program. FEMA did not answer KHN’s questions about how much the agency spends serving migrants.

“We’re continuing our operations and again calling on all levels of government to make sure that there is an investment,” said Kate Clark, senior director of immigratio­n services for Jewish Family Services of San Diego, one of two main migrant shelter operators. The other is run by Catholic Charities for the Diocese of San Diego.

While health workers and immigratio­n advocates want the state to continue funding, Newsom appears to have bipartisan support for scaling it back. He promised more details in his revised budget in May, before legislativ­e budget negotiatio­ns begin in earnest. He noted conditions have changed such that testing and vaccinatio­n services are less urgent.

San Diego County Supervisor Nathan Fletcher, a Democrat, agreed the burden should be on the federal government, though local officials are contemplat­ing additional assistance. And state Senate Republican Leader Brian Jones of San Diego, who represents part of the affected region, said California is set to end its pandemic state of emergency on Feb. 28, months before the budget takes effect in July.

“The pandemic conditions no longer warrant this large investment from the state, especially since immigratio­n is supposed to be a federal issue,” Jones said in a statement.

California began its migrant assistance support soon after Newsom took office in 2019 and after the Trump administra­tion ended the “safe release” program that helped transport immigrants seeking asylum to be with their family members in the United States. It was part of California’s broad pushback against Trump’s immigratio­n policies; state lawmakers also made it a so-called sanctuary state, an attempt to make it safe from immigratio­n crackdowns.

California, along with local government­s and nonprofit organizati­ons, stepped in to fill the void and take pressure off border areas by quickly moving migrants elsewhere in the United States. The state’s involvemen­t ramped up in 2021 as the pandemic surged and the Biden administra­tion tried to unwind the Trump administra­tion’s “remain in Mexico” policy. While some cities in other parts of the country provided aid, state officials said no other state was providing California’s level of support.

In a coordinate­d effort, migrants are dropped off at the centers by federal immigratio­n officers, then are screened and cared for by state-contracted organizati­ons that provide medical aid, travel assistance, food, and temporary housing while they await immigratio­n hearings.

Both Catholic Charities for the Diocese of San Diego and Jewish Family Service of San Diego coordinate medical support with the UC San Diego. The federal government covers most of the university’s costs while the state pays for nurses and other medical contractor­s to supplement health care, according to Catholic Charities.

It often takes one to three days before migrants can be put on buses or commercial flights, and in the meantime, they are housed in hotels and provided with food, clothing and other necessitie­s as part of the state’s program.

“Many of them come hungry, starving,” said Vino Pajanor, chief executive of Catholic Charities for the Diocese of San Diego, who described the screening and testing process at the centers. “Most of them don’t have shoes. They get shoes.”

Officials said about 46,000 people have been vaccinated against the coronaviru­s through the program. They said the figure is significan­tly lower than the number of migrants who have come through the centers because some were vaccinated before reaching the U.S. and younger migrants were initially ineligible, while others refused the shots.

According to the California Health and Human Services Agency, the state plans to phase out some medical support, but the sheltering operations are expected to continue “for the near term” with their future determined by the availabili­ty of federal funding. Of the more than $1 billion spent by the state, $828 million has been allocated through the Department of Public Health, according to the governor’s office.

The agency said that while the state has not adopted specific plans to cut the sites’ capacity, it will put a priority on helping families with young children and “medically fragile individual­s” if the shelters are overwhelme­d by arrivals.

Some immigratio­n advocates said the state was making the wrong choice.

“Now’s the time for the state of California to double down on supporting those individual­s that are seeking relief from immigratio­n detention,” said Pedro Rios, who directs the U.S.-Mexico border program at the American Friends Service Committee, which advocates on behalf of immigrants. “I think it sends an erroneous message that the issues are no longer of concern.”

 ?? Carlos A. Moreno/Special to The Chronicle 2022 ?? A group of Mexican agricultur­al visa workers waits to cross into the San Ysidro Port of Entry in Tijuana in March 2022. Gov. Gavin Newsom says the state can no longer contribute to the costs of testing migrants and issuing vaccines.
Carlos A. Moreno/Special to The Chronicle 2022 A group of Mexican agricultur­al visa workers waits to cross into the San Ysidro Port of Entry in Tijuana in March 2022. Gov. Gavin Newsom says the state can no longer contribute to the costs of testing migrants and issuing vaccines.

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