Texas Governor Greg Abbott has ordered hospitals to gather data on the immigration status of patients, arguing Texas has had to foot the bill for the Joe Biden administration's border policies.
Under the executive order, hospitals will have to compile statistics on inpatient discharges and emergency visits by undocumented migrants, as well as on the cost of caring for them.
Opponents say the order will lead to racial profiling and deter migrants from seeking help.
The order is the latest in a series of clashes between the federal government and Mr. Abbott, a vocal critic of the Biden administration's border policies.
Thursday's order applies to all public hospitals and other health care providers identified by Texas authorities.
The data they collect must be gathered quarterly and passed on to the Texas Health and Human Services Commission, which will in turn provide regular reports to state officials.
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