American Citizenship Healthcare Integrity Act of 2025
Sponsored By: Representative Mace, Nancy [R-SC-1]
Introduced
Summary
Collecting citizenship status and reporting uncompensated care for noncitizens. This bill would make hospitals that participate in Medicare ask about citizenship on intake forms and submit annual reports on uncompensated care for people who are not U.S. citizens.
Show full summary
- Hospitals, critical access hospitals, and rural emergency hospitals would have to add a citizenship question to every intake form. The requirement would take effect 180 days after enactment and hospitals would file the first report within 1 year.
- Noncitizen patients would have their status recorded and counted in hospital reports. The reports must list the number of noncitizen patients and the dollar amount of uncompensated care provided to them.
- The Secretary would publish an annual public report using those hospital submissions. That report would show total uncompensated care for noncitizens and estimate federal Medicare and Medicaid spending tied to that care.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 1 costs, 0 mixed.
Hospitals must report noncitizen care
This bill would require hospitals, critical access hospitals, and rural emergency hospitals to add a citizenship-or-nationality question to every patient intake form. The intake rule would begin 180 days after enactment. Not later than 1 year after enactment, and annually after, those hospitals would report the prior year's number of noncitizen/non‑national patients and the dollar amount of uncompensated care provided to them. The Secretary of HHS would publish an annual national report, first within 1 year, showing the total uncompensated care for noncitizens and estimating the Medicare and Medicaid federal spending that would not have occurred without that unpaid care.
Sponsors & CoSponsors
Sponsor
Mace, Nancy [R-SC-1]
SC • R
Cosponsors
Rep. Boebert, Lauren [R-CO-4]
CO • R
Sponsored 12/17/2025
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov