To our AAP-CA2 members,

In light of recent immigration enforcement actions and community protests in Los Angeles, we at AAP-CA2 reaffirm our unwavering commitment to the health, safety, and well-being of all children and families, regardless of immigration status.

These actions, alongside the rollback of federal “protected areas” guidelines, have reignited profound fear within immigrant communities. Families may delay essential medical care, avoid schools and public spaces, and suffer increased stress and anxiety. As pediatricians, we stand united in advocating for the rights of children and families to access care and live in safe, welcoming communities.

What this means for us pediatricians:

Reassure families that your clinic or hospital is a place of care and healing, and immigration status does not affect a child’s right to receive medical services. Consider offering telehealth if feasible and clinically appropriate to facilitate safety.

Understand and assert patient rights — including privacy protections under HIPAA and the legal right to emergency care under EMTALA.

Advocate within your institution for clear protocols addressing interactions with law enforcement and ICE, and ensure public-facing staff are prepared.

Address misinformation by proactively sharing accurate information through your clinic networks and community partners.

Recognize the emotional and mental health toll these events have on immigrant children and families. Offer trauma-informed care, screen for stress-related symptoms, and connect families to culturally responsive mental health services when needed.

Community Advocacy and Resources:

Webinar on 6/26 @ 5:30p on Immigrant Health: Review of Policies in a Changing Landscape. You can Register Here.

AAP-CA2 encourages pediatricians to engage in local advocacy efforts, connect with immigrant rights organizations, and support families in preparing for possible family separation or detention. Resources like family preparedness plans, Know-Your-Rights materials, and mental health toolkits are available through the American Academy of Pediatrics, Physicians for Human Rights, and the National Immigration Law Center (see links below):

• AAP_Supporting Immigrant Children
• Physicians for Human Rights - Health Care and Immigration: What Providers Need to Know
• National Immigration Law Center Resources

The well-being of children depends on the strength and courage of the communities and professionals who care for them. Together, we can ensure that every child — regardless of where they or their parents were born — receives the care, compassion, and protection they deserve.

In solidarity,

Melissa Ruiz, MD, FAAP

President, American Academy of Pediatrics – California Chapter 2 (AAP-CA2)