WV HB2457

Political subdivisions must report quarterly on money spent for housing, sheltering, feeding, transporting, and educating undocumented immigrants (those without Permanent Resident Cards, work visas, or student visas)

County commissions and city councils must document expenditures for undocumented individuals, including dates, amounts, purposes, and frequency of assistance provided

Hospitals accepting Medicaid must add a provision on admission forms asking patients to indicate U.S. citizenship or lawful presence status, with a disclaimer that responses won't affect care or trigger immigration reports

Hospitals must submit quarterly reports to the Department of Health on admissions and emergency visits categorized by patient citizenship/immigration status responses

The Department of Health must submit annual reports to the Governor and legislative leaders on hospital visits by immigration status, including costs of uncompensated care for undocumented individuals and impacts on hospital services