Immigrants who entered the country illegally are a $659.9 million "burden" on the state's health care system, according to a new report. But the report depends on patients disclosing their own immigration status, something many don't do. According to the "Hospital Patient Immigration Status Report" released by the Agency for Health Care Administration (AHCA), undocumented immigrants' care at local hospitals is "largely uncompensated," meaning it isn't paid back, and "a direct contributor to the strain on Florida's health care system." For 2024, the state says $659.9 million was spent on "providing care to illegal aliens across the state." For 2023, the price tag was $566 million for seven months of data, from June to December. "The agency remains dedicated to fulfilling Governor DeSantis' commitment to protecting taxpayer dollars from being used on individuals who are not lawfully present in the United States," AHCA Deputy Secretary Kim Smoak said in a statement.