


Sergio Bustos
Gannett News Service
Nov. 26, 2003 12:00 AM
WASHINGTON - The historic Medicare bill that won final congressional approval Tuesday includes a provision that gives hospitals at least $1 billion over the next four years to help cover the spiraling costs of providing emergency services for undocumented immigrants.
The measure is welcome news to hospitals near the U.S.-Mexican border, where undocumented immigrants ring up millions in unpaid medical bills.
Under the legislation, the $1 billion will be distributed on a first-come, first-served basis to hospitals nationwide. But the funding formula favors states like Arizona, California and Texas, which have large numbers of undocumented immigrants.
Texas, for example, may be reimbursed $200 million over the four-year period. Arizona could get $160 million.
Sen. Jon Kyl, R-Ariz., played a key role in securing the $1 billion. Kyl used his influence as a member of the small group of lawmakers who negotiated the final version of the Medicare bill.
"Of course, this reimbursement does not fully cover all of the costs imposed on our citizens by a failure to enforce our immigration laws, but it is a huge step forward," Kyl said.
The $1 billion will, indeed, go a long way to alleviate a longstanding and frustrating problem for dozens of hospitals near the U.S.-Mexican border, which stretches from Southern California to east Texas.
A recent study found that illegal immigrants racked up $190 million in unpaid bills at 77 border hospitals in 2000.
The tab was especially high in San Diego, El Paso and Pima County. In El Paso, costs topped $30 million. In Pima County, they exceeded $24 million.
"This is an important symbol of Congress' growing awareness of the problems we face along our porous borders," Kyl said.
Under federal law, hospitals cannot ask about a patient's income or immigration status, and they cannot turn away anyone seeking medical help.
Kyl spent the past week fighting off numerous attempts by other lawmakers to remove the $1 billion.
Some House members, led by Rep. Tom Tancredo, R-Colo., a critic of U.S. immigration policy, voted against the Medicare bill solely because of Kyl's provision.
Tancredo called it a "billion-dollar boon for illegal aliens," saying the provision will encourage more illegal immigration to the United States.

