# 119-hr-9656: Illegal Alien Patient Reporting Act

119-hr-9656, Illegal Alien Patient Reporting Act, is a 119th Congress bill sponsored by Rep. Roy, Chip [R-TX-21] (R-TX); status introduced (as of 2026-07-23).

- Canonical: https://policyrisk.com/legislation/119-hr-9656
- As of: 2026-07-23
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9656
- Congress: 119
- Title: Illegal Alien Patient Reporting Act
- Status: introduced
- Introduced: 2026-07-13
- Sponsor: Rep. Roy, Chip [R-TX-21] (R-TX)
- Cosponsors: 4
- Policy area: Immigration
- Touches household money: no
- Last recorded action: 2026-07-23

## Summary

**This bill would require hospitals to collect and quarterly report patients' immigration status.** It pairs intake-form questions with limits on personal data sharing and an annual federal study of uncompensated care. - Hospitals would have to add a status question and a follow-up statement to admission or registration forms. They must request documentary proof if someone says they are a lawful permanent resident and file quarterly reports to the Secretary of Health and Human Services and the Secretary of Homeland Security within 30 days after each quarter. - Patients would see a form request and a statement that answers will not affect care or be passed to law enforcement, except for patients suspected of certain criminal offenses or specific immigration crimes. The reports must also record how many patients decline to answer. - Federal agencies and Congress would get aggregated counts by status category each quarter and an annual report starting in 2026 on uncompensated care costs, hospitals' funding needs, and service impact. Regulations may be issued but may not require patient names or other personal identifying information.

## Cosponsors (4)

- Rep. Cloud, Michael [R-TX-27] (R-TX), 2026-07-13T00:00:00.000Z
- Rep. Brecheen, Josh [R-OK-2] (R-OK), 2026-07-13T00:00:00.000Z
- Rep. Moore, Barry [R-AL-1] (R-AL), 2026-07-13T00:00:00.000Z
- Rep. Rulli, Michael A. [R-OH-6] (R-OH), 2026-07-15T00:00:00.000Z

## Provisions PRIA read

- Hospital immigration reporting rules: mixed, medium. 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 ce…

## Related bills

- 119-hr-8870: BUILD America 250 Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7651: Chloe Cole Act of 2026
- 119-hr-4448: Restoring Equal Opportunity Act
- 119-hr-925: Dismantle DEI Act of 2025
- 119-hr-404: Hearing Protection Act

## Sources
- [119-hr-9656 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9656)

## Related
- [119-hr-8870: BUILD America 250 Act](https://policyrisk.com/legislation/119-hr-8870)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7651: Chloe Cole Act of 2026](https://policyrisk.com/legislation/119-hr-7651)
- [119-hr-4448: Restoring Equal Opportunity Act](https://policyrisk.com/legislation/119-hr-4448)
- [119-hr-925: Dismantle DEI Act of 2025](https://policyrisk.com/legislation/119-hr-925)
- [119-hr-404: Hearing Protection Act](https://policyrisk.com/legislation/119-hr-404)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9656 (as of 2026-07-23).