Pennsylvania offers limited health insurance options for undocumented immigrants. While they cannot qualify for Medicaid or the Children's Health Insurance Program (CHIP) under most circumstances, there are some exceptions. Undocumented immigrants may be eligible for Medicaid coverage to treat emergency medical conditions. Some children of undocumented immigrants may qualify for Medicaid or CHIP based on specific eligibility criteria.

Report of Pennsylvania's Largest Immigration Detention Center: The report "In the Shadow of the Valley" details allegations of abuse, neglect, and inhumane conditions at the Moshannon Valley Processing Center, a federal immigration detention facility in Pennsylvania. Detainees reported mistreatment by staff, including physical harm, threats, and discrimination. Access to medical and mental health care was limited, leading to worsened conditions for many detainees. The excessive use of solitary confinement was criticized as punitive and harmful. Detainees faced challenges in accessing legal representation and fighting their cases. The operation of the facility by GEO Group, a private prison company, has led to significant taxpayer expenses. The report calls for the closure of Moshannon Valley and other similar facilities, citing the inhumane conditions and lack of justification for detaining individuals solely for immigration proceedings.