Rep. Chip Roy, R-Texas, arrives in a pickup truck for votes in the House during a candlelight vigil in honor of National Police Week at the Capitol on May 12, 2026, in Washington, D.C. (Graeme Sloan/Getty Images)

A top conservative legislator in the U.S. House of Representatives is pushing a bill to require hospitals to report the immigration status of Social Security recipients after allegations of illegal immigrants and unlawful residents have risen in recent years.

The Illegal Alien Reporting Act, introduced by Rep. Chip Roy, R-Texas, would “amend title XI of the Social Security Act to require hospitals participating in Federal health care programs to report certain information related to immigration status.”

“For too long, Washington has ignored the financial impact that illegal immigration has on our nation’s health care system,” Roy told the Daily Signal. “Taxpayers deserve an honest accounting of how federal health care dollars are being used and whether hospitals are bearing costs associated with treating those who are in the country illegally.”

As stated in the bill, hospitals who do not meet the requirements outlined in the legislation will be exempt from participating in any federal health care programs.

One of the requirements outlined in the bill includes a request that the patient indicate their immigration status, in addition to requiring hospitals to report if a patient is charged with any state or local criminal offense under section 274, 275, or 276 of the Immigration and Nationality Act, or under Title 18 of the United States Code.

The legislation is being welcomed by conservative operatives. Heritage Action Government Outreach Director Daniel West told the Daily Signal that Congress owes it to the American people to identify how their tax money is being spent when it comes to social programs such as Social Security.

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“The Illegal Alien Patient Reporting Act is a commonsense reform bringing essential transparency and accountability to our strained healthcare system,” West said. “This bill sheds light on the massive burden on taxpayers driven by illegal immigrants stealing health care.”

“The American people deserve to know the true costs of illegals siphoning care. Congressman Roy’s legislation is a responsible step toward fiscal sanity and the rule of law,” he added.

This bill marks the latest effort from the representative to stop the flow of taxpayer money from going into the hands of unlawful residents.

This spring, for instance, the representative led a hearing in the Judiciary subcommittee on the Constitution that examined whether taxpayer money should be used in public schools to serve illegal aliens.

Roy argued that free education for illegal immigrants only incentivized more illegal immigration.

“Decades ago, the Supreme Court’s erroneous decision in Plyler v. Doe set a misguided precedent by extending taxpayer-funded public education to those in the country illegally,” Roy previously told the Daily Signal. “As our schools face growing strain, it’s time for Congress and the courts to reexamine this decision and put American students and taxpayers first.”

Roy’s efforts come after he penned a letter to the Department of Justice’s Office of Civil Rights to undo a President Barack Obama-era policy that prevented public school administrators from collecting the immigration data of their students.