Texas public hospitals now must ask patients if they are in US legally
Jason Fochtman/Houston Chronicle via Getty Images
(HOUSTON) — Public hospitals in Texas will now be required to ask patients if they are in the U.S. legally and keep a record of the funds spent on illegal migrants after an executive order went into effect Friday.
Public hospitals are required to collect information regarding the “cost of medical care provided to illegal immigrants,” the number of inpatient discharges and the number of emergency visits, then submit that data to the Texas Health and Human Services Commission on a quarterly basis, Texas Gov. Greg Abbott wrote in an August statement announcing the measure.
While facilities must ask patients of their legal status, patients are not required to respond.
The new policy will also be enforced at hospitals enrolled in Medicaid, the Children’s Health Insurance Program and any other facilities identified by the commission.
The first submission is due on March 1, 2025, according to the governor’s office. The commission will then submit the total cost for medical care provided to illegal migrants to the governor, lieutenant governor and the speaker of the house on an annual basis beginning on Jan. 1, 2026.
Patients are to be told that the collection of this information will not affect patient care, according to the executive order. Federal law mandates patients be told their answers will not affect their medical care.
The executive order also states that the federal government “may and should be obligated to reimburse the state of Texas for the costs that its open border policies have imposed on Texans.”
“Due to President Joe Biden and Vice President Kamala Harris’ open border policies, Texas has had to foot the bill for medical costs for individuals illegally in the state,” Abbott said in the statement, though migrant encounters at the border began rising while Donald Trump was president in the months after April 2020 through the November election. “Texans should not have to shoulder the burden of financially supporting medical care for illegal immigrants.”
Immigration advocacy groups condemned the action as it went into place Friday.
“Abbott’s latest executive order — which takes effect today and goes against federal law — is a calculated attempt to drive immigrants into the shadows and make our communities fearful of being targeted in the very places we should feel safe. Going after immigrants in hospitals is just the first step towards enacting Trump’s Project 2025 agenda,” said Michelle Ming, political director of United We Dream Action, an advocacy group for immigrants.
ABC News’ Armando Garcia contributed to this report.
(CECIL TOWNSHIP, Pa.) — Fracking has been on the national stage this election season and swing state Pennsylvania, with its 19 electoral votes in play, is at the center of the issue with one the largest natural gas deposits in the U.S.
Eight years ago, Michelle Stonemark built her dream home in Cecil Township, Pennsylvania, on the same street as much of her extended family. She was followed by some new neighbors — a fracking operation.
As the Stonemarks’ home was under construction, a natural gas company built a well pad for oil and gas production just a few feet away.
“I was scared to death. I was scared about what harms it would cause us,” she told ABC News’ Stephanie Ramos.
It’s a significant industry in Pennsylvania, but there is precedent for states banning fracking — it’s happened in California, Maryland, New York, Vermont and Washington.
Only Congress has the power to completely ban fracking, but presidential candidates Donald Trump and Kamala Harris see it as a topic that resonates with voters in the Keystone State.
Former President Trump says Harris is against the practice.
“Starting on Day One of my new administration, I will end Kamala Harris’ war on Pennsylvania energy,” he said at an Oct. 26 rally. “And we will frack, frack, frack.”
In 2019, when Harris was running for the Democratic presidential nomination, she firmly stood for a ban on fracking. During a CNN town hall on climate change in 2019 when she was still a senator, Harris said, “There’s no question I’m in favor of banning fracking.”
Now, Vice President Harris has positioned herself as a supporter of fracking. Harris reiterated that she would not ban fracking during the ABC News Presidential Debate.
“I will not ban fracking. I have not banned fracking as vice president of the United States,” she said during September’s ABC News debate. “And, in fact, I was the tie-breaking vote on the Inflation Reduction Act, which opened new leases for fracking.”
The Stonemarks documented the experience of living so close to an active fracking operation, with video showing flames shooting into the sky in the middle of the night as excess natural gas was burned off.
Their windows and tools in their garage often vibrate with the hum of machinery at the nearby well pad.
“The noise that comes off of that … are low-level sounds, low-level frequencies, more like a bass that cause vibrations, more like a constant hum, the kind of noise you feel in your chest and in your ears and in your head,” Michelle Stonemark told ABC. “We suffered from headaches and nosebleeds during that time.”
In Cecil Township, there’s legislation that would require new fracking operations to be placed at least 5,000 feet away from schools and 2,500 feet away from homes. The current minimum distance is 500 feet. The city council passed the resolution on Monday night.
Stonemark supports the legislation, but it may not change her situation. The family has already upgraded their air filters and installed air quality monitors outside, but she’s angry about it.
“Every day we wake up and we don’t know what we’re going to get. We don’t know how loud it’s going to be, how what it’s going to smell like outside,” she told ABC News. “[Or] If my kids can play outside; we don’t know if we can have people over.”
She’s also concerned that it’s causing health issues for the family.
“We don’t know if the nosebleed my daughter has is from fracking. We don’t know if the nausea and the headaches that we’re feeling are from fracking,” she said. “Every day is undue stress and anxiety on myself, my husband, my kids. So, yeah, it pisses me off.”
In 2023, a taxpayer-funded study conducted by the University of Pittsburgh found that children who live within one mile of unconventional natural gas development — including fracking — were found to be five to seven times more likely to develop lymphoma, a type of cancer. It was also linked to adverse birth outcomes and exacerbating existing asthma symptoms.
In the race for the White House, politicians are hoping a vow to keep fracking will secure them votes. However, the issue is more complex for the people with fracking operations in their backyard. Even pro-fracking Republicans like Scott Byrd are in favor of the proposed changes.
“First of all, I’m very pro fracking,” he told ABC News. “It just has to be done in an industrial rural area.”
However, Byrd noted that neither of the candidates have offered particulars on the issue.
“I’m mainly motivated by responsibilities as a parent,” he said. “You see your two children, you have to do everything you can do to protect them.”
In a statement to ABC News, Range Resources, which runs fracking operations in Cecil Township, noted that it works closely with “municipalities and residents to foster open communication, address community concerns, and proactively minimize any potential impacts.”
However, it said that the township’s ordinance is “a stark outlier from the 50 other municipalities where Range operates, as it seeks to restrict future natural gas development within its borders.”
Byrd emphasized the need to frack safely.
“If the technology is not there to do it without hurting children, everybody else, we need to get more into research and development. We’re not just going to jump the gun,” he said. “They’re running with it and ignoring the risks. We have to do something.”
Stonewall noted that fracking is a polarizing topic, but it shouldn’t be something people are simply for or against.
“I’m neither for it or against it — I believe it has its place. I believe that we need to be an energy independent nation,” she said. “I just don’t believe that we need to be doing it at the expense of people living their everyday lives.”
(DALLAS) — Bishop T.D. Jakes is stable after suffering a medical emergency during a sermon on Sunday, according to the megachurch Potter’s House of Dallas, where he serves as pastor.
Video of the incident shows the renowned Christian pastor lowering his microphone and shaking in his seat before people around him rushed to his aid.
In a statement, the church said Jakes “experienced a slight health incident and received immediate medical attention following his powerful hour long message.”
“Bishop Jakes is stable and under the care of medical professionals,” the church said. “The entire Potter’s House family is grateful for the outpouring of love, prayers, and support from the community.”
Jakes founded the 30,000-member megachurch in southern Dallas, Texas, in 1996.
(NASSAU, Bahamas) — Search efforts have been suspended for a 66-year-old woman who fell overboard on a Taylor Swift-themed cruise Tuesday night, the U.S. Coast Guard said Wednesday.
The Coast Guard previously said they were assisting with the search, which was being led by the Royal Bahamas Defense Force.
“We were informed by @TheRBDF this afternoon that they are suspending the active search efforts pending further developments & were no longer requesting further @USCG assistance,” the U.S. Coast Guard wrote on X.
The missing passenger fell off the Royal Caribbean ship Allure of the Seas about 17 miles north of Nassau, Bahamas, the Coast Guard said.
The woman has not been publicly identified.
The four-night Swift-themed voyage, known as “In My Cruise Era,” set sail from Miami for the Bahamas on Monday. It was not officially affiliated with Swift.
About 400 people registered for the cruise, which was scheduled to include karaoke, a dance party and friendship bracelet trading.
In a statement from the cruise company, Royal Caribbean said it initiated search efforts as soon as the woman fell overboard.
“Our crew immediately launched a search and rescue effort and is working with local authorities We are also providing support and assistance to the guest’s family during this difficult time. To respect the privacy of our guest’s family, we have no additional details to share,” a Royal Caribbean spokesperson said.
