Title 8, Aliens and NationalityRelease 119-110

§1369 Treatment of Expenses Subject to Emergency Medical Services Exception

Title 8 › CHAPTER 12 — IMMIGRATION AND NATIONALITY › SUBCHAPTER II — IMMIGRATION › Part IX — Miscellaneous › § 1369

Last updated Sep 22, 2026|Official source

Summary

If Congress provides the money first, the federal government will pay a State or its local governments for costs of emergency medical care given to a person who is an alien not lawfully present. This applies when the care is at a public hospital or facility, certain nonprofit hospitals, or by contract with another hospital. Payments only cover costs not already paid by another federal program and that cannot be billed to the person or anyone else. The person’s immigration status must be checked under rules made by HHS and the Attorney General. The Attorney General runs the program with HHS. An emergency medical condition means a sudden, severe medical problem (including emergency childbirth) that, without immediate care, could seriously endanger health, cause major loss of body function, or badly damage an organ. The rule applies to care given on or after January 1, 1997.

Full Legal Text

Title 8, §1369

Aliens and Nationality, Source: USLM XML via OLRC

(a)In general
Subject to such amounts as are provided in advance in appropriation Acts, each State or political subdivision of a State that provides medical assistance for care and treatment of an emergency medical condition (as defined in subsection (d)) through a public hospital or other public facility (including a nonprofit hospital that is eligible for an additional payment adjustment under section 1395ww of title 42) or through contract with another hospital or facility to an individual who is an alien not lawfully present in the United States is eligible for payment from the Federal Government of its costs of providing such services, but only to the extent that such costs are not otherwise reimbursed through any other Federal program and cannot be recovered from the alien or another person.
(b)Confirmation of immigration status required
No payment shall be made under this section with respect to services furnished to an individual unless the immigration status of the individual has been verified through appropriate procedures established by the Secretary of Health and Human Services and the Attorney General.
(c)Administration
This section shall be administered by the Attorney General, in consultation with the Secretary of Health and Human Services.
(d)“Emergency medical condition” defined
For purposes of this section, the term “emergency medical condition” means a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in— (1)
(2)serious impairment to bodily functions, or
(3)serious dysfunction of any bodily organ or part.
(e)Effective date
Subsection (a) shall apply to medical assistance for care and treatment of an emergency medical condition furnished on or after January 1, 1997.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Section was enacted as part of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, and also as part of the Omnibus Consolidated Appropriations Act, 1997, and not as part of the Immigration and Nationality Act which comprises this chapter.

Statutory Notes and Related Subsidiaries

Abolition of Immigration and Naturalization Service and

Transfer of Functions

For abolition of Immigration and Naturalization Service,

Transfer of Functions

, and treatment of related references, see note set out under section 1551 of this title.

Reference

Citations & Metadata

Citation

8 U.S.C. § 1369

Title 8, Aliens and Nationality

Last Updated

Sep 22, 2026

Release point: 119-110