Texas hospitals must now ask patients whether they’re in the US legally. Here’s how it works [Video]

Texas hospitals must ask patients starting Friday whether they are in the U.S. legally and track the cost of treating people without legal status following an order by Republican Gov. Greg Abbott that expands the state’s clash with the Biden administration over immigration.

Critics fear the change could scare people away from hospitals in Texas, even though patients are not required to answer the questions to receive medical care. The mandate is similar to a policy that debuted last year in Florida, where Republican Gov. Ron DeSantis is also a frequent critic of the federal government’s handling of illegal crossings along the U.S.-Mexico border.

Texas hospitals have spent months preparing for the change and have sought to reassure patients that it won’t affect their level of care.

Here’s what to know:

Required to ask, not required to answer

Under the executive order announced by Abbott in August, hospitals must ask patients if they are citizens in the U.S. and whether they are lawfully present in the country.

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