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

HB 4059 requires West Virginia counties and hospitals to report costs related to undocumented immigrants. Counties must disclose quarterly expenses for housing, food, transport, and education for undocumented individuals, including dates, amounts, and purposes. Hospitals must add immigration status questions to patient forms (with privacy assurances) and report quarterly on admission numbers, including those who declined to answer. The Department of Health will compile annual reports on uncompensated care costs for noncitizen patients and submit them to state leaders. This bill focuses solely on data collection, not cost calculation or policy changes.