Overview

• The Texas Health and Human Services Commission reported $121.8 million in hospital costs for over 30,000 visits by undocumented patients in November 2024.
• The report specifies $37 million spent on nearly 25,000 emergency visits and $85 million on over 6,000 inpatient discharges.
• Hospitals were instructed not to include revenue offsets, leaving questions about reimbursement and the full financial impact unanswered.
• Advocates and experts warn that requiring immigration status inquiries may deter undocumented individuals from seeking necessary care, skewing the data's accuracy.
• Quarterly reporting will continue, with the first annual report on these costs scheduled for release on January 1, 2026.