"Congress set aside $1 billion in last year's Medicare (law) to help hospitals in border states with paying for emergency care for illegal immigrants. ... This program will create more problems than it will solve. For starters, to ensure that the money goes to the intended beneficiaries, the program will require hospitals to become immigration cops. ... Hospitals' alternative proposal is also flawed. They want the federal government to give them the discretion to determine their own uninsured population by their own criteria and then bill the government for services. That opens the door for fraudulent ... claims."