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Texas FY2025 Hospital Care for People Not Lawfully Present Tops $1.05 Billion in First-Year Tally

The state calculated the total using a new Abbott-ordered HHSC program that began in November.

Overview

  • HHSC data compiled for the first time show 313,742 hospital visits linked to people not lawfully present in FY2025, totaling $1.05 billion.
  • The largest expense category was inpatient discharges for non-Medicaid and non-CHIP patients, totaling $565.4 million across 40,947 discharges.
  • Emergency department visits by non-Medicaid and non-CHIP patients accounted for $205.5 million in reported costs.
  • Patients enrolled in Medicaid or CHIP generated $255.3 million for inpatient discharges and $24.3 million for emergency department visits.
  • Because reporting began in November, the totals exclude September and October; submissions averaged about $105 million per month, with November logging 30,743 visits costing over $102 million and later periods totaling $330.8 million (Dec–Feb), $319.3 million (Mar–May), and $298.3 million (Jun–Aug).