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July 9, 2025
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Governor Abbott Issues Executive Order GA-46 Requiring Texas Hospitals to Report Costs of Treating Illegal Immigrants to Assess Federal Burden on Texans

Hospitals and other designated providers will begin gathering information on the cost of healthcare provided to undocumented individuals, starting November 1, 2024.

Tabitha S. by Tabitha S.
November 1, 2024
in Texas Border Crisis, Culture, Health & Fitness, Lifestyle, Politics
0
Governor Abbott Issues Executive Order GA-46 Requiring Texas Hospitals to Report Costs of Treating Illegal Immigrants to Assess Federal Burden on Texans

MCALLEN, TEXAS - DECEMBER 01: A Customs and Border Protection agent enters the McAllen Station of the U.S. Border Patrol on December 01, 2022 in McAllen, Texas. The McAllen Station is historically the busiest U.S. Border Patrol post along the entire border with Mexico. Thousands of immigrants have been waiting in Mexico to see if Title 42, a U.S. public health order used to expel migrants seeking asylum, is lifted on December 21, as ordered by a federal judge. U.S. border officials predict a migrant surge at the border if the pandemic-era regulation is removed. (Photo by John Moore/Getty Images)

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Starting tomorrow, hospitals across Texas will take steps toward transparency and financial clarity by collecting and reporting healthcare costs related to care provided for undocumented immigrants.

Haitian migrant Jean Philippe Jocelin (C) carries his son followed by his wife Berline as they line up to take a COVID-19 test at the Senda de Vida (Path of Life) shelter to start legal paperwork for travel to the US, in Reynosa, Tamaulipas state, Mexico, at the border with McAllen, Texas, on May 20, 2022. – Children to be born, born in the way or taken in the route of exile: the fate of thousand of migrants is linked to a great extent to their descendants. (Photo by Pedro PARDO / AFP) (Photo by PEDRO PARDO/AFP via Getty Images)

This initiative follows an executive order by Governor Greg Abbott in August, directing the Texas Health and Human Services Commission (HHSC) to introduce the following measures:

  • Hospitals and other designated providers will begin gathering information on the cost of healthcare provided to undocumented individuals, starting November 1, 2024.
  • Covered hospitals will submit these reports quarterly to HHSC, with the first submissions due by March 1, 2025.
  • Hospitals will reassure patients that, per federal law, responding to these inquiries will not impact the quality or availability of their medical care.
  • Beginning January 1, 2026, an annual report will be prepared for the Governor, the Lieutenant Governor, and the Speaker of the House, summarizing the costs of care provided over the prior year.

In 2021 Attorney General Ken Paxton estimated that Texans collectively bear significant costs related to undocumented residents’ healthcare needs, including approximately $152 million for housing, $62 million to $90 million for emergency Medicaid, and between $579 million and $717 million for hospitals’ uncompensated care. This new reporting requirement is designed to ensure more accurate data collection, allowing Texas to better understand and manage these expenses.

Governor Abbott has emphasized that this initiative reflects Texas’s commitment to responsible fiscal management and transparency, helping the state address healthcare costs in a sustainable manner while preserving quality care for all Texans.

Tags: border crisishealthcareillegal immigrants
Tabitha S.

Tabitha S.

As a native Texan, I am passionate about covering the news that impacts our lives in Texas. Community and family is what is important at the Texas Insider, we strive to deliver comprehensive stories by examining history and presenting the full picture.

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