TN HB0144

Hospitals accepting Medicaid must add a citizenship status question to admission/registration forms with three options: U.S. citizen, lawfully present, or not lawfully present in the United States

Forms must include a statement that responses will not affect patient care or result in reports to law enforcement or Immigration and Customs Enforcement

Hospitals must submit quarterly reports to the Department of Health within 30 days of each quarter's end, detailing admissions and ER visits by patient citizenship status category

Department of Health must submit annual reports to the governor and legislative leadership by July 1 each year (starting 2026) on uncompensated care costs for undocumented patients and impacts on hospital services and funding

Takes effect July 1, 2025, with rulemaking authority taking effect immediately upon becoming law; rules cannot require disclosure of patient names or personal identifying information