Congresswoman Nancy Mace Introduces Bill To Force Transparency On Healthcare Costs For Illegal Aliens

WASHINGTON, D.C. (Dec. 17, 2025) - Today, Congresswoman Nancy Mace introduced the American Citizenship Healthcare Integrity Act of 2025, legislation to force transparency and accountability for the immense cost and burdens illegal aliens place on our healthcare system.

"While hardworking Americans struggle to pay their medical bills and insurance premiums, illegal aliens are getting FREE healthcare on the American taxpayer's dime," said Congresswoman Mace. "The free-loading must end."

The American Citizenship Healthcare Integrity Actends the era of turning a blind eye to the massive costs illegal aliens impose on American healthcare. Under this legislation, hospitals participating in Medicare must ask the citizenship status of patients during the intake process and report the number of illegal aliens receiving care and the total cost of uncompensated care provided to illegal aliens to the Department of Health and Human Services.

The legislation also requires the Secretary of Health and Human Services to publicly release an annual report detailing exactly how much uncompensated care is provided to illegal aliens and the cost to taxpayers of this uncompensated care.

"For years, politicians have allowed illegal aliens to exploit our healthcare system while American families foot the bill," Mace continued."Hospital emergency rooms are overwhelmed. Insurance premiums keep rising. American citizens are rationing their medications, delaying care, and going without coverage because they can't afford it, while illegal aliens are receiving care for free. This madness has to end, and it starts with forcing transparency and accountability with our bill."

The legislation addresses a crisis facing hospitals and American families daily: the unsustainable financial burden of providing uncompensated care to millions of illegal aliens who violated U.S. law. Americans deserve full transparency on healthcare costs affecting insurance premiums and hospital bills, and the amount of their tax dollars spent to foot the bill.

Key Provisions:

• Requires hospitals who participate in Medicare to ask the citizenship status of patients during the intake process
• Requires hospitals who participate in Medicare to report to the Department of Health and Human Services on the number of illegal aliens receiving care and the total cost of uncompensated care for illegal aliens
• Requires the Secretary of Health and Human Services to publish an annual report on the total cost of uncompensated care for illegal aliens and the amount of taxpayer dollars spent to cover uncompensated care for illegal aliens
• Establishes a 180-day implementation timeline to ensure compliance

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