American Citizenship Healthcare Integrity Act of 2025

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6801 Introduced in House (IH)]

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119th CONGRESS
  1st Session
                                H. R. 6801

To amend title XVIII of the Social Security Act to require hospitals to 
ask the citizenship status of patients as a condition of participation 
     in the Medicare program and to require reports on the cost of 
              furnishing hospital services to noncitizens.


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                    IN THE HOUSE OF REPRESENTATIVES

                           December 17, 2025

 Ms. Mace (for herself and Ms. Boebert) introduced the following bill; 
which was referred to the Committee on Ways and Means, and in addition 
      to the Committee on Energy and Commerce, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

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                                 A BILL


 
To amend title XVIII of the Social Security Act to require hospitals to 
ask the citizenship status of patients as a condition of participation 
     in the Medicare program and to require reports on the cost of 
              furnishing hospital services to noncitizens.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``American Citizenship Healthcare 
Integrity Act of 2025''.

SEC. 2. REQUIRING HOSPITALS TO ASK THE CITIZENSHIP STATUS OF PATIENTS 
              AS A CONDITION OF PARTICIPATION IN MEDICARE.

    Section 1866 of the Social Security Act is amended--
            (1) in subsection (a)(1)--
                    (A) in subparagraph (X), by striking ``and'' at the 
                end;
                    (B) in subparagraph (Y), by striking the period at 
                the end and inserting ``, and''; and
                    (C) by inserting after subparagraph (Y) the 
                following new subparagraph:
            ``(Z) beginning 180 days after the date of the enactment of 
        this subparagraph, in the case of a hospital, critical access 
        hospital, or rural emergency hospital--
                    ``(i) with respect to each intake form (or its 
                equivalent) provided in connection with items or 
                services furnished by such hospital, critical access 
                hospital, or rural emergency hospital to an individual, 
                to ask on such form whether such individual is a 
                citizen or national of the United States; and
                    ``(ii) not later than 1 year after the date of the 
                enactment of this subparagraph, and annually 
                thereafter, to submit to the Secretary a report 
                including, with respect to the previous year--
                            ``(I) the number of individuals who are not 
                        citizens or nationals of the United States to 
                        whom items or services were furnished by such 
                        hospital, critical access hospital, or rural 
                        emergency hospital; and
                            ``(II) the dollar amount of any 
                        uncompensated care furnished by such hospital, 
                        critical access hospital, or rural emergency 
                        hospital to such individuals.''; and
            (2) by adding at the end the following new subsection:
    ``(l) Report on Cost of Hospital Services Furnished to 
Noncitizens.--Not later than one year after the date of the enactment 
of this subsection, and annually thereafter, the Secretary shall make 
publicly available a report on, with respect to the previous year--
            ``(1) the dollar amount of any uncompensated care furnished 
        by hospitals, critical access hospitals, and rural emergency 
        hospitals to individuals who are not citizens or nationals of 
        the United States, as determined based on the findings of 
        reports submitted pursuant to subsection (a)(1)(Z)(ii); and
            ``(2) the amount of Federal expenditures under this title 
        and title XIX that would not have been made in the absence of 
        such uncompensated care, as determined by the Secretary.''.
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