[JustaDumbBlonde]

"But I am not getting the impression that HIPAA has anything to do with proof of citizenship."

Perhaps they are making the point that a certificate of birth is issued by the hospital and signed by the attending physician. Just guessing.

[Calpernia]

That is a good thought; but then that would keep a B.C. from being used for other ID requirements, ie., school, driver’s licenses, et al.