Texas Governor Greg Abbott issued an executive order requiring hospitals to document the immigration status of patients and report associated medical costs to the state, with the intent to seek federal reimbursement. This order, effective November 1, 2024, has sparked significant concern among community leaders and advocates who fear it will deter undocumented immigrants from seeking necessary medical care. Abbott attributes the financial burden to the Biden-Harris administration's border policies, though critics argue that the federal government already subsidizes many medical costs. The Texas Health and Human Services Commission will collect and report the data quarterly, with the first annual report due in March 2025. Opponents, including the National Nurses United, argue that the order unjustly targets a vulnerable population and could lead to negative health outcomes.