Texas Gov. Greg Abbott issued an executive order directing state agencies to investigate unlawful birth tourism schemes in the state and to take enforcement action against licensed health care providers involved. He framed the issue as a misuse of immigration laws and stated that U.S. citizenship is not for sale, pledging to stop profiteering from birth tourism. The order designates the HHSC, Department of State Health Services, HHSC Office of Inspector General, Texas Medical Board, Texas Board of Nursing, and the Texas Department of Licensing and Regulation to investigate and sanction any licensed or regulated entity found to advertise, solicit, engage in, or facilitate such schemes. Enforcement tools include revoking or suspending licenses, barring participation in state contracts, denying state benefits, and other actions under state law, with potential coordination with federal prosecutors. The move builds on a July directive that had HHSC investigate hospitals advertising “birth packages” and refer potential violations to the attorney general for civil enforcement or to local prosecutors for possible criminal charges. Texas officials also call for reporting tips from the public and note ongoing investigations into hospitals advertising birth tourism services.