
Texas Gov. Greg Abbott ordered an investigation into Mission Regional Medical Center after ads in Mexico promoted maternity packages for expectant mothers to give birth in the U.S.
Mission Regional Medical Center in South Texas advertised maternity packages in Mexico through Spanish-language billboards and a website, encouraging expectant mothers to travel to Texas to give birth. The hospital removed the ads after they surfaced, saying they were misunderstood.
Texas Governor Greg Abbott ordered an investigation into whether the hospital violated any laws or contractual obligations. If the probe finds the ads were meant to market travel for birthright citizenship, the hospital faces a legal problem, not just a public relations one.
Birth tourism has existed for years. Businesses have helped foreign nationals travel to countries with broad birthright citizenship. Governments have largely looked the other way.
Other developed nations changed course years ago. Ireland amended its constitution in 2004. Several European countries require at least one parent to be a citizen or lawful long-term resident before granting automatic citizenship.
The U.S. Constitution's 14th Amendment, ratified in 1868, says: "All persons born or naturalized in the United States, and subject to the jurisdiction thereof, are citizens of the United States and of the State wherein they reside."
The amendment was meant to secure citizenship for freed slaves after the Civil War and overturn the Dred Scott decision. Native Americans were not considered citizens until the Indian Citizenship Act of 1924.
American-born children can sponsor their parents for a green card when they turn 21. Parents then wait five years before applying for naturalization and often must leave the U.S. for a decade before applying for citizenship.
The legal question is whether the 14th Amendment's original intent covers children of parents who entered the country illegally. Courts are supposed to interpret the Constitution in light of the law as it existed when adopted, per Mattox v. United States (1895).
Abbott's investigation will test whether Texas law or the hospital's contractual obligations prohibit marketing birth tourism. The outcome could set a precedent for how states handle the practice.
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