The Impact of Governor Abbott’s Executive Order on Texas Public Hospitals
In a recent executive order, Governor Greg Abbott of Texas has directed public hospitals in the state to report the cost of care provided to individuals who are not legally present. This order comes in response to what Abbott referred to as the “open border policies” of President Joe Biden and Vice President Kamala Harris. The goal of this directive is to collect information on undocumented immigrants receiving care, including the associated medical expenses, with the aim of seeking federal reimbursement for these costs.
Implementation of the Executive Order
Starting November 1, Texas public hospitals and identified health care providers will be mandated to collect data on the expenses related to health care services provided to illegal immigrants. This information will be reported to the Texas Health and Human Services Commission (HHSC) on a quarterly basis, with the initial submission deadline set for March 1, 2025. Hospitals will also be required to notify patients that any data reported for federal requirements will not impact the quality of patient care.
Future Reporting and Compliance
By January 1, 2026, an annual report detailing the previous year’s medical care costs for undocumented immigrants will be submitted to the Governor, Lieutenant Governor, and Speaker of the House of Representatives. The executive order applies to hospitals participating in Medicaid or the Children’s Health Insurance Program, as well as any other medical facilities designated by HHSC. It remains to be seen how local hospitals will respond to this directive and whether they will comply with the reporting requirements outlined in the order.
Overall, Governor Abbott’s executive order represents a significant step towards addressing the financial burden placed on Texas public hospitals due to the provision of care to undocumented individuals. By seeking federal reimbursement for these costs, the state aims to alleviate the strain on its healthcare system and ensure that resources are appropriately allocated. The impact of this order on the healthcare landscape in Texas will become more apparent in the coming months as hospitals begin to implement the reporting requirements and assess the implications for patient care and financial sustainability.
