Starting November 1, 2024, Texas hospitals are required to ask patients about their citizenship status and report the costs of providing healthcare to undocumented immigrants. This mandate follows an executive order from Republican Governor Greg Abbott. Hospitals must submit quarterly reports, with the first due on March 1, 2025. Critics argue that the mandate could deter people from seeking medical care, despite assurances that patients are not required to answer the questions to receive treatment. The executive order aims to allow the state to review the financial burden of providing medical services to undocumented immigrants.