To 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.

HR9656 was introduced in the House on July 13, 2026, by Rep. Chip Roy (R-TX) and referred to the Energy and Commerce and Ways and Means Committees. The bill would amend the Social Security Act to mandate hospitals report immigration status data to participate in Medicare and Medicaid. As a referral-stage bill with no committee hearings or markup, it has a low probability of near-term passage. No funding is authorized or appropriated. The bill does not directly affect hospital reimbursement rates, patient volumes, or operational costs for publicly traded hospital operators such as HCA, Tenet, or Community Health Systems. Any compliance cost impact would be minimal and speculative. The presidential action on chemical manufacturing regulatory relief is unrelated to this healthcare data-reporting bill. No convergence with other legislative or executive actions is present. The legislative path requires committee consideration, potential floor votes in both chambers, and presidential action—unlikely in the current session given the early stage and lack of bipartisan cosponsors.