Bill · H.R. 6801· House(119-HR-6801)
American Citizenship Healthcare Integrity Act of 2025
- Introduced
- 12/17/2025
- Last activity
- 12/17/2025 — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
- Sponsored by
- Nancy Mace
- Cosponsors
- - 1 - 0
- Introduced
- In Committee
What this bill would do
The American Citizenship Healthcare Integrity Act of 2025 proposes amendments to title XVIII of the Social Security Act. It would require hospitals, critical access hospitals, and rural emergency hospitals to ask patients if they are citizens or nationals of the United States on intake forms. These institutions would be required to submit annual reports to the Secretary regarding the number of noncitizens treated and the dollar amount of uncompensated care provided to them. Additionally, the Secretary would be required to publish an annual report regarding these uncompensated care costs. This report would include the amount of Federal expenditures that would not have occurred without such care.
Yes
Does this make what the government does easier for the public to see?+2
The bill requires the Secretary to publish annual reports on the costs of uncompensated care for noncitizens.
Does this tighten control of the border?+1
The bill increases data collection regarding the status of noncitizens receiving medical services.
The opposite· 3 of 10
Would immigrants be better off under this?-3
The bill mandates that hospitals ask for citizenship status during the intake process, which could act as a deterrent to seeking care.
Does this make health care easier to get in general?-3
The requirement to ask for citizenship status during intake may create a barrier to care for noncitizens.
Would households on low incomes be better off under this?-2
The increased scrutiny on uncompensated care may impact the provision of care to low-income noncitizens.
Who it would affect, and how
Potential Positive Impacts for People
- Increased Transparency regarding healthcare costs: The bill requires the Secretary to make a report publicly available regarding the dollar amount of uncompensated care provided to noncitizens and the resulting Federal expenditures (Section 2, subsection (l)).
Potential Negative Impacts for People
-
New administrative requirements for hospitals: Hospitals, critical access hospitals, and rural emergency hospitals must update their intake forms to ask whether individuals are citizens or nationals of the United States (Section 2, subsection (a)(1)(Z)(i)).
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New reporting burdens for healthcare providers: Hospitals, critical access hospitals, and rural emergency hospitals are required to submit annual reports to the Secretary detailing the number of noncitizens treated and the costs of uncompensated care (Section 2, subsection (a)(1)(Z)(ii)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Immigrants-3Good For Hispanic Americans-2Good For Low Income Households-2
- Healthcare
- Improves Healthcare Access-3Increases Medicaid Funding-1
- Economy And Finance
- Improves Small Business Support-2Reduces Government Spending-1
- Social Issues And Justice
- Improves Border Security+1Improves Racial Equity-2Improves Poverty Reduction-1
- Governance And Ideology
- Improves Government Transparency+2Improves Privacy Rights-2
- 12/17/2025
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
- 1 Cosponsor added.
- Introduced in House
Lauren BoebertRepublican · Colorado