When ICE shows up at your practice, with Katie P. Russell, J.D., partner at Brown Immigration Law

Katie P. Russell, J.D., partner at Brown Immigration Law in Cleveland, Ohio, joins the show to explain what physicians and practice managers should do if Immigration and Customs Enforcement (ICE) comes knocking at their practice door.

She discusses how to identify valid warrants, protect patient information under HIPAA, and prepare staff with clear response plans. Russell also shares how practices that employ international medical graduates can stay compliant and avoid costly mistakes.

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Music Credits:
Lo-Fi Mood by Mit-Rich - stock.adobe.com
Relaxing Lounge by Classy Call me Man - stock.adobe.com
A Textbook Example by Skip Peck - stock.adobe.com

Editor's note: Episode timestamps and transcript produced using AI tools.

Introduction and Episode Overview (00:00:00) Katie Russell discusses the importance of not over-cooperating with ICE and introduces the episode’s focus.

Podcast Welcome and Guest Introduction (00:00:29) Austin Littrell introduces the podcast, the topic and guest Katie Russell.

Preparing for an ICE Visit: First Steps (00:01:29) Katie Russell explains the need for a plan, designating a point of contact and having written protocols.

Responding to ICE: Initial Actions (00:03:29) Guidance on being calm, respectful and directing ICE to the designated compliance officer.

Understanding Warrants: Administrative vs. Judicial (00:03:54) Explanation of the differences between administrative and judicial warrants and their implications.

Safeguarding Patient Information and HIPAA (00:06:28) Discussion on HIPAA protections and when ICE can access patient records or treatment areas.

Employer Responsibilities and Employee Rights (00:07:23) Advice on I-9 audits, handling ICE requests for employee information and avoiding over-cooperation.

When to Call an Attorney and Their Role (00:10:28) Guidance on involving legal counsel, attorney roles during/after ICE visits and staff training.

P2 Management Minute Segment (00:13:28) Keith Reynolds shares quick management tips and invites listener contributions.

Post-ICE Visit: Documentation and Managing Anxiety (00:14:20) Steps for documenting ICE visits, protecting reputation and supporting staff and patients.

Best Practices for Employing International Medical Graduates (00:15:35) Measures and audits to reduce ICE visits and manage visa compliance for international staff.

Final Thoughts and Additional Advice (00:17:40) Katie Russell emphasizes preparation, dispelling misinformation and the value of legal counsel.

Episode Closing and Credits (00:18:19) Hosts thank Katie Russell, recap the episode and provide subscription information.