American Citizenship Healthcare Integrity Act of 2025
Sponsored By: Representative Mace
Introduced
Summary
Requires hospitals participating in Medicare to ask patients about U.S. citizenship and to report how much uncompensated care goes to noncitizens. This change would tie intake forms and annual data collection to a hospital’s Medicare participation and apply to hospitals, critical access hospitals, and rural emergency hospitals.
Show full summary
- Hospitals and facilities would need intake forms that ask whether an individual is a U.S. citizen or national. The requirement for this new condition of participation would take effect 180 days after enactment and reporting would begin within 1 year.
- Hospitals must submit annual reports to the Secretary showing the number of noncitizen patients served and the dollar amount of uncompensated care provided to those individuals. This applies to items and services furnished by the facility.
- The Secretary would publish a public annual report aggregating the dollar amount of uncompensated care for noncitizens and estimating the Title XVIII (Medicare) and Title XIX (Medicaid) federal spending that would not have occurred absent that uncompensated care, using the hospitals’ submitted data.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Hospital citizenship questions and reports
This bill would require hospitals, critical access hospitals, and rural emergency hospitals to ask on intake forms whether a patient is a U.S. citizen or national, starting 180 days after enactment. Within one year after enactment, and every year after, those facilities would report to the HHS Secretary for the previous year the number of noncitizens served and the dollar amount of uncompensated care for those individuals. The HHS Secretary would publish a public annual report showing the total uncompensated care for noncitizens and the estimated Medicare (Title XVIII) and Medicaid (Title XIX) federal spending that would not have occurred without that care. If enacted, hospitals would face added paperwork and patients may be asked about citizenship on intake forms.
Sponsors & CoSponsors
Sponsor
Mace
SC • R
Cosponsors
Boebert
CO • R
Sponsored 12/17/2025
Roll Call Votes
No roll call votes available for this bill.
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