The costs from the Biden Administration facilitating an illegal alien invasion continue to mount. In Texas alone, hospital costs for treating illegal aliens was more than $1 billion.
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.
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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.
Funny how Libertarian sorts claiming that illegal aliens are a net benefit to the economy always seem to leave a lot of “externalities” out of their calculations: Higher crime rates, more sex trafficking, enabling transnational criminal organizations, more voting fraud, higher government spending and higher taxes to provide government services for illegal aliens, higher prices for citizens for limited housing, depressed wages for citizens, etc. And, of course, higher medical bills and insurance rates for citizens, since illegal aliens generally feel no compulsion to buy health insurance.
So added health care costs add up to more than $1 billion in extra costs for Texas. How much more is it for the rest of the nation?
Tags: Border Controls, Brandon Waltens, Budget, Greg Abbott, health care, Illegal Aliens, Texas, Texas Scorecard, Welfare State
This is legal under EMTALA (Emergency Medical Treatment and Active Labor Act), but illegals benefitting from Medicaid are not. New data from CMS Director Oz released today find $ 1.8 billion in illegal Medicaid expenditures on illegal aliens in 8 states.
Texas has not been audited yet, but should be a significant number. California, the greatest offender found thus far, will be docked $ 300 million to start their reimbursement and encourage their compliance with Medicaid law.
No person is illegal!
Why is my medical insurance so high?
And to think there are companies in Texas (and elsewhere), whose entire business is to show hospitals how to “recover” payments from the fed. The politics of these companies is no surprise, the largest being eye-popping.
“illegal aliens generally feel no compulsion to buy health insurance.”
Most of us get it from our employer. Reasonable to assume that people hiring illegals aren’t providing a lot of benefits?