HB 2689 Arizona House · 57th Legislature - Second Regular Session

hospitals; patient immigration status; reporting.

HB 2689 requires Arizona hospitals to add a question on patient admission forms asking whether a patient is a U.S. citizen, lawfully present, not lawfully present, or declines to answer. Hospitals must submit quarterly reports to the state health department on admission numbers by these categories, without collecting personal identifying information. The department then compiles an annual report for the legislature detailing total admissions by status category and analyzing costs of uncompensated care for patients not lawfully present. The bill explicitly states that patient responses won't affect care or be shared with immigration authorities.
Bill status failed 2 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Jan 2026
House Failed
Feb 2026
Governor
Introduced Jan 20, 2026 Last action Feb 11, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version House Engrossed Version · 1 edit
MINOR
This bill was updated from its introduced version to the House Engrossed version, primarily involving formatting and layout changes rather than substantive policy modifications. The core content of the bill remains the same, establishing requirements for hospitals to collect and report patient immigration status information.
TECHNICAL

The document underwent formatting and layout adjustments, including changes in page numbering, header placement, and text alignment, but no substantive policy changes were made to the bill's provisions.

Floor votes · House Feb 11, 2026

How they voted

2432
Failed · 4 other
Total votes 60
Feb 11, 2026
D Democratic27
24 Yea 3
88% Yea
R Republican33
32 Nay 1
96% Nay
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
1
Feb 11, 2026
Lower · Passed
DP
lower
Feb 11, 2026
Vote failed
House Vote: fail (24-32-4)
house
Jan 26, 2026
Lower · Passed
DP
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Ralph Heap
Ralph Heap
RRepublican
AZ
10