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Hospitals Must Ask Patients About Citizenship Status for Medicaid Participation

This bill mandates that hospitals participating in Medicaid and CHIP must ask patients about their citizenship or immigration status during the admission process. While hospitals must assure patients that this information will not affect care, they are required to annually report detailed data on the costs of uncompensated care provided to non-citizens. Failure to comply with these new verification and reporting rules could result in the loss of federal funding for the hospital.
Key points
All patients admitted to hospitals receiving Medicaid funds will face a mandatory question regarding their citizenship or immigration status on registration forms.
Hospitals must provide written assurance that the patient's response will not impact the quality of care or lead to reporting to immigration authorities.
Hospitals must annually report to the government the total dollar amount of uncompensated care provided specifically to non-citizens and those not lawfully residing in the U.S.
Hospitals risk losing federal Medicaid funding if they do not implement these new patient verification and reporting procedures.
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Additional Information
Print number: 118_S_5248
Sponsor: Sen. Lee, Mike [R-UT]
Process start date: 2024-09-25