Illegal immigrants rack up $1B+ in Texas hospital costs in FY 2025, total likely higher: report

Texas hospitals were hit with more than $1 billion in health care costs racked up by illegal immigrants during fiscal year 2025, the first year the state began tracking the figures.

The data, compiled by the Texas Health and Human Services Commission (HHSC) and obtained by Texas Scorecard, shows hospitals logged 313,742 visits linked to individuals not legally present, with total costs reaching $1.05 billion by the end of the fiscal year.

Texas’ fiscal year runs from Sept. 1 through Aug.