To require hospitals and or Counties to report costs associated with illegal or undocumented immigrants

HB 2457 requires hospitals and county/city governments in West Virginia to report costs related to undocumented immigrants. Hospitals must collect immigration status during patient registration (with privacy safeguards) and submit quarterly reports on admissions by status to the Department of Health. Counties must report quarterly expenses for undocumented residents receiving public resources like housing or education. The Department of Health will compile annual reports for the Governor and Legislature on these costs and their impact on healthcare funding, without sharing personal patient data. This bill focuses on data collection, not policy changes or cost recovery.