Texas hospitals’ citizenship count renews focus on uninsured

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Texas hospitals’ citizenship count renews focus on uninsured
Texas PoliticsTexas PolicyTexas Government
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On Nov. 1, hospitals will begin asking patients their citizenship status. But data suggests uninsured citizens, not immigrants, cost Texas hospitals more.

ordered hospitals this summer to start asking patients for their citizenship status, the intent was clear: to take the cost of caring for undocumented immigrants to the Biden administration and demand Texas taxpayers be reimbursed.

“The bottom line for patients is that this doesn’t change hospital care,” said Carrie Williams, THA spokesperson. The move by Abbott’s office is the latest by Texas officials to prove an uneven financial burden on states because of illegal immigration, a move supported by the conservative think-tank Texas Public Policy Foundation .

So how much do undocumented residents make up of the total uninsured population in Texas? It’s a hard question that Charles Miller, a former policy and budget adviser under Abbott who is now with Texas 2036, a policy organization, has attempted to answer. He says looking at available data, his group estimates that about 14% of Texas’ uninsured, about 680,000, are undocumented residents.

Experts on this agree that most of those uninsured undocumented patients qualifying for emergency Medicaid at Texas hospitals are undocumented children.

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