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Arizona hospitals could be required to ask patients about legal status

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Alex Gonzalez
(Arizona News Connection)

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State lawmakers in Arizona are considering legislation to mandate hospitals to ask patients whether they are in the country legally.

Representative John Gillette, R-Flagstaff, noted while the proposal includes a provision to let patients know their answer would not affect the type of care they receive or lead to any immigration enforcement, it is a needed measure to collect information on the effect undocumented immigration is having on the state's health care system, including the state's Medicaid program, the Arizona Health Care Cost Containment System, commonly referred to as AHCCCS.

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"Right now in Yuma County, there's 1,676 people receiving some type of benefits on AHCCCS from the same address, but we don't know who they are and we don't know where they live," Gillette stated. "We just know they have the same address, but we haven't been provided that access. This bill aims to do that."

Gillette explained the bill is intended to track Medicaid spending with the purpose of uncovering if taxpayer dollars are being used to treat those who are not in the U.S. legally. Opponents of the measure argued it could deter patients from seeking and accessing essential medical care. The legislation is headed to Democratic Governor Katie Hobbs' desk.

Representative Mariana Sandoval, D-Yuma, fears the bill could have unintended consequences and the data collected could be used for ulterior motives. Republicans have modeled the legislation after a similar Florida law which highlighted the cost of undocumented migrants to the state.

Sandoval pointed out the legislation is not taking place in a vacuum.

"They conveniently overlook that undocumented workers contribute significantly to the state and local taxes," Sandoval emphasized. "These workers contributed an estimated $766 million in combined state and local taxes, just in 2022 alone."

Sandoval contended the bill would directly target those who she called some of Arizona's hardest working and vulnerable residents such as agricultural, hospitality and construction workers. She added hospitals should remain places of healing, not become ports of entry.