The claim that 8 states have spent at least $1.8 billion on healthcare for illegal aliens is mostly true because multiple sources confirm significant Medicaid and hospital costs linked to undocumented immigrants in several states, including Texas and California, though exact state counts and total amounts vary across reports.
8 states have been caught spending at least $1.8 billion on healthcare for illegal aliens.

More Fact Checking on Medicaid Spending for Immigrants – Center For Children and Families
Source: ccf.georgetown.edu
Key Evidence
Texas hospitals reported over $1 billion in costs linked to illegal immigrants in 2025.
foxnews.comfoxnews.comTexas hospitals hit with $1 billion in costs linked to illegal immigrants
westernjournal.comwesternjournal.comGovernment Report Shows Red State Gave Over $1 Billion in Medical Care to...
California accounts for a large share of Medicaid spending on undocumented immigrants disproportionate to its population share.
thefga.orgthefga.orgThe Loopholes Fueling Illegal Alien Medicaid and ObamaCare Benefits
National estimates suggest billions in government benefits for illegal aliens, including healthcare.
epicforamerica.orgepicforamerica.orgBillions Of Government Benefits For Illegal Aliens
Fact-checkers note complexities in Medicaid data due to inclusion of lawfully present immigrants and emergency care.
ccf.georgetown.educcf.georgetown.eduMore Fact Checking on Medicaid Spending for Immigrants
nilc.orgnilc.orgFact Checking Immigrants, Health Care, and the 2025 Tax and Budget Law+1 more
What the Evidence Shows
Several sources document substantial healthcare spending related to undocumented immigrants in multiple states. For example, Texas alone reportedly incurred over $1 billion in hospital costs for illegal immigrants during fiscal year 2025.foxnews.comfoxnews.comTexas hospitals hit with $1 billion in costs linked to illegal immigrants California is also noted for a disproportionately large share of Medicaid spending on this population.
thefga.orgthefga.orgThe Loopholes Fueling Illegal Alien Medicaid and ObamaCare Benefits+1 more
Other reports estimate billions of dollars in government benefits, including healthcare, going to illegal aliens nationwide. However, the exact number of states involved and the cumulative total of $1.8 billion is not uniformly detailed across sources. Some fact-checking organizations emphasize that much Medicaid spending on immigrants includes lawfully present individuals and emergency care, complicating precise attribution.ccf.georgetown.educcf.georgetown.eduMore Fact Checking on Medicaid Spending for Immigrants
nilc.orgnilc.orgFact Checking Immigrants, Health Care, and the 2025 Tax and Budget Law+2 more
Additionally, some states have been pulling back coverage or implementing measures to reduce costs.fairus.orgfairus.orgHow to Drive Down the Cost of Medical Care for Illegals? Just Ask
stateline.orgstateline.org1.4M lawfully present immigrants could lose subsidized health coverage •... Overall, while the broad scale of spending is supported by multiple independent reports, the specific figure of "8 states" and the exact $1.8 billion total appears to be an aggregation or estimate rather than a fully verified official accounting.