A Republican bill with 6 Republican cosponsors · See all 6 cosponsors
Last activity — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, known as the "Illegal Alien Patient Reporting Act," seeks to amend the Social Security Act. It would require hospitals that participate in Federal health care programs to collect specific information regarding a patient's immigration status during intake or registration. Hospitals must also request documentary evidence from patients who claim to be lawfully admitted for permanent residence. Additionally, hospitals are required to submit quarterly reports to the Secretaries of Health and Human Services and Homeland Security detailing various patient status categories. The Secretary of Health and Human Services must also submit an annual report to Congress regarding these findings and the costs of uncompensated care. Failure to meet these requirements could result in a hospital being excluded from Federal health care program participation.
Yes
- Scored +3
Does this make what the government does easier for the public to see?
The bill requires the Secretary of HHS to submit annual reports to Congress detailing the costs of uncompensated care and hospital funding needs.
- Scored +2
Does this tighten control of the border?
The bill increases data collection regarding the immigration status of individuals interacting with the healthcare system.
The opposite· 3 of 7
- Scored -6
Would immigrants be better off under this?
The mandate for status collection and potential law enforcement reporting creates privacy and security risks for immigrants.
- Scored -5
Would Hispanic Americans be better off under this?
The requirement to report immigration status and provide documentary evidence may discourage Hispanic populations from seeking medical services.
- Scored -5
Does this make health care easier to get in general?
Mandatory immigration status checks and potential law enforcement reporting may deter undocumented immigrants from seeking care.
Who it would affect, and how
Potential Positive Impacts for People
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Protection of Patient Care and Privacy: Under Section 2(b)(1)(A) and (B), hospitals must include a statement that the request for immigration status will not affect patient care or result in a report to law enforcement unless the patient is suspected or charged with certain criminal offenses or specific violations of the Immigration and Nationality Act or Title 18 of the United States Code.
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Information on Uncompensated Care: Section 2(c)(2) requires the Secretary to report on the costs of uncompensated care for individuals not lawfully present, the impact of those costs on a hospital's ability to provide services, and hospital funding needs, which provides data on the financial impact of these individuals on the healthcare system.
Potential Negative Impacts for People
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Risk of Program Exclusion: According to Section 2(a), a hospital may be excluded from participation in any Federal health care program if it fails to meet the new reporting and documentation requirements.
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Increased Administrative Burden and Requirements for Patients: Section 2(b)(1) and (2) require hospitals to ask patients or their representatives to indicate their immigration status and requires hospitals to request documentary evidence from those claiming lawful permanent residence.
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Potential for Law Enforcement Reporting: Section 2(b)(1)(B) notes that a patient's status may be reported to a law enforcement entity if the patient is an alien suspected of or charged with a State or local criminal offense, or specific offenses under the Immigration and Nationality Act or Title 18 of the United States Code.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would immigrants be better off under this? — The mandate for status collection and potential law enforcement reporting creates privacy and security risks for immigrants. Would Hispanic Americans be better off under this? — The requirement to report immigration status and provide documentary evidence may discourage Hispanic populations from seeking medical services. Would households on low incomes be better off under this? — The administrative burden and potential for reduced healthcare access may disproportionately affect low-income immigrant households.
- Healthcare
- Does this make health care easier to get in general? — Mandatory immigration status checks and potential law enforcement reporting may deter undocumented immigrants from seeking care. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill's emphasis on uncompensated care costs may create pressure to reduce Medicaid spending or hospital reimbursements.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill requires the Secretary of HHS to submit annual reports to Congress detailing the costs of uncompensated care and hospital funding needs.
- Economy And Finance
- Does this reduce what the federal government spends? — The bill mandates reporting on the costs of uncompensated care, which may be used to evaluate future federal funding and spending needs.
- Social Issues And Justice
- Does this tighten control of the border? — The bill increases data collection regarding the immigration status of individuals interacting with the healthcare system. Does this make it easier for immigrants already here to become citizens? — The increased scrutiny and data collection on legal status may create additional administrative hurdles for those navigating immigration status.
- 11/10/2026
- 1 Cosponsor added.
- 11/9/2026
- 1 Cosponsor added.
- 7/15/2026
- 1 Cosponsor added.
- 7/13/2026
- Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 3 Cosponsors added.
- Introduced in House
Josh BrecheenRepublican · Oklahoma
Michael CloudRepublican · Texas
Andrew ClydeRepublican · Georgia
Brandon GillRepublican · Texas
Barry MooreRepublican · Alabama
Michael RulliRepublican · Ohio