Posted on 01/15/2026 1:40:44 PM PST by DFG
Texas hospitals incurred more than $1 billion in health care costs for patients not lawfully present in the United States during fiscal year 2025, according to new data obtained from the Texas Health and Human Services Commission.
The figures were collected under an executive order issued by Gov. Greg Abbott in August 2024, which requires hospitals to report the cost of inpatient and emergency care provided to individuals in the country illegally. Under Abbott’s order, hospitals are also required to inform patients that responses regarding immigration status will not affect their care, as required by federal law.
Statewide totals show 313,742 hospital visits from patients not legally present in the U.S., costing hospitals $1.05 billion during the reporting period. The largest share of the expense—more than $565 million—came from inpatient discharges for non-Medicaid and non-CHIP patients.
Emergency department visits accounted for roughly $230 million, while total inpatient care exceeded $820 million, underscoring that long-term hospitalizations, not emergency treatment alone, are driving much of the cost.
Although hospitals are required under federal law to deliver the care, unpaid medical costs are ultimately passed along to Texans. Taxpayers absorb the burden through higher insurance rates, public hospital funding, and state health programs.
Notably, the data does not reflect a full fiscal year of mandatory reporting. Hospitals were only required to begin submitting data in November 2024, leaving the first two months of fiscal year 2025—September and October—unreported.
HHSC has also noted that the figures remain subject to change as hospitals update their submissions.
Even with those limitations, the reported costs far exceed earlier estimates.
In 2021, Attorney General Ken Paxton estimated Texans were paying between $579 million and $717 million annually in uncompensated care for illegal aliens. The partial FY 2025 totals alone already surpass that range.
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Make them or tell them to GO AWAY
Can’t Texas just have people there to arrest them when they want anything? Stop them from getting any service.
If someone illegal is having a heart attack, who cares?
or bill their home country and remove it from any aid they get
Remember those Dems in photo ops solemnly reading the laws against funding illegals with health care during the shutdown fights?
The indirect costs when hospitals and urgent care places get reimbursed go into billions around the country.
That story has to be pushed to the ignorant public.
When Black Panther Party “hero” Huey P. Newton was shot in the abdomen in a gunfight among rivals he was refused service in the hospital emergency room unless he produced the California Health Plan ID card. He sat on the floor in the hall with his hands on his midsection while his associates rushed home to get the card.
He was treated and lived.
Today,if you're in a place with lots of wetbacks they're gonna go to the ER for their sniffles,rashes and syphilis. And the hospital will get nothing.
The hospitals must recover these costs somehow because they are not allowed to refuse “emergency” care. They’ll try to raise the general level of charges and pass the costs along to patients who have insurance.
They can go home for health care. I can’t find any pity here because most Americans can’t get free health care.
The hospitals should require payment for services.
My thoughts exactly.
Excellent idea.
California was #1 in this race.
“California first proposed a budget that would eventually spend $1 billion a year on healthcare for undocumented immigrants in December 2017. Actual spending levels of over $1 billion began around 2021-2022 following incremental expansions to Medi-Cal coverage.”
Texas Governor GW Bush fought against California voters who supported Prop 187 back in 1994.
Prop 187 would have prohibited this.
Bush wasn’t the only treacherous Republican who put Mexico’s illegals ahead of California’s American population. Jack Kemp and Bill Bennett both joined Dubya in siding with illegals while denouncing grassroots California as racists.
Send the bill to the democratic party, they brought them in.
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