An Act To Track Certain Information Regarding And Seek Federal Reimbursement For Medical Care Provided To Asylum Seekers

LD 429 requires Maine hospitals to collect and report aggregate medical costs for patients identified as asylum seekers, defined as individuals applying for asylum through U.S. processes or asserting asylum in removal proceedings. Hospitals must inform patients they aren't required to provide immigration status and that it won't affect their care access. Starting January 1, 2027, hospitals must submit quarterly cost reports to the Department of Health and Human Services, which will then annually report totals to the Governor and legislature. The department must also seek annual federal reimbursement from the Centers for Medicare and Medicaid Services for these costs beginning July 1, 2027. The bill focuses solely on tracking costs and pursuing federal reimbursement, not altering asylum policies or patient eligibility.