The U.S. Immigration and Customs Enforcement (ICE) has issued a Critical Infrastructure Outreach Program that enables immigration enforcement actions on collaborative health care facilities or “sensitive locations” such as hospitals, doctors’ offices, clinics, and urgent care facilities to gain information about immigrant clients. Given these enforcements, U.S. hospitals are developing protocols for dealing with federal immigration enforcement to ensure a safe place for immigrants seeking health care. The American Medical Association (AMA) opposes the presence of ICE agents in hospitals and clinics and recommends that health care facilities develop “sanctuary hospital” policies to protect immigrant patients’ private information and to maintain community trust. Hospitals without clear policies on this issue have enabled ICE agents to deport immigrant patients and their families; however, proactive hospitals such as the Rush University Medical Center, Los Angeles County and USC Medical Center, and NYC Health + Hospitals have implemented policies to protect all patients, regardless of citizenship status. As such, this case study invites students to consider the ethical issues surrounding patient privacy in health care organizations and to discuss the legal rights of immigrant patients and their providers.