Requires hospitals that take state payments to ask patients to mark if they are U.S. citizens, lawfully present, not lawfully present, or decline. Forms must say answers won’t affect care or be sent to immigration. Hospitals send quarterly totals, without names, to the health department. Each year the state reports counts and unpaid-care costs for undocumented patients and effects on services and funding. Aims to guide policy; may deter some from seeking care.