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The Comptroller estimates costs of $ 1.3 billion for hospitals and $ 141.9 million for local incarceration attributed to undocumented immigrants . Furthermore , the ACS and its Georgia Chapter say , the CON process is a useful tool for hospitals that are attempting to stop competition and force patients to receive care only in their facilities . Senate Bill 338 / House Bill 476 ( both passed ) require the Secretary of DHMH , in consultation with the Association of Maryland Hospitals and Health Systems and the Maryland Association of Hospital Security and Safety Directors , to develop a uniform set of emergency security codes for hospitals . Waiting lists for hospitals had grown by a quarter of a million , pensioners who 'd seen their Christmas bonuses cancelled in both 1975 and 76 saw their savings eaten away by inflation . This system provides incentives for hospitals to train more interns and residents .