Illegal Alien Patient Reporting Act

Hospital immigration reporting rules

If enacted, hospitals in Federal health care programs would have to add an immigration-status question to intake forms. The form would say answers would not affect care or be reported to law enforcement. Reporting to law enforcement would be allowed only if a patient is suspected or charged with certain state or local crimes. It would also allow reporting for some federal immigration crimes (INA sections 274, 275, 276) or federal crimes under title 18. If a patient says they are a lawful permanent resident, the hospital would ask to see documentary proof. Not later than 30 days after each quarter, hospitals would send HHS and DHS a report. The report would count refusals, give counts for detailed immigration-status categories, and list how many LPRs did not show proof. The HHS Secretary would send Congress a yearly aggregated report by October 1 starting in 2026 about uncompensated care for people not lawfully present and hospitals' funding needs. HHS and DHS would issue rules to run the reporting, but they would not be allowed to require hospitals to give patient names or other personal identifying information. Hospitals that fail to follow these intake or reporting rules would be removed from Federal health care programs.