,i  #aaith ,,congress  #ast ,session    
,h4 ,r4 #fhja  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ag1       
#bjbe,ms4 ,mace 7for herself and ,ms4   
,boebert7 introduced the following bill2
 which was referred to the ,committee on
 ,ways and ,means1 and in addition to   
the ,committee on ,energy and ,commerce1
 for a period to be subsequently        
determined by the ,speaker1 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 noncitizens4  #a4 ,short    
title ,this ,act may be cited as the    
,american ,citizenship ,healthcare      
,integrity ,act of #bjbe4  #b4          
,requiring hospitals to ask the         
citizenship status of patients as a     

condition of participation in ,medicare 
,section #ahff of the ,social ,security 
,act is amended--  7#a7 in subsection   
7a77#a7-- 7,a7 in subparagraph 7,x71 by 
striking and at the end2  7,b7 in       
subparagraph 7,y71 by striking the      
period at the end and inserting 1 and2  
and  7,c7 by inserting after            
subparagraph 7,y7 the following new     
subparagraph3  7,z7 beginning #ahj days 
after the date of the enactment of this 
subparagraph1 in the case of a hospital1
 critical access hospital1 or rural     
emergency hospital-- 7i7 with respect to
 each intake form 7or its equivalent7   
provided in connection with items or    
services furnished by such hospital1    
critical access hospital1 or rural      
emergency hospital to an individual1 to 
ask on such form whether such individual
 is a citizen or national of the ,united
 ,states2 and  7ii7 not later than #a   
year after the date of the enactment of 
this subparagraph1 and annually         
thereafter1 to submit to the ,secretary 

a report including1 with respect to the 
previous year-- 7,i7 the number of      
individuals who are not citizens or     
nationals of the ,united ,states to whom
 items or services were furnished by    
such hospital1 critical access hospital1
 or rural emergency hospital2 and       
7,,ii7 the dollar amount of any         
uncompensated care furnished by such    
hospital1 critical access hospital1 or  
rural emergency hospital to such        
individuals4  2 and  7#b7 by adding at  
the end the following new subsection3   
7l7 ,report on cost of hospital services
 furnished to noncitizens ,not later    
than one year after the date of the     
enactment of this subsection1 and       
annually thereafter1 the ,secretary     
shall make publicly available a report  
on1 with respect to the previous year-- 
7#a7 the dollar amount of any           
uncompensated care furnished by         
hospitals1 critical access hospitals1   
and rural emergency hospitals to        
individuals who are not citizens or     

nationals of the ,united ,states1 as    
determined based on the findings of     
reports submitted pursuant to subsection
 7a77#a77,z77ii72 and  7#b7 the amount  
of ,federal expenditures under this     
title and title ,,xix that would not    
have been made in the absence of such   
uncompensated care1 as determined by the
 ,secretary4  4