Florida to hospitals: Show us the money spent on treating undocumented immigrants
Mary Mayhew warns of health care budget cuts and their possible effect on the workforce.

Hospitals have until May 23 to turn over the information to the Agency for Health Care Administration.

The administration of Gov. Ron DeSantis is calling on Florida’s hospitals to compile information on how much money they are spending to treat immigrants who have entered the country illegally.

Agency for Health Care Administration Secretary Simone Marstiller sent a letter on Thursday to Florida Hospital Association President and CEO Mary Mayhew pointing out that regulators earlier this week asked all licensed hospitals to figure all costs and expenditures and “report any uncollected debt calculations related to the health care of illegal aliens.”

Marstiller said AHCA was undertaking the effort to comply with an executive order from DeSantis from last September that asked the agency to find out the amount of taxpayer money spent on “illegal aliens in the state of Florida.”

Mayhew issued a statement late Thursday night saying the association had just received the letter and is “reviewing the request and communicating with our member hospitals.”

Marstiller noted in her letter to Mayhew that in 2009 the association examined the expenditures of 57 hospitals and found that they had more than $40 million in unpaid bills related to the treatment and care of “undocumented immigrants.” 

“Given that FHA has performed similar calculations in the past, I would ask that you ensure your member hospitals are aware of these requirements and provide technical assistance in completing the data request,” Marstiller wrote.

Marstiller added that once the information is compiled, “the agency will make this information publicly available on our website, providing Floridians with a clear understanding of the financial impacts of paying for government services for illegal aliens.” 

Hospitals have until May 23 to turn over the information to AHCA, which is also supposed to include the source of all costs and expenditures, including federal, state and local money. 

“Given the significant impact of health care on the overall state budget, it is imperative that this request is completed timely and accurately, as I am sure you will emphasize to your members,” Marstiller added.

DeSantis and Attorney General Ashley Moody have been sharply critical of the administration of President Joe Biden and his handling of immigration across the southern border. Florida has legally challenged the actions of the Biden administration, and the Governor pushed to include millions in the upcoming budget that pay the cost of transporting those who entered the country illegally to other states. DeSantis has repeatedly said he plans to ship people to Biden’s home state of Delaware.

Christine Jordan Sexton

Tallahassee-based health care reporter who focuses on health care policy and the politics behind it. Medicaid, health insurance, workers’ compensation, and business and professional regulation are just a few of the things that keep me busy.


  • Brandon

    May 5, 2022 at 7:01 pm

    Illegal aliens. When you break the law, it is called illegal not “undocumented”.

  • ANDY E.

    May 6, 2022 at 12:05 pm

    Message to Gov. DeSantis: Show us how much undocumented aliens pay in Florida sales taxes. Better yet, show us how much money they pay into the social security system that they will never ever receive a penny from.

Comments are closed.


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