State wants cost of hospital care for undocumented immigrants

TALLAHASSEE

One of Gov. Ron DeSantis’ top health officials on Thursday wrote a letter to the head of the Florida Hospital Association to ask how much money state hospitals spent last year on caring for people living in the country illegally.

The letter, written by Agency for Health Care Administration Secretary Simone Marstiller, is part of a broader effort by the DeSantis administration to account for the ways in which the state is paying to support immigrants who are in the country illegally. In September, DeSantis signed an executive order directing state agencies to, among other things, issue a monthly report on the number of “illegal aliens” who have been criminally charged and account for taxpayer dollars spent caring for immigrants who entered the country illegally.

“As illegal aliens continue to cross the southern border unchecked in record numbers, hardworking Floridians pay the price, footing the bill for their medical care,” Marstiller wrote in her Thursday letter to Mary Mayhew, the CEO of the Florida Hospital Association.

The letter, which was first reported by Florida Politics, gave the hospital association a deadline of May 23 to submit the data, which it said will eventually be posted on the agency’s website.

Hospitals received a formal data request from the agency this week. The facilities have been asked to report “all costs and expenditures, including those that are written off as uncollected debt,” related to the inpatient treatment of people living in the country illegally.

In a statement, Mayhew said her organization had received the letter and would communicate with its member organizations. Mayhew served as DeSantis’ Agency for Health Care Administration secretary before Marstiller.

State Rep. Nick Duran, D-Miami, who served on the board of trustees of Jackson Health System until last year, said hospitals would likely be able to comply with the request. But he said the data would not be helpful without knowing what the healthcare figures were in previous years.

“This is really just redmeat politics. Our hospitals have been serving undocumented individuals for years,” Duran wrote in a text message. “This isn’t some new trend. And it feels like [DeSantis] is going to try to weaponize the data to show that undocumented [immigrants] are pouring into our healthcare system.”

Marstiller’s letter noted the Florida Hospital Association had done its own study in 2009 on this subject, which showed care for undocumented immigrants had cost at least $40 million in unpaid medical bills.

Florida hospitals provided nearly $1.8 billion in total charity care in 2019. That figure represents the amount of care provided to poorer patients for which the hospitals were not compensated. Such care is often provided in instances in which the patient is not insured. Florida had one of the three highest uninsured rates in the country, according to 2020 figures from the Florida Hospital Association. That’s in part because of the Legislature’s refusal to expand Medicaid under the Affordable Care Act. The push from DeSantis comes amid an uptick of apprehensions of migrants at the U.S.-Mexico border that conservatives blame on the immigration policies of the Biden administration.