,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #fhja  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,decemb] #ag1         
#bjbe,ms4 ,mace 7= h]self & ,ms4        
,boeb]t7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
require hospitals to ask ! citiz5%ip    
/atus ( pati5ts z a condition (         
p>ticipation 9 ! ,m$ic>e program & to   
require reports on ! co/ ( furni%+      
hospital s]vices to noncitiz5s4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,am]ican ,citiz5%ip ,heal?c>e ,integrity
 ,act ( #bjbe4  #b4 ,requir+ hospitals  
to ask ! citiz5%ip /atus ( pati5ts z a  
condition ( p>ticipation 9 ,m$ic>e      
,section #ahff ( ! ,social ,security    
,act is am5d$--  7#a7 9 subsection      

7a77#a7-- 7,a7 9 subp>agraph 7,x71 by   
/rik+ & at ! end2  7,b7 9 subp>agraph   
7,y71 by /rik+ ! p]iod at ! end & ins]t+
 1 &2 &  7,c7 by ins]t+ aft] subp>agraph
 7,y7 ! foll[+ new subp>agraph3  7,z7   
beg9n+ #ahj days aft] ! date ( !        
enactm5t ( ?is subp>agraph1 9 ! case ( a
 hospital1 critical access hospital1 or 
rural em]g5cy hospital-- 7i7 ) respect  
to ea* intake =m 7or its equival5t7     
provid$ 9 connection ) items or s]vices 
furni%$ by su* hospital1 critical access
 hospital1 or rural em]g5cy hospital to 
an individual1 to ask on su* =m :e!r su*
 individual is a citiz5 or national ( ! 
,unit$ ,/ates2 &  7ii7 n lat] ?an #a ye>
 aft] ! date ( ! enactm5t ( ?is         
subp>agraph1 & annually !reaft]1 to     
submit to ! ,secret>y a report includ+1 
) respect to ! previ\s ye>-- 7,i7 !     
numb] ( individuals :o are n citiz5s or 
nationals ( ! ,unit$ ,/ates to :om items
 or s]vices 7 furni%$ by su* hospital1  
critical access hospital1 or rural      
em]g5cy hospital2 &  7,,ii7 ! doll>     

am\nt ( any uncomp5sat$ c>e furni%$ by  
su* hospital1 critical access hospital1 
or rural em]g5cy hospital to su*        
individuals4  2 &  7#b7 by add+ at ! end
 ! foll[+ new subsection3  7l7 ,report  
on co/ ( hospital s]vices furni%$ to    
noncitiz5s ,n lat] ?an "o ye> aft] !    
date ( ! enactm5t ( ?is subsection1 &   
annually !reaft]1 ! ,secret>y %all make 
publicly available a report on1 )       
respect to ! previ\s ye>-- 7#a7 ! doll> 
am\nt ( any uncomp5sat$ c>e furni%$ by  
hospitals1 critical access hospitals1 & 
rural em]g5cy hospitals to individuals  
:o are n citiz5s or nationals ( ! ,unit$
 ,/ates1 z det]m9$ bas$ on ! f9d+s (    
reports submitt$ pursuant to subsection 
7a77#a77,z77ii72 &  7#b7 ! am\nt (      
,f$]al exp5ditures "u ?is title & title 
,,xix t w\ld n h be5 made 9 ! abs5ce (  
su* uncomp5sat$ c>e1 z det]m9$ by !     
,secret>y4  4