Texas hospitals face over $1 billion in costs linked to illegal immigrants in the first year of tracking, with 313,742 visits recorded under Gov. Greg Abbott’s order.
The data, compiled by the Texas Health and Human Services Commission (HHSC) and obtained by Texas Scorecard, shows hospitals logged 313,742 visits linked to individuals not legally present, with total costs reaching $1.05 billion by the end of the fiscal year.
Texas’ fiscal year runs from Sept. 1 through Aug. 31, but hospitals were only required to begin reporting in November. Based on the reported data, costs averaged about $105 million per month, meaning the true annual total could be significantly higher.
To put the figures into perspective, the reported hospital costs approach about 1% of the state’s tax-funded resources.
The figures were collected under an executive order signed by Gov. Greg Abbott in August 2024 that mandated the agency track the number of “individuals not lawfully present” in the U.S. who use Texas public hospitals. Abbott’s executive order directed Texas hospitals to provide HHSC with quarterly breakdowns on patients not lawfully present in the U.S., including the number of inpatient discharges, emergency department visits and the cost of care provided to these patients.
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