Overview

  • Several new executive orders were signed by the new presidential administration in January impacting asylees, refugees, SIVs, and other immigrant populations. 
  • Locally, the governor of Washington signed an order to create a rapid response team for family separation in lieu of federal government policy changes; the Washington Office of Superintendent of Public Instruction published new guidance on immigration enforcement in public schools; the Tri-City Herald has a guide to immigration rights and resources in Washington State; and the state Department of Social and Health Services has a new website with guidance around national immigration policy changes.
  • Providers and patients may be feeling fear and uncertainty in response to these new executive orders. See below for a list of recent resources to support both providers and patients with questions about the impact of possible immigration action.
National Policy/Updates

With the beginning of a new presidential administration in the United States as of January 20, 2025, several federal orders have been signed impacting refugee and immigrant populations. New orders and memos impacting these populations continue to be implemented. Here is a broad overview of these orders and those populations impacted as of January 29, 2025: 

  • Asylum Seekers: Since May 2023, asylum seekers arriving at the southern United States border have been required to request asylum by making an appointment via the CBP (Customs and Border Protection) One mobile app. This app was shut down on January 20th and 30,000 existing appointments were cancelled. A new executive order issued the same day barred all new asylum seekers from entering the country.  NPR highlights the details of this order in this article. 
  • Refugee Resettlement: The refugee resettlement program, which provides a legal pathway for refugees to come to the United States, was suspended via executive order on January 20th until further review. The order states that decisions to resume the program will be made within 90 days. The administration also sent refugee resettlement agencies a memo on January 24th ordering an immediate funding freeze and stop work order for current programs providing support to refugees already in the country.  Local agencies have commented on these federal changes in recent articles in the Seattle Times and the Seattle PI
  • Special Immigrant Visa Holders: While the Afghan Special Immigrant Visa (SIV) program has not been specifically impacted by executive orders thus far, a few executive actions have essentially halted the program. A pause on foreign aid funding has halted flights for 40,000 SIVs slated to arrive in the United States in the coming months, and a pause on funding for refugee resettlement agencies has removed the resettlement support SIVs rely on when first arriving in the US. It is currently unclear when or if these flights and resettlement support will continue. 
  • Parolees: Parole programs for Cubans, Haitians, Nicaraguans, and Venezuelans are now paused pending further review. A memo from the new administration also gives Immigrant and Customs Enforcement (ICE) the power to deport parolees admitted under this status. 

Other executive orders impacting immigrants and refugees include: 

  • An order to immediately deport those in the US without legal status and the expansion of ‘expedited removal,’ a policy that allows the US to deport immigrants without a court hearing 
  • Declaring a national emergency at the southern border to allow US military deployment 
  • An order to end birthright citizenship 
  • Expanding use of immigration detention 
  • Allowing the Department of Homeland Security to delegate its immigration enforcement authority to local law enforcement agencies 
  • Ending policies that bar immigration enforcement in hospitals, schools, and churches 
Local Updates
Other Topics of Note

Many providers are reporting stress and uncertainty around the slew of executive orders involving immigration, and how to best advocate for patients who may be impacted by new immigration policies. First and foremost, providers should refer to their institutional policies for up-to-date guidance around in-house procedures. Below are additional resources created by external groups which may be of use to those advocating for patients’ rights.   

*Note: Harborview Medical Center is a public institution that complies with regulatory policy. These materials may not reflect the most updated institutional policy around immigration enforcement action.