American Citizenship Healthcare Integrity Act of 2025

HR 6801, the American Citizenship Healthcare Integrity Act of 2025, requires hospitals participating in Medicare to ask patients about their U.S. citizenship or national status on intake forms 180 days after enactment. It mandates these facilities to submit annual reports detailing the number of noncitizen patients they treated and the dollar amount of uncompensated care provided to them. The bill also requires the Health Secretary to publish annual reports on the total cost of care for noncitizens and the federal spending that would have been avoided without that care. This legislation directly affects Medicare-participating hospitals, critical access hospitals, and rural emergency hospitals.