AHCCCS
Hobbs Rejects Health Care Transparency Bill Targeting Costs for Undocumented Patients

Governor Katie Hobbs has vetoed SB 1268, a controversial bill aimed at enhancing transparency regarding healthcare costs attributed to illegal immigrants in Arizona. This decision has sparked immediate backlash from Republican State Senator Wendy Rogers, who accused the governor of hindering fiscal responsibility and failing to protect taxpayer interests.
The legislation, sponsored by Rogers and backed by the Republican-controlled Legislature, sought to require Arizona hospitals to include a voluntary inquiry on patient intake forms, asking individuals to disclose their legal status in the United States. Proponents insisted that responses would not influence the treatment provided and would remain confidential from immigration enforcement. The Arizona Department of Health Services (DHS) was set to compile reports based on this data, detailing the number of non-citizens receiving care through the Arizona Health Care Cost Containment System (AHCCCS).
“Our hardworking, law-abiding citizens deserve clarity on how their tax dollars are being allocated, particularly concerning the medical services provided to those who have entered the country illegally,” Rogers stated in response to the veto. “This measure would have enabled us to gather crucial data for informed budgetary decisions.”
Supporters of SB 1268 referenced a 2023 Congressional Budget Office report, which estimated that approximately $27 billion was spent on Emergency Medicaid for illegal immigrants between fiscal years 2017 and 2023. They argue that understanding the healthcare budget’s allocation is vital, especially as hospitals face increasing pressure and lengthy wait times.
This veto continues a trend of Governor Hobbs rejecting transparency measures surrounding immigration and healthcare. While progressive groups have lauded her stance, GOP lawmakers contend that she is neglecting the concerns of constituents dealing with a beleaguered healthcare system. “This veto is a slap in the face to Arizona taxpayers who are demanding accountability and transparency,” Rogers remarked, expressing her discontent with the governor’s decision.
The ongoing debate surrounding immigration and healthcare access is likely to resurface in Arizona’s political arena, especially as lawmakers gear up for the approaching 2026 election cycle, where these issues are expected to take center stage.