,,ii  #aahth ,,congress  #b;d ,session  
,s4 #ebdh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #be1
 #bjbd,mr4 ,lee 7for himself1 ,mr4      
,schmitt1 and ,mr4 ,braun7 introduced   
the following bill2 which was read twice
 and referred to the ,committee on      
,finance  ,a ,,bill  ,to require        
hospitals participating in ,medicaid or 
the ,children's ,health ,insurance      
,program to inquire whether a patient is
 a citizen or national of the ,united   
,states1 or in a satisfactory           
immigration status1 as part of the      
patient admission and registration      
process1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,citizenship ,verification in       
,emergency ,healthcare ,act4  #b4       
,requiring hospitals to inquire whether 
a patient is a citizen or national of   
the ,united ,states1 or in a            
satisfactory immigration status1 as a   
condition for participation in ,medicaid
 and the ,children's ,health ,insurance 

,program  7a7 ,in general ,section      
#aijb7kk7 of the ,social ,security ,act 
7#db ,u4,s4,c4 #acif;a7kk77 is amended--
 7#a7 by redesignating paragraph 7#i7 as
 paragraph 7#aj72 and  7#b7 by inserting
 after paragraph 7#h71 the following new
 paragraph3  7#i7 ,requirement for      
hospitals  7,a7 ,in general ,the ,state 
requires as a condition for a hospital  
to be enrolled under the ,state plan or 
under a waiver of the plan as a         
participating provider that the hospital
 agree to-- 7i7 as part of the          
hospital's patient admission and        
registration process-- 7,i7 include on  
the hospital's patient admission and    
registration forms1 a written provision 
requiring a patient or the patient's    
representative to state or indicate     
whether the patient is a citizen or     
national of the ,united ,states1 and1 if
 that individual is not a citizen or    
national of the ,united ,states1 whether
 the individual is in a satisfactory    
immigration status2 and  7,,ii7 provide 

the patient or the patient's            
representative with a written statement 
that the response to the provision      
required by clause 7i7 shall not affect 
patient care or result in a report of   
the patient's immigration status to     
immigration authorities2 and  7ii7      
annually report to the ,secretary-- 7,i7
 the total dollar amount of             
uncompensated care furnished by the     
hospital to-- 7aa7 all individuals who  
are not citizens or nationals of the    
,united ,states2 and  7bb7 all          
individuals described in item 7aa7 who  
are not lawfully residing in the ,united
 ,states2 and  7,,ii7 the total amount  
of funds received by the hospital under 
the ,state plan or under a waiver of    
such plan for providing medical         
assistance for-- 7aa7 the delivery of a 
child whose parents are not citizens or 
nationals of the ,united ,states but are
 lawfully residing in the ,united       
,states2 and  7bb7 the emergency        
delivery of a child whose parents are   

not lawfully residing in the ,united    
,states pursuant to section #aijc7v74   
7,b7 ,report to ,congress ,the          
,secretary annually shall submit a      
report to ,congress that includes the   
most recent information reported to the 
,secretary by hospitals under           
subparagraph 7,a77ii74  4  7b7          
,limitation on ,federal financial       
participation ,paragraph 7#b7 of the    
first sentence of section #aijc7;i7 of  
the ,social ,security ,act 7#db         
,u4,s4,c4 #acif;b7i77 is amended-- 7#a7 
in subparagraph 7,d71 by striking or    
after the semicolon2 and  7#b7 by       
inserting after subparagraph 7,e7 the   
following new subparagraph3  7,f7 with  
respect to any amount expended for such 
an item or service furnished during     
calendar quarters beginning on or after 
the date of enactment of this           
subparagraph1 by a hospital that does   
not comply with the participating       
provider conditions required by section 
#aijb7kk77#i77;,a72 or  4  7c7 ,rule of 

construction ,nothing in this ,act or   
the amendments made by this ,act shall  
be construed as preventing a hospital or
 hospital employee from reporting any   
patient to law enforcement1 regardless  
of citizenship or immigration status1   
for any suspected criminal activity or  
waiving the hospital's or hospital      
employee's duty to report under ,federal
 or ,state law4