They paint the clearest picture yet of the off-site medical care received by immigrants in the custody of the federal government before the payment system fractured. AdvertisementFederal law requires Homeland Security to provide medical care to the people in its custody. By comparison, federal prisons in fiscal year 2025 spent about $2,700 per inmate on external medical care. Lindsey Rodarmer, public relations manager for Acentra Health, said the company’s role under its contract is solely to build out the claims processing system — not to start processing claims. The agency said Lopez Cornejo had received proper medical care and was seen by medical professionals.