By Ethan Faverino |
A new analysis has found Arizona among the top 10 U.S. states for the share of births financed by Medicaid, ranking ninth nationwide with 471 Medicaid-supported deliveries per 1,000 live births annually. This comes in at 19% above the national average of 394.46.
The study, which examined five years of data from 2019 to 2023, compiled total Medicaid-financed births for each state, averaged them over the period, and standardized the figures based on total live births to determine the rates per 1,000.
Arizona averaged 36,856 Medicaid-financed births per year, peaking in 2019 at 38,848 (49% of all births) and dipping to its lowest in 2022 at 36,153 (46% of all births).
The top 10 states for Medicaid-funded births (per 1,000) are: Louisiana – 615, Mississippi – 589, New Mexico – 545, Oklahoma – 512, Texas – 487, Alabama – 474.9, West Virginia – 474.6, South Carolina – 473, Arizona – 471, and Tennessee – 465.
It is unknown how many of those children are born to illegal aliens, but a separate finding by the Center for Immigration Studies estimates 225,000 to 250,000 births to illegal immigrants in the U.S. in 2023 alone—representing approximately 7% of all births nationwide.
“Up to a quarter-million births to illegal immigrants is hardly trivial,” the report said. “It appears to be more than the number of births to legal noncitizens, and it is greater than the total number of births in all but two states taken individually. Although not yet available, the 2024 numbers are likely to be even higher.”
The financial implications are substantial, according to a 2023 cost analysis by the Federation for American Immigration Reform (FAIR). The net cost of illegal immigration to U.S. taxpayers at federal, state, and local levels reached at least $150.7 billion in 2023, which is an increase of $35 billion from the 2017 estimate of $116 billion.
After subtracting $32 billion in taxes paid by illegal immigrants from a gross economic impact of $182 billion, the burden equates to $1,156 per illegal immigrant household annually.
Each illegal alien or U.S.-born child of illegal aliens costs taxpayers an estimated $8,776 per year. While some contribute through taxes, these payments only cover one-sixth of the costs they generate. Many illegal aliens working in the “underground economy” avoid income taxes entirely, widening the financial gap.
Federal law prohibits illegal aliens from accessing most federally funded state and local benefits, though states may use their own funds to extend coverage to certain noncitizen populations, including expanded Medicaid for unauthorized immigrants in some areas.
Ethan Faverino is a reporter for AZ Free News. You can send him news tips using this link.







