I 

111TH CONGRESS 

1ST SESSION H. R. 4026 

To provide for the withholding of United States assistance to a foreign 

country in an amount equal to 110 percent of the total amount of 

costs incurred by United States hospitals and other medical facilities 

for the long-term care of aliens unlawfully present in the United States 

from that country during the preceding fiscal year, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 4, 2009 

Mr. SPACE introduced the following bill; which was referred to the Committee 

on Foreign Affairs, and in addition to the Committee on Homeland Security, for a period to be subsequently determined by the Speaker, in each 

case for consideration of such provisions as fall within the jurisdiction of 

the committee concerned 

A BILL 

To provide for the withholding of United States assistance 

to a foreign country in an amount equal to 110 percent 

of the total amount of costs incurred by United States 

hospitals and other medical facilities for the long-term 

care of aliens unlawfully present in the United States 

from that country during the preceding fiscal year, and 

for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Preventing All Your 

3 Bucks from Aiding non-Citizens is Key Act’’ or ‘‘PAY4 BACK Act’’. 

5 SEC. 2. WITHHOLDING OF FOREIGN ASSISTANCE TO CER6 TAIN FOREIGN COUNTRIES. 

7 (a) IN GENERAL.—Subject to subsection (c), of the 

8 funds appropriated under titles III through VI by an Act 

9 making appropriations for the Department of State, for10 eign operations, and related programs that are made avail11 able for assistance for a foreign country for a fiscal year, 

12 an amount equal to 110 percent of the total amount of 

13 costs incurred by United States hospitals and other med14 ical facilities for the long-term care of aliens unlawfully 

15 present in the United States from that country during the 

16 preceding fiscal year shall be withheld from obligation for 

17 assistance for the central government of such country 

18 until the President submits a certification to Congress 

19 stating that such costs are fully paid. 

20 (b) AVAILABILITY OF FUNDS.—Notwithstanding any 

21 other provision of law, funds withheld from obligation pur22 suant to subsection (a) may be made available to the head 

23 of U.S. Customs and Border Protection to be used for the 

24 protection of the border and prevention of illegal immigra25 tion. 


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1 (c) LIMITATION.—Subsection (a) shall not include 

2 amounts that have been withheld under any other provi3 sion of law. 

4 (d) WAIVER.—The President may waive the require5 ments set forth in subsection (a) with respect to a par6 ticular country if the President determines that it is in 

7 the national interests of the United States to do so. 

8 (e) SENSE OF CONGRESS.—It is the sense of Con9 gress that with respect to a foreign country for which the 

10 United States— 

11 (1) does not provide assistance under the provi12 sions of law described in subsection (a) for a fiscal 

13 year, and 

14 (2) owes amounts as a result of loans, credits, 

15 or other financial obligations for the fiscal year, 

16 the President should seek to obtain from that country a 

17 reduction in such United States debt in an amount equal 

18 to 110 percent of the total amount of costs incurred by 

19 United States hospitals and other medical facilities for the 

20 long-term care of aliens unlawfully present in the United 

21 States from that country during the preceding fiscal year. 

22 (f) RULE OF CONSTRUCTION.—Nothing in this Act 

23 shall be construed to change any provision of law in effect 

24 on the date of the enactment of this Act regarding the 


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1 long-term care of individuals lawfully present in the 

2 United States. 

Æ 


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