This bill proposes to amend Title XVIII of the Social Security Act, establishing new conditions for hospitals to participate in the Medicare program. Its central aim is to require hospitals to collect and report data related to patients' citizenship status and the financial impact of care provided to non-citizens. Specifically, hospitals, including critical access and rural emergency hospitals, would be mandated to ask patients about their U.S. citizenship status on all intake forms, effective 180 days after enactment. These facilities would also be required to submit annual reports to the Secretary of Health and Human Services, detailing the number of non-citizen patients served and the dollar amount of uncompensated care furnished to them. The bill further directs the Secretary to annually publish a public report summarizing the aggregate uncompensated care costs for non-citizens, based on hospital submissions, and identifying the amount of Federal expenditures under Medicare and Medicaid directly attributable to this care.