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Hobbs Vetoes Health Care Transparency Bill Aimed At Costs For Illegal Immigrant Patients

May 18, 2025

By Jonathan Eberle |

Governor Katie Hobbs has vetoed SB 1268, a Republican-sponsored measure that aimed to increase transparency around the costs of providing healthcare to illegal immigrants in Arizona’s hospital system. The move drew swift criticism from State Senator Wendy Rogers (R-LD7), who accused the governor of obstructing efforts to ensure fiscal responsibility and protect taxpayer dollars.

The bill, sponsored by Rogers and passed by the Republican-controlled Legislature, would have required Arizona hospitals to include a voluntary question on patient intake forms asking individuals to indicate whether they are lawfully present in the United States. According to the bill text, the response would have had no bearing on the care provided and would not have been shared with immigration enforcement agencies. The Arizona Department of Health Services (DHS) would then compile annual reports using the data, including the number of non-citizens receiving care through the Arizona Health Care Cost Containment System (AHCCCS), the state’s Medicaid program.

“Our hardworking, law-abiding citizens have a right to know how much of their money is going towards paying for the medical services of those who’ve willfully chosen to break our laws by entering our country illegally,” said Senator Rogers in a statement following the veto. “This legislation would have helped us obtain the data necessary to make informed decisions on how to tackle this problem.”

A 2023 Congressional Budget Office report cited by Rogers estimated that federal and state governments spent approximately $27 billion on Emergency Medicaid for illegal aliens between fiscal years 2017 and 2023.

Supporters of SB 1268 argue that Arizona taxpayers deserve to understand how much of the state’s healthcare budget is being used to treat non-citizens — especially as hospitals report growing strain and long wait times for patients. Rogers emphasized that the intent was not to deny care, but to gather data needed for long-term planning and resource allocation.

This marks the latest in a series of transparency and immigration-related proposals rejected by Hobbs. Her actions have drawn praise from progressive groups but sharp criticism from GOP lawmakers, who argue that the governor is ignoring the concerns of constituents struggling with a strained healthcare system.

“This veto is a slap in the face to Arizona taxpayers who are demanding accountability and transparency,” Rogers said. “Shame on Governor Hobbs.”

As the debate over immigration and healthcare access continues to shape Arizona politics, similar proposals may resurface in future legislative sessions — especially as state lawmakers prepare for the 2026 election cycle, where these issues are expected to be front and center.

Jonathan Eberle is a reporter for AZ Free News. You can send him news tips using this link.

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