Illegal Aliens Cost Texas Hospitals Over $1 Billion in 2025

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Texas Scorecard by  Brandon Waltens January 14, 2026

New data from the Texas Health and Human Services Commission surpasses earlier estimates.

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.

More: https://texasscorecard.com/state/illegal-aliens-cost-texas-hospitals-over-1-billion-in-2025/

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Lawrence Person's BattleSwarm Blog

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.

    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?

More: https://www.battleswarmblog.com/?p=69568