mr. chairman , i yield myself the balance of my time .  to the best of my knowledge , there is nothing in the emtala act that requires states and localities to actually pass laws and regulations creating sanctuary states , creating sanctuary cities , becoming magnets for illegal aliens themselves .  there is nothing that requires them to do that ; yet they do that .  then they come here and say , we are having a problem .  it is undeniably true that the problem exists .  it is undeniably true that they are being overwhelmed by illegal immigration .  it is also undeniably true that much of this is the fault of the federal government .  i do not deny that for a moment .  nor do i deny that there may be some responsibility here for us to help pay for it .  but what i am saying is you pass a law like this and then you pass regulations that make it completely and totally irrelevant in a way to determine .  they say , we do n't want to ask .  we can not ask .  we will not even ask you if you are here illegally .  by the way , even if you are n't here illegally , if you are one of the 5 million people who live in mexico , mexican nationals who have a border crossing card , we 'll treat you also .  does that not encourage even more people to come to the united states and obtain these services , putting even more of a burden on these hospitals ?  of course it does .  these regulations are the problem .  they are a significant problem that only exacerbates the underlying problem of massive costs being incurred by these hospitals in these states .  my hope is that if in fact we have to put money into a program like this , we do so only after we have passed meaningful and purposeful regulations , regulations that at least make these hospitals accountable .  