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Texas Hospitals Face $1 Billion in Unfunded Care Costs

1/18/2026

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Story summary
  • Texas hospitals incurred over $1 billion in fiscal year 2025 costs tied to patients not legally present, per Texas Health and Human Services Commission (HHSC) data.
  • HHSC logged 313,742 visits from these individuals, with costs averaging about $105 million per month under Governor Greg Abbott's executive order.
  • Inpatient discharges totaled $565.4 million.
  • November 2024 data show 30,743 visits costing over $102 million.