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.
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.
I have said this for YEARS!!!
Tired of the freeloaders on so many levels...
Our local hospital first closed the delivery wing because most of the births were free because of no insurance. Then later other areas closed and shortly after covid the entire hospital closed. Still closed and an eyesore. At least they are not housing illegals there...
That one court decision destroyed CA and cost state and federal taxpayers countless billions of dollars.
The fact that both political parties refused to do anything about it is way past disgusting.
There was nothing un-Constitutional about 187.
Mariana Pfaelzer was just a Far Left activist appointed by Carter, and she used the same rationale over and over again in her rulings: federal pre-emption.
The plan was for the governor to do his duty and appeal it first to the 9th Circuit, then to the Supreme Court when the reliably far left 9th sustained Pfaelzer.
It was predicted that the SCOTUS at the time would reverse the 9th and sustain virtually all of the initiative. In particular, 187 was written to counter Plyler v. Doe so that the court would have an opportunity to overturn that.
This was what terrified the Mexican supremacists in California at the time, especially Kevin de Leon. So they made a deal with incoming Governor Gray Davis: don’t appeal, just use arbitration and kill it there.
This was unprecedented, but of course went forward.
Thus the real questions of Constitutionality of 187 were never adjudicated. Just because pinheaded Pfaelzer thought it was true doesn’t make it so.
Small rural hospitals emergency rooms and urgent care facilities have been run out of business and CLOSED because of NON reimbursed costs for the treatment of CRIMINAL ILLEGAL ALIENS more are at risk.
Inter city emergency rooms and urgent care facilities are over run and are on the edge of losing the ability to provide reasonable and safe care.
Things such as MRI’s and CAT scans that can mean the deference between an in time diagnoses and untreated fatal diseases are being delayed to accommodate CRIMINAL ILLEGAL ALIENS.
TAX paying American citizens are DYING hourly, daily, weekly because of this and the demoRATS, the woke left want you and I to pay more in taxes and get less in services back so they the left can build an ILLEGAL ALIEN block for census numbers and to allow them to vote.
As I write this NGO’s, demoRATs political pac’s, foreign socialist millionaires like george soros are funneling money to antifa and other paid professional protesters and terrorists to attack law enforcement and agents of the federal government. It’s time we hold these provocateurs accountable for their treasonous activities.
I am sure that a large number of people would support the capture and extradition of soros and his ilk for trial or maybe a drone strike or two would get the point across?
What go you think?
P.S.
Since President Trump has wisely decided to stop and seize all suspect remittances and wire transfers out of the USA that have not been shown to be legally TAXED. That money should be distributed to those hospitals and care centers at risk to repay at part of what the Criminal Illegal Alien Scum have stolen from the American TAX payer.
You don’t know the full story.
An activist Federal judge delayed her ruling on Prop 187 until Gov Pete Wilson left office and was replaced by Gray Davis.
Her one woman decision could be appealed so that voters get full legal process. Democrat Gray Davis didn’t appeal her ruling.
But any subsequent Governor could still appeal her ruling, including Arnold Schwarzenegger who replaced Davis.
But Arnold sat on his hands and didn’t appeal Marianne Pfaelzer’s ruling either.
Why is that? That was because Arnold was and is a stooge of the Bush GOP that absolutely hated our grassroots 187 campaign and fought us at every step.
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