Texas hospitals absorbed nearly $122 million in healthcare costs from illegal immigrants in a single month, marking a major milestone in the state’s effort to document the toll of Biden-era border failures.
Key Facts:
- Texas hospitals reported 31,000 visits by illegal immigrants in November 2024, costing $121.8 million.
- Gov. Greg Abbott signed an executive order in August 2024 requiring hospitals to report health care use by those not lawfully present in the U.S.
- Data was collected and released by the Texas Health and Human Services Commission (THHSC).
- The first annual report will be published on Jan. 1, 2026.
- Hospitals must still treat all patients regardless of immigration status, per federal law.
The Rest of The Story:
In August 2024, Texas Gov. Greg Abbott ordered public hospitals to begin reporting the number of patients who are not legally present in the United States.
The first report, released by the Texas Health and Human Services Commission (THHSC), revealed that in just the month of November 2024, there were over 31,000 hospital visits by illegal immigrants.
These visits totaled $121.8 million in healthcare expenses, a cost largely borne by the hospital systems themselves.
Abbott’s executive order mandated hospitals to submit quarterly data detailing inpatient discharges, ER visits, and total care costs for individuals not lawfully present.
THHSC emphasized that immigration status disclosures would not affect patient care, in compliance with federal law.
Texas officials say this new tracking system is essential to understanding how illegal immigration is straining public resources.
The full quarterly and annual reports are expected to provide an even more comprehensive look at the cost impact moving forward.
NEW REPORT: Texas taxpayers shelled out $121.8 million for 31,000 hospital visits by illegal immigrants in just one month, November 2024.
“This is the first report since Governor Gregg Abbott signed an executive order last year requiring public hospitals to report [illegal… pic.twitter.com/h3pXh3E621
— RedWave Press (@RedWave_Press) April 29, 2025
Commentary:
This kind of spending is unsustainable.
Texas taxpayers shouldn’t be forced to shoulder the burden of federal negligence.
Hospitals are required by law to treat anyone who walks through the door, but when illegal immigration numbers skyrocket, the financial strain becomes unbearable.
What happened in November 2024 was not a fluke — it was the direct result of an open-border agenda.
Democrats invited this crisis by refusing to enforce immigration law and refusing to secure the border.
What they did wasn’t just irresponsible — it was criminal, and those responsible must be held accountable.
States like Texas are left picking up the tab while Washington looks the other way.
The Bottom Line:
Texas has finally begun quantifying the cost of illegal immigration, and the early numbers are staggering.
$121.8 million in one month is more than just a statistic — it’s a warning.
This is what happens when federal policy ignores reality.
There must be consequences for the leaders who allowed this crisis to unfold.
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