Illegal migrants have cost the state’s hospitals more than one billion dollars in unpaid care — greatly surpassing previous estimates — data from Texas Health and Human Services Commission (HHSC) shows.

The data comes from the requirements implemented after an order was signed in August 2024 by Texas Republican Gov. Greg Abbott. In the state’s first report of its kind the HHSC found that nearly $122 million was spent on illegals in November 2024, but that estimate was deemed low since the reporting was just ramping up at the time. The HHSC reported that people who were “not legally present” in the United States utilized hospitals in the Lone…

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