{"id":127558,"date":"2026-01-18T00:43:19","date_gmt":"2026-01-18T00:43:19","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-tx\/127558\/"},"modified":"2026-01-18T00:43:19","modified_gmt":"2026-01-18T00:43:19","slug":"illegal-immigrants-rack-up-1b-in-texas-hospital-costs-in-fy-2025-total-likely-higher-report","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-tx\/127558\/","title":{"rendered":"Illegal immigrants rack up $1B+ in Texas hospital costs in FY 2025, total likely higher: report"},"content":{"rendered":"<p>Texas hospitals were hit with more than $1 billion in health care costs racked up by\u00a0illegal immigrants\u00a0during fiscal year 2025, the first year the state began tracking the figures.<\/p>\n<p>The data, compiled by the Texas Health and Human Services Commission (HHSC) and obtained by\u00a0<a href=\"https:\/\/texasscorecard.com\/state\/illegal-aliens-cost-texas-hospitals-over-1-billion-in-2025\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Texas Scorecard<\/a>, 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.<\/p>\n<p>Texas\u2019 fiscal year runs from Sept. 1 through Aug. 31, but hospitals were only required to begin reporting in November. <\/p>\n<p>Based on the reported data, costs averaged about $105 million per month, meaning the true annual total could be significantly higher.<\/p>\n<p>To put the figures into perspective, the reported hospital costs approach about 1% of the state\u2019s tax-funded\u00a0<a href=\"https:\/\/comptroller.texas.gov\/transparency\/reports\/biennial-revenue-estimate\/2026-27\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">resources<\/a>.<\/p>\n<p>The figures were collected under an executive order signed by <a href=\"https:\/\/nypost.com\/2025\/11\/04\/business\/greg-abbott-threatens-100-tariff-on-people-fleeing-nyc-if-zohran-mamdani-wins\/\" rel=\"nofollow noopener\" target=\"_blank\">Gov.\u00a0Greg Abbott<\/a>\u00a0in August 2024 that mandated the agency track the number of \u201cindividuals not lawfully present\u201d in the U.S. who use Texas public hospitals. <\/p>\n<p>Abbott\u2019s 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.<\/p>\n<p><img loading=\"lazy\" style=\"aspect-ratio:1.49926794;display:block\" decoding=\"async\" data-modal-image=\"38212587\" width=\"885\" height=\"590\" src=\"https:\/\/www.newsbeep.com\/us-tx\/wp-content\/uploads\/2026\/01\/migrants-mostly-venezuela-change-cloth-74068972.jpg\" alt=\"Migrants change clothes on the river bank, while a U.S. authority figure stands nearby, with razor wire in the background.\" class=\"wp-image-38212587\"  \/>Illegal immigrants across Texas hospitals racked up $1 billion in health care costs\u00a0during fiscal year 2025. Go Nakamura for NY Post<\/p>\n<p>Texas, a border state, reported some of the highest crossing numbers ever recorded under the Biden administration, putting immense pressure on its health care system, Andrew Mahaleris, Abbott\u2019s press secretary, told Fox News Digital previously.<\/p>\n<p>The largest share of expenses came from inpatient discharges for non-Medicaid and non-CHIP patients, totaling $565.4 million across 40,947 discharges, according to the report. <\/p>\n<p>CHIP is the Children\u2019s Health Insurance Program, a federal-state program that provides low-cost health coverage for children in families who earn too much to qualify for Medicaid.<\/p>\n<p><img loading=\"lazy\" style=\"aspect-ratio:0.66699219;display:block\" decoding=\"async\" data-modal-image=\"38212586\" width=\"394\" height=\"590\" src=\"https:\/\/www.newsbeep.com\/us-tx\/wp-content\/uploads\/2026\/01\/texas-governor-greg-abbott-looks-116367493.jpg\" alt=\"Texas Governor Greg Abbott in a black cowboy hat and shirt, seated in a wheelchair with arms crossed.\" class=\"wp-image-38212586\"  \/>More than 300,000 visits were recorded as the data was received under an executive order signed by Gov.\u00a0Greg Abbott. Getty Images<\/p>\n<p>Emergency department visits for non-Medicaid and non-CHIP patients added another $205.5 million in costs, according to the report.<\/p>\n<p>Patients enrolled in Medicaid\u00a0or CHIP accounted for significant costs as well, including $255.3 million tied to inpatient discharges and $24.3 million in emergency department visits.<\/p>\n<p>For fiscal year 2025, hospitals were initially required to submit data only for November 2024, when they reported 30,743 visits costing more than $102 million, according to the state.<\/p>\n<p>Subsequent reporting showed continued high costs. <\/p>\n<p>\t\t\t\t\t\t\tStart your day with all you need to know\t\t\t\t\t\t<\/p>\n<p class=\"inline-module__cta\">\n\t\t\t\t\t\t\tMorning Report delivers the latest news, videos, photos and more.\t\t\t\t\t\t<\/p>\n<p>\t\t\t\t\t\tThanks for signing up!\n\t\t\t\t<\/p>\n<p>From December 2024 through February 2025, hospitals reported 149,619 visits totaling $330.8 million.<\/p>\n<p>Between March and May 2025, reported costs reached $319.3 million, followed by $298.3 million from June through August 2025.<\/p>\n","protected":false},"excerpt":{"rendered":"Texas hospitals were hit with more than $1 billion in health care costs racked up by\u00a0illegal immigrants\u00a0during fiscal&hellip;\n","protected":false},"author":2,"featured_media":127559,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[392,7770,148,287,27,29,28,734],"class_list":{"0":"post-127558","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-texas","8":"tag-greg-abbott","9":"tag-illegal-immigrants","10":"tag-medicaid","11":"tag-politics","12":"tag-texas","13":"tag-texas-headlines","14":"tag-texas-news","15":"tag-us-news"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/127558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/comments?post=127558"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/127558\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media\/127559"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media?parent=127558"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/categories?post=127558"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/tags?post=127558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}