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American Citizenship Healthcare Integrity Act of 2025
To amend title XVIII of the Social Security Act to require hospitals to ask the citizenship status of patients as a condition of participation in the Medicare program and to require reports on the cost of furnishing hospital services to noncitizens.
Summary
The bill requires hospitals participating in Medicare to ask patients on intake forms whether they are U.S. citizens or nationals, effective 180 days after enactment. Hospitals must submit annual reports to the Department of Health and Human Services documenting the number of non-citizens served and the dollar amount of uncompensated care provided to them. The government must then publish an annual public report showing the total uncompensated care furnished to non-citizens across hospitals and the associated federal expenditures under Medicare and Medicaid. These reporting requirements aim to track and measure the cost of hospital services provided to individuals who are not U.S. citizens.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Mace, Nancy [R-SC-1] (R-SC)
1 cosponsor
Actions (2)
- Dec 17, 2025 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. · house
- Dec 17, 2025 Introduced in House
Similar bills (6)
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Full text
IN THE HOUSE OF REPRESENTATIVES
December 17, 2025
Ms. Mace (for herself and Ms. Boebert) introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned
A BILL
To amend title XVIII of the Social Security Act to require hospitals to ask the citizenship status of patients as a condition of participation in the Medicare program and to require reports on the cost of furnishing hospital services to noncitizens.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “American Citizenship Healthcare Integrity Act of 2025”.
SEC. 2. REQUIRING HOSPITALS TO ASK THE CITIZENSHIP STATUS OF PATIENTS AS A CONDITION OF PARTICIPATION IN MEDICARE.
Section 1866 of the Social Security Act is amended—
(1) in subsection (a)(1)—
(A) in subparagraph (X), by striking “and” at the end;
(B) in subparagraph (Y), by striking the period at the end and inserting “, and”; and
(C) by inserting after subparagraph (Y) the following new subparagraph:
“(Z) beginning 180 days after the date of the enactment of this subparagraph, in the case of a hospital, critical access hospital, or rural emergency hospital—
“(i) with respect to each intake form (or its equivalent) provided in connection with items or services furnished by such hospital, critical access hospital, or rural emergency hospital to an individual, to ask on such form whether such individual is a citizen or national of the United States; and
“(ii) not later than 1 year after the date of the enactment of this subparagraph, and annually thereafter, to submit to the Secretary a report including, with respect to the previous year—
“(I) the number of individuals who are not citizens or nationals of the United States to whom items or services were furnished by such hospital, critical access hospital, or rural emergency hospital; and
“(II) the dollar amount of any uncompensated care furnished by such hospital, critical access hospital, or rural emergency hospital to such individuals.”; and
(2) by adding at the end the following new subsection:
“(l) Report on Cost of Hospital Services Furnished to Noncitizens.—Not later than one year after the date of the enactment of this subsection, and annually thereafter, the Secretary shall make publicly available a report on, with respect to the previous year—
“(1) the dollar amount of any uncompensated care furnished by hospitals, critical access hospitals, and rural emergency hospitals to individuals who are not citizens or nationals of the United States, as determined based on the findings of reports submitted pursuant to subsection (a)(1)(Z)(ii); and
“(2) the amount of Federal expenditures under this title and title XIX that would not have been made in the absence of such uncompensated care, as determined by the Secretary.”. <all>
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