(a) The department of health shall require a field for citizenship or eligible alien status on all presumptive eligibility applications. The department shall require hospitals, clinics and other qualified entities authorized to conduct presumptive eligibility determinations to collect and transmit attestations of citizenship or eligible alien status to the department. No presumptive eligibility application shall be approved unless the applicant certifies that they are a United States citizen, United States national, or alien eligible for medicaid pursuant to 42 U.S.C. § 1398b(v) and W.S. 42-12-101(b).
(b) The department of health shall:
(i) Beginning not later than April 1, 2027, require each hospital that accepts medicaid to include a provision on its patient admission or registration form for the patient or the patient's representative to state or indicate whether the patient is a United States citizen or lawfully present in the United States or is not lawfully present in the United States;
(ii) Beginning not later than April 1, 2027, require each hospital that accepts medicaid to inform a patient, at the time this information is collected, that any submission made on an admission or registration form will not affect patient care, as required by federal law;
(iii) Beginning with the calendar year ending on December 31, 2027 and each calendar year thereafter, require that each hospital shall submit an annual report to the department of health within thirty (30) days after the end of each calendar year which reports the total deidentified number of hospital admissions and emergency department visits within the previous calendar year, disaggregated based on whether the patient or the patient's representative indicated that he or she was or was not a citizen of the United States or lawfully present in the United States or declined to answer together with other information required by the department;
(iv) Beginning on April 1, 2028 and each April 1 thereafter, submit a report to the governor and the joint labor, health and social services interim committee, which includes the number of total deidentified hospital admissions and emergency department visits for the previous calendar year, disaggregated based on weather the patient or patient's representative reported that the patient was or was not a citizen of the United States or lawfully present in the United States or declined to answer. The report shall also describe information relating to the costs of uncompensated care for aliens who are not lawfully present in the United States, the impact of uncompensated care on the cost or ability of hospitals to provide services to the public, hospital funding needs and other related information. The report shall also contain information based on the hospital's presumptive eligibility applications that are submitted to the department by participating providers, including the number of persons determined to be presumptively eligible for medicaid in the prior calendar year, the proportion of the persons presumptively eligible for medicaid who were verified as eligible for medicaid and the proportion of the persons presumptively eligible for medicaid who were determined to be ineligible for medicaid;
(v) Adopt rules relating to the format and information to be contained in quarterly reports and the acceptable formats for hospitals to use in requesting information regarding a patients immigration status on hospital admission or registration forms.
