The Dilley Immigration Processing Center, reopened by the Trump administration in late 2024 after closure under Biden, currently houses between 900 and 1,400 people including infants, young children, and pregnant women. Since reopening, lawyers, inspectors, and medical professionals report widespread medical neglect including children with untreated asthma and appendicitis, measles outbreaks, respiratory distress requiring emergency hospitalization, and an 18-month-old hospitalized with COVID, RSV, pneumonia, and bronchitis who was returned to the facility. Children report sleep deprivation from continuously lit lights, contaminated food with worms and mold, poor sanitation, inadequate medical care with long waits for medicine, and severe psychological distress. Emergency dispatch logs show at least 11 emergency ambulance calls since mid-September 2025 for children in medical crisis. The Trump administration is fighting court-ordered restrictions on family detention, arguing existing laws are sufficient to keep children safe.