,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ifef  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #ac1 #bjbf,mr4  
,roy 7= himself1 ,mr4 ,cl\d1 ,mr4       
,bre*e51 & ,mr4 ,moore ( ,alabama7      
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committee on ,ways &     
,means1 = 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 ,,xi ( ! ,social
 ,security ,act to require hospitals    
p>ticipat+ 9 ,f$]al heal? c>e programs  
to report c]ta9 in=mation relat$ to     
immigration /atus4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,illegal ,ali5    
,pati5t ,report+ ,act4  #b4 ,requir+    
hospitals p>ticipat+ 9 ,f$]al heal? c>e 
programs to report c]ta9 in=mation      
relat$ to immigration /atus ,"p ,a (    
title ,,xi ( ! ,social ,security ,act   
7#db ,u4,s4,c4 #acja et seq47 is am5d$  
by ins]t+ aft] section #aabh,k ! foll[+ 

new section3  #aabh,l4 ,requir+         
hospitals to report c]ta9 in=mation     
relat$ to immigration /atus  7a7 ,9     
g5]al ,beg9n+ on ! date ( ! enactm5t (  
?is section1 ! ,secret>y %all exclude a 
hospital f p>ticipation 9 any ,f$]al    
heal? c>e program 7z def9$ 9 section    
#aabh;,b7f77 if su* hospital does n meet
 ! requirem5ts "u subsection 7b74  7b7  
,immigration /atus report+ requirem5ts  
,= purposes ( subsection 7a71 !         
requirem5ts "u ?is subsection are1 )    
respect to a hospital1 ! foll[+3  7#a7  
,any admission1 regi/ration1 or o!r     
intake =m issu$ by ! hospital includes--
 7,a7 a reque/ t ! pati5t 7or ! pati5t's
 au?oriz$ repres5tative7 indicate !     
pati5t's immigration /atus2 &  7,b7 a   
/atem5t imm$iately foll[+ ! reque/      
describ$ 9 subp>agraph 7,a7 t ! response
 to su* reque/ w n affect pati5t c>e or 
result 9 a report ( ! pati5t's          
immigration /atus to a law en=cem5t     
entity unless ! pati5t is an ali5       
suspect$ ( or *>g$ )-- 7i7 any ,/ate or 

local crim9al (f5se2 or  7ii7 any (f5se 
"u section #bgd1 #bge1 or #bgf ( !      
,immigration & ,nationality ,act or "u  
title #ah1 ,unit$ ,/ates ,code4  7#b7 ,9
 ! case t a pati5t 7or ! pati5t's       
au?oriz$ repres5tative7 indicates 9     
response to a reque/ "u p>agraph        
7#a77;,a7 t ! pati5t is an ali5 :o is   
lawfully admitt$ = p]man5t resid5ce "u !
 ,immigration & ,nationality ,act1 !    
hospital reque/s to review docum5t>y    
evid5ce ( su* lawful admission4  7#c7 ,n
 lat] ?an #cj days aft] ! la/ day ( ea* 
cal5d> qu>t]1 ! hospital submits a      
report to ! ,secret>y ( ,heal? & ,human 
,s]vices & ! ,secret>y ( ,homel&        
,security t includes1 ) respect to all  
pati5ts t 7 admitt$ to su* hospital 7or 
visit$ ! em]g5cy dep>tm5t ( su*         
hospital7 dur+ su* qu>t]-- 7,a7 ! numb] 
( pati5ts t decl9$ to respond to !      
reque/ "u p>agraph 7#a77;,a72  7,b7 !   
numb] ( pati5ts t indicat$ 9 response to
 su* reque/ t !y 7-- 7i7 a citiz5 or    
national ( ! ,unit$ ,/ates2  7ii7 an    

ali5 :o is lawfully admitt$ = p]man5t   
resid5ce "u ! ,immigration &            
,nationality ,act2  7iii7 lawfully      
pres5t 9 ! ,unit$ ,/ates ) /atus z a    
nonimmigrant2  7iv7 o!rwise lawfully    
pres5t 9 ! ,unit$ ,/ates1 includ+ on !  
basis (-- 7,i7 tempor>y protect$ /atus  
grant$ "u section #bdd ( ! ,immigration 
& ,nationality ,act2  7,,ii7 def]r$     
action or def]r$ en=c$ dep>ture1 includ+
 pursuant to ! memor&um ( ! ,dep>tm5t ( 
,homel& ,security entitl$ ,ex]cis+      
,prosecutorial ,discretion ) ,respect to
 ,individuals ,:o ,came to ! ,unit$     
,/ates z ,*ildr5 issu$ on ,june #ae1    
#bjab2  7,,iii7 asylum grant$ "u section
 #bjh ( ! ,immigration & ,nationality   
,act2  7,,iv7 p>ole grant$ "u section   
#bab7;d77#e7 or #bcf7;a77#b77;,b7 ( !   
,immigration & ,nationality ,act2  7,v7 
)hold+ ( removal grant$ "u section      
#bda7;b77#c7 ( ! ,immigration &         
,nationality ,act2  7,,vi7 /atus z a    
,cuban & ,haitian entrant1 z def9$ 9    
section #eja7;e7 ( ! ,refugee ,education

 ,assi/ance ,act ( #aihj 7,public ,law  
#if-dbb72  7,,vii7 special immigrant    
juv5ile /atus grant$ "u section         
#aja7;a77#bg77;,j7 ( ! ,immigration &   
,nationality ,act2 or  7,,viii7         
protection "u ! ,unit$ ,nations         
,conv5tion ,aga9/ ,torture & ,o!r       
,cruel1 ,inhuman or ,degrad+ ,treatm5t  
or ,puni%m5t2 or  7v7 n lawfully pres5t 
9 ! ,unit$ ,/ates 7includ+ :e!r !y 7 an 
unaccompani$ ali5 *ild 7z def9$ 9       
section #dfb7;g77#b7 ( ! ,homel&        
,security ,act ( #bjjb772 &  7,c7 !     
numb] ( pati5ts t indicat$ 9 response to
 su* reque/ t !y 7 an ali5 lawfully     
admitt$ = p]man5t resid5ce "u !         
,immigration & ,nationality ,act1 &     
fail$ to provide docum5t>y evid5ce ( su*
 lawful admission 9 response to ! reque/
 "u p>agraph 7#b74  7c7 ,report ,n lat] 
?an ,octob] #a ( ea* ye> 7beg9n+ )      
#bjbf71 ! ,secret>y %all submit a report
 to ,congress t includes--  7#a7 !      
in=mation report$ by all hospitals "u   
subsection 7b77#b71 aggregat$ ov] !     

prec$+ cal5d> ye>2 &  7#b7 in=mation    
relat$ to--  7,a7 ! co/s ( uncomp5sat$  
c>e = individuals :o are n lawfully     
pres5t 9 ! ,unit$ ,/ates2  7,b7 ! impact
 ( su* uncomp5sat$ c>e on hospitals'    
ability to provide s]vices to ! public  
7& ! co/ ( su* s]vices72  7,c7          
hospitals' fund+ ne$s2 &  7,d7 su* o!r  
relat$ in=mation z ! ,secret>y may      
require4  7d7 ,regulations ,! ,secret>y1
 9 coord9ation ) ! ,secret>y ( ,homel&  
,security1 may issue su* rules z are    
necess>y relat+ to ! requirem5ts "u     
subsection 7b74 ,su* rules may n require
 hospitals to disclose to ei!r ,secret>y
 any pati5t names or o!r p]sonal        
id5tify+ in=mation4  4