TITLE V--RESTRICTIONS ON BENEFITS FOR ALIENS

Subtitle D--Miscellaneous Provisions

SEC. 561. INCREASED MAXIMUM CRIMINAL PENALTIES FOR FORGING OR
COUNTERFEITING SEAL OF A FEDERAL DEPARTMENT OR
AGENCY TO FACILITATE BENEFIT FRAUD BY AN
UNLAWFUL ALIEN.

Section 506 of title 18, United States Code, is amended to
read as follows:

``Sec. 506. Seals of departments or agencies

``(a) Whoever--
``(1) falsely makes, forges, counterfeits, mutilates, or
alters the seal of any department or agency of the United
States, or any facsimile thereof;
``(2) knowingly uses, affixes, or impresses any such
fraudulently made, forged, counterfeited, mutilated, or
altered seal or facsimile thereof to or upon any certificate,
instrument, commission, document, or paper of any
description; or
``(3) with fraudulent intent, possesses, sells, offers for
sale, furnishes, offers to furnish, gives away, offers to
give away, transports, offers to transport, imports, or
offers to import any such seal or facsimile thereof, knowing
the same to have been so falsely made, forged, counterfeited,
mutilated, or altered,
shall be fined under this title, or imprisoned not more than
5 years, or both.
``(b) Notwithstanding subsection (a) or any other provision
of law, if a forged, counterfeited, mutilated, or altered
seal of a department or agency of the United States, or any
facsimile thereof, is--
``(1) so forged, counterfeited, mutilated, or altered;
``(2) used, affixed, or impressed to or upon any
certificate, instrument, commission, document, or paper of
any description; or
``(3) with fraudulent intent, possessed, sold, offered for
sale, furnished, offered to furnish, given away, offered to
give away, transported, offered to transport, imported, or
offered to import,
with the intent or effect of facilitating an alien's
application for, or receipt of, a Federal benefit to which
the alien is not entitled, the penalties which may be imposed
for each offense under subsection (a) shall be two times the
maximum fine, and 3 times the maximum term of imprisonment,
or both, that would otherwise be imposed for an offense under
subsection (a).
``(c) For purposes of this section--
``(1) the term `Federal benefit' means--
``(A) the issuance of any grant, contract, loan,
professional license, or commercial license provided by any
agency of the United States or by appropriated funds of the
United States; and
``(B) any retirement, welfare, Social Security, health
(including treatment of an emergency medical condition in
accordance with section 1903(v) of the Social Security Act
(19 U.S.C. 1396b(v))), disability, veterans, public housing,
education, food stamps, or unemployment benefit, or any
similar benefit for which payments or assistance are provided
by an agency of the United States or by appropriated funds of
the United States; and
``(2) each instance of forgery, counterfeiting, mutilation,
or alteration shall constitute a separate offense under this
section.''.

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SEC. 562. TREATMENT OF EXPENSES SUBJECT TO EMERGENCY MEDICAL
SERVICES EXCEPTION.

(a) In General.--Subject to such amounts as are provided in
advance in appropriation Acts, each State or political
subdivision of a State that provides medical assistance for
care and treatment of an emergency medical condition (as
defined in subsection (d)) through a public hospital or other
public facility (including a nonprofit hospital that is
eligible for an additional payment adjustment under section
1886 of the Social Security Act) or through contract with
another hospital or facility to an individual who is an alien
not lawfully present in the United States is eligible for
payment from the Federal Government of its costs of providing
such services, but only to the extent that such costs are not
otherwise reimbursed through any other Federal program and
cannot be recovered from the alien or another person.
(b) Confirmation of Immigration Status Required.--No
payment shall be made under this section with respect to
services furnished to an individual unless the immigration
status of the individual has been verified through
appropriate procedures established by the Secretary of Health
and Human Services and the Attorney General.
(c) Administration.--This section shall be administered by
the Attorney General, in consultation with the Secretary of
Health and Human Services.
(d) Emergency Medical Condition Defined.--For purposes of
this section, the term ``emergency medical condition'' means
a medical condition (including emergency labor and delivery)
manifesting itself by acute symptoms of sufficient severity
(including severe pain) such that the absence of immediate
medical attention could reasonably be expected to result in--
(1) placing the patient's health in serious jeopardy,
(2) serious impairment to bodily functions, or
(3) serious dysfunction of any bodily organ or part.
(e) Effective Date.--Subsection (a) shall apply to medical
assistance for care and treatment of an emergency medical
condition furnished on or after January 1, 1997.

SEC. 563. REIMBURSEMENT OF STATES AND LOCALITIES FOR
EMERGENCY AMBULANCE SERVICES.

Subject to the availability of appropriations, the Attorney
General shall fully reimburse States and political
subdivisions of States for costs incurred by such a State or
subdivision for emergency ambulance services provided to any
alien who--
(1) is injured while crossing a land or sea border of the
United States without inspection or at any time or place
other than as designated by the Attorney General; and
(2) is under the custody of the State or subdivision
pursuant to a transfer, request, or other action by a Federal
authority.

SEC. 564. PILOT PROGRAMS TO REQUIRE BONDING.

(a) In General.--
(1) The Attorney General of the United States shall
establish a pilot program in 5 district offices of the
Immigration and Naturalization Service to require aliens to
post a bond in addition to the affidavit requirements under
section 213A of the Immigration and Nationality Act and the
deeming requirements under section 421 of the Personal
Responsibility and Work Opportunity Reconciliation Act of
1996 (8 U.S.C. 1631). Any pilot program established pursuant
to this subsection shall require an alien to post a bond in
an amount sufficient to cover the cost of benefits described
in section 213A(d)(2)(B) of the Immigration and Nationality
Act (as amended by section 551(a) of this division) for the
alien and the alien's dependents and shall remain in effect
until the departure, naturalization, or death of the alien.
(2) Suit on any such bonds may be brought under the terms
and conditions set forth in section 213A of the Immigration
and Nationality Act.
(b) Regulations.--Not later than 180 days after the date of
the enactment of this Act, the Attorney General shall issue
regulations for establishing the pilot programs, including--
(1) criteria and procedures for--
(A) certifying bonding companies for participation in the
program, and
(B) debarment of any such company that fails to pay a bond,
and
(2) criteria for setting the amount of the bond to assure
that the bond is in an amount that is not less than the cost
of providing benefits under the programs described in
subsection (a)(1) for the alien and the alien's dependents
for 6 months.
(c) Authorization of Appropriations.--There are authorized
to be appropriated such sums as may be necessary to carry out
this section.
(d) Annual Reporting Requirement.--Beginning 9 months after
the date of implementation of the pilot program, the Attorney
General shall submit annually to the Committees on the
Judiciary of the House of Representatives and the Senate a
report on the effectiveness of the program. The Attorney
General shall submit a final evaluation of the program not
later than 1 year after termination.
(e) Sunset.--The pilot program under this section shall
terminate after 3 years of operation.
(f) Bonds in Addition to Sponsorship and Deeming
Requirements.--Section 213 (8 U.S.C. 1183) is amended by
inserting ``(subject to the affidavit of support requirement
and attribution of sponsor's income and resources under
section 213A)'' after ``in the discretion of the Attorney
General''.

SEC. 565. REPORTS.

Not later than 180 days after the end of each fiscal year,
the Attorney General shall submit a report to the Inspector
General of the Department of Justice and the Committees on
the Judiciary of the House of Representatives and of the
Senate describing the following:
(1) Public charge deportations.--The number of aliens
deported on public charge grounds under section 241(a)(5) of
the Immigration and Nationality Act during the previous
fiscal year.
(2) Indigent sponsors.--The number of determinations made
under section 421(e) of the Personal Responsibility and Work
Opportunity Reconciliation Act of 1996 (as added by section
552 of this division) during the previous fiscal year.
(3) Reimbursement actions.--The number of actions brought,
and the amount of each action, for reimbursement under
section 213A of the Immigration and Nationality Act
(including private collections) for the costs of providing
public benefits.