,,ii  #aah? ,,congress  #b;d ,session   
,s4 #ebdh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #be1         
#bjbd,mr4 ,lee 7= himself1 ,mr4 ,s*mitt1
 & ,mr4 ,braun7 introduc$ ! foll[+ bill2
 :i* 0 read twice & ref]r$ to !         
,committee on ,f9ance  ,a ,,bill  ,to   
require hospitals p>ticipat+ 9 ,m$icaid 
or ! ,*ildr5's ,heal? ,insurance        
,program to inquire :e!r a pati5t is a  
citiz5 or national ( ! ,unit$ ,/ates1 or
 9 a satisfactory immigration /atus1 z  
"p ( ! pati5t admission & regi/ration   
process1 & = o!r purposes4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,citiz5%ip ,v]ification 9 ,em]g5cy      
,heal?c>e ,act4  #b4 ,requir+ hospitals 
to inquire :e!r a pati5t is a citiz5 or 
national ( ! ,unit$ ,/ates1 or 9 a      
satisfactory immigration /atus1 z a     
condition = p>ticipation 9 ,m$icaid & ! 
,*ildr5's ,heal? ,insurance ,program    
7a7 ,9 g5]al ,section #aijb7kk7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;a7kk77 is am5d$-- 7#a7 by         

r$esignat+ p>agraph 7#i7 z p>agraph     
7#aj72 &  7#b7 by ins]t+ aft] p>agraph  
7#h71 ! foll[+ new p>agraph3  7#i7      
,requirem5t = hospitals  7,a7 ,9 g5]al  
,! ,/ate requires z a condition = a     
hospital to be enroll$ "u ! ,/ate plan  
or "u a waiv] ( ! plan z a p>ticipat+   
provid] t ! hospital agree to-- 7i7 z "p
 ( ! hospital's pati5t admission &      
regi/ration process-- 7,i7 include on ! 
hospital's pati5t admission &           
regi/ration =ms1 a writt5 provision     
requir+ a pati5t or ! pati5t's          
repres5tative to /ate or indicate :e!r !
 pati5t is a citiz5 or national ( !     
,unit$ ,/ates1 &1 if t individual is n a
 citiz5 or national ( ! ,unit$ ,/ates1  
:e!r ! individual is 9 a satisfactory   
immigration /atus2 &  7,,ii7 provide !  
pati5t or ! pati5t's repres5tative ) a  
writt5 /atem5t t ! response to !        
provision requir$ by clause 7i7 %all n  
affect pati5t c>e or result 9 a report (
 ! pati5t's immigration /atus to        
immigration au?orities2 &  7ii7 annually

 report to ! ,secret>y-- 7,i7 ! total   
doll> am\nt ( uncomp5sat$ c>e furni%$ by
 ! hospital to-- 7aa7 all individuals :o
 are n citiz5s or nationals ( ! ,unit$  
,/ates2 &  7bb7 all individuals describ$
 9 item 7aa7 :o are n lawfully resid+ 9 
! ,unit$ ,/ates2 &  7,,ii7 ! total am\nt
 ( funds receiv$ by ! hospital "u !     
,/ate plan or "u a waiv] ( su* plan =   
provid+ m$ical assi/ance =-- 7aa7 !     
deliv]y ( a *ild ^: p>5ts are n citiz5s 
or nationals ( ! ,unit$ ,/ates b are    
lawfully resid+ 9 ! ,unit$ ,/ates2 &    
7bb7 ! em]g5cy deliv]y ( a *ild ^: p>5ts
 are n lawfully resid+ 9 ! ,unit$ ,/ates
 pursuant to section #aijc7v74  7,b7    
,report to ,congress ,! ,secret>y       
annually %all submit a report to        
,congress t includes ! mo/ rec5t        
in=mation report$ to ! ,secret>y by     
hospitals "u subp>agraph 7,a77ii74  4   
7b7 ,limitation on ,f$]al f9ancial      
p>ticipation ,p>agraph 7#b7 ( ! fir/    
s5t5ce ( section #aijc7;i7 ( ! ,social  
,security ,act 7#db ,u4,s4,c4           

#acif;b7i77 is am5d$-- 7#a7 9           
subp>agraph 7,d71 by /rik+ or aft] !    
semicolon2 &  7#b7 by ins]t+ aft]       
subp>agraph 7,e7 ! foll[+ new           
subp>agraph3  7,f7 ) respect to any     
am\nt exp5d$ = su* an item or s]vice    
furni%$ dur+ cal5d> qu>t]s beg9n+ on or 
aft] ! date ( enactm5t ( ?is            
subp>agraph1 by a hospital t does n     
comply ) ! p>ticipat+ provid] conditions
 requir$ by section #aijb7kk77#i77;,a72 
or  4  7c7 ,rule ( con/ruction ,no?+ 9  
?is ,act or ! am5dm5ts made by ?is ,act 
%all be con/ru$ z prev5t+ a hospital or 
hospital employee f report+ any pati5t  
to law en=cem5t1 reg>dless ( citiz5%ip  
or immigration /atus1 = any suspect$    
crim9al activity or waiv+ ! hospital's  
or hospital employee's duty to report "u
 ,f$]al or ,/ate law4