Lynn Cowles in The Associated Press: Florida hospitals ask immigrants about their legal status. Texas will try it next.

Every Texan’s Health and Food Justice Programs Manager Lynn Cowles spoke to The Associated Press about Gov. Abbott’s Executive Order GA-46, which requires the Texas Health and Human Services Commission to direct public hospitals in the state to collect demographic information on patients that will enable hospital staff to determine how many inpatient and emergency care patients at the hospital are undocumented. The processes outlined in the Executive Order begin Nov. 1, 2024, also the date DACA recipients around the U.S. will first be able to enroll in Marketplace health insurance through the Affordable Care Act.
 
Read an excerpt below:
 
Whatever data Florida and Texas do collect likely will be unreliable for several reasons, researchers suggested. Health economist Paul Keckley said the report released by Florida state officials could have “incomplete or inaccurate or misleading” data.
 
 

In Florida and in Texas, people who aren’t in the U.S. legally can’t enroll in Medicaid, which provides health insurance for low-income people — except in the case of a medical emergency.

Multiple factors can affect the cost of care for people who are in the U.S. without legal permission, experts said, especially the lack of preventive care. That’s especially true for people who have progressive diseases like cancer, said Dr. James W. Castillo II, the health authority for Cameron County, Texas, which has about 22% of the population uninsured compared to the state average of 16.6%.

At that point, he said, “it’s usually much harder to treat, much more expensive to treat.”

Texas community groups, policymakers and immigration attorneys are partnering with Every Texan, a nonprofit focusing on public policy and health care access, to encourage people to not answer the status question, said Lynn Cowles with Every Texan.

Read the full article on The Associated Press.

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