[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 9656 Introduced in House (IH)]
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119th CONGRESS
2d Session
H. R. 9656
To amend title XI of the Social Security Act to require hospitals
participating in Federal health care programs to report certain
information related to immigration status.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 13, 2026
Mr. Roy (for himself, Mr. Cloud, Mr. Brecheen, and Mr. Moore of
Alabama) introduced the following bill; which was referred to the
Committee on Energy and Commerce, and in addition to the Committee on
Ways and Means, 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 XI of the Social Security Act to require hospitals
participating in Federal health care programs to report certain
information related to immigration status.
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 ``Illegal Alien Patient Reporting
Act''.
SEC. 2. REQUIRING HOSPITALS PARTICIPATING IN FEDERAL HEALTH CARE
PROGRAMS TO REPORT CERTAIN INFORMATION RELATED TO
IMMIGRATION STATUS.
Part A of title XI of the Social Security Act (42 U.S.C. 1301 et
seq.) is amended by inserting after section 1128K the following new
section:
``SEC. 1128L. REQUIRING HOSPITALS TO REPORT CERTAIN INFORMATION RELATED
TO IMMIGRATION STATUS.
``(a) In General.--Beginning on the date of the enactment of this
section, the Secretary shall exclude a hospital from participation in
any Federal health care program (as defined in section 1128B(f)) if
such hospital does not meet the requirements under subsection (b).
``(b) Immigration Status Reporting Requirements.--For purposes of
subsection (a), the requirements under this subsection are, with
respect to a hospital, the following:
``(1) Any admission, registration, or other intake form
issued by the hospital includes--
``(A) a request that the patient (or the patient's
authorized representative) indicate the patient's
immigration status; and
``(B) a statement immediately following the request
described in subparagraph (A) that the response to such
request will not affect patient care or result in a
report of the patient's immigration status to a law
enforcement entity unless the patient is an alien
suspected of or charged with--
``(i) any State or local criminal offense;
or
``(ii) any offense under section 274, 275,
or 276 of the Immigration and Nationality Act
or under title 18, United States Code.
``(2) In the case that a patient (or the patient's
authorized representative) indicates in response to a request
under paragraph (1)(A) that the patient is an alien who is
lawfully admitted for permanent residence under the Immigration
and Nationality Act, the hospital requests to review
documentary evidence of such lawful admission.
``(3) Not later than 30 days after the last day of each
calendar quarter, the hospital submits a report to the
Secretary of Health and Human Services and the Secretary of
Homeland Security that includes, with respect to all patients
that were admitted to such hospital (or visited the emergency
department of such hospital) during such quarter--
``(A) the number of patients that declined to
respond to the request under paragraph (1)(A);
``(B) the number of patients that indicated in
response to such request that they were--
``(i) a citizen or national of the United
States;
``(ii) an alien who is lawfully admitted
for permanent residence under the Immigration
and Nationality Act;
``(iii) lawfully present in the United
States with status as a nonimmigrant;
``(iv) otherwise lawfully present in the
United States, including on the basis of--
``(I) temporary protected status
granted under section 244 of the
Immigration and Nationality Act;
``(II) deferred action or deferred
enforced departure, including pursuant
to the memorandum of the Department of
Homeland Security entitled `Exercising
Prosecutorial Discretion with Respect
to Individuals Who Came to the United
States as Children' issued on June 15,
2012;
``(III) asylum granted under
section 208 of the Immigration and
Nationality Act;
``(IV) parole granted under section
212(d)(5) or 236(a)(2)(B) of the
Immigration and Nationality Act;
``(V) withholding of removal
granted under section 241(b)(3) of the
Immigration and Nationality Act;
``(VI) status as a Cuban and
Haitian entrant, as defined in section
501(e) of the Refugee Education
Assistance Act of 1980 (Public Law 96-
422);
``(VII) special immigrant juvenile
status granted under section
101(a)(27)(J) of the Immigration and
Nationality Act; or
``(VIII) protection under the
United Nations Convention Against
Torture and Other Cruel, Inhuman or
Degrading Treatment or Punishment; or
``(v) not lawfully present in the United
States (including whether they were an
unaccompanied alien child (as defined in
section 462(g)(2) of the Homeland Security Act
of 2002)); and
``(C) the number of patients that indicated in
response to such request that they were an alien
lawfully admitted for permanent residence under the
Immigration and Nationality Act, and failed to provide
documentary evidence of such lawful admission in
response to the request under paragraph (2).
``(c) Report.--Not later than October 1 of each year (beginning
with 2026), the Secretary shall submit a report to Congress that
includes--
``(1) the information reported by all hospitals under
subsection (b)(2), aggregated over the preceding calendar year;
and
``(2) information related to--
``(A) the costs of uncompensated care for
individuals who are not lawfully present in the United
States;
``(B) the impact of such uncompensated care on
hospitals' ability to provide services to the public
(and the cost of such services);
``(C) hospitals' funding needs; and
``(D) such other related information as the
Secretary may require.
``(d) Regulations.--The Secretary, in coordination with the
Secretary of Homeland Security, may issue such rules as are necessary
relating to the requirements under subsection (b). Such rules may not
require hospitals to disclose to either Secretary any patient names or
other personal identifying information.''.
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