New Florida immigration legislation would require hospitals to ask patients about their immigration status and report that information to the state — a move that raises ethical and legal concerns for physicians and hospitals.
of immigration status in the health record and proof of citizenship as factors in receiving healthcare.
Any policies that could potentially delay access to timely care are concerning, Damian Caraballo, MD, president of the Florida College of Emergency Physicians, told. However, under the federal Emergency Medical Treatment and Active Labor Act,"emergency physicians will continue to see anyone who seeks emergency care in emergency departments across Florida 24 hours a day, 7 days a week," he said.
The executive order required managed care plans and hospitals to report any Medicaid or other governmental expenditures incurred for the healthcare of noncitizens, including emergency care, beginning with fiscal year 2021 and continuing in each subsequent year., undocumented immigrants accounted for more than 111,000 encounters and 23,000 hospital admissions in fiscal year 2021, and the cost of care exceeded $312 million. Facilities were reimbursed for about one third of the cost.
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