This bill, the Birth Tourism Elimination Act, aims to prevent foreign nationals from entering the United States specifically to give birth and obtain citizenship for their children. The legislation makes it illegal for pregnant women to enter on tourist visas (B-2 visas) if their primary purpose is birth tourism, and it applies similar restrictions to visa waiver programs. The bill creates new grounds for denying entry, allows for expedited removal of those suspected of birth tourism, and increases criminal penalties for people who organize or profit from birth tourism services, with prison sentences up to 15 years for those facilitating it on behalf of foreign entities. The measure affects expectant mothers seeking tourist visas, visa waiver program applicants, and commercial birth tourism operations. It requires the Department of Homeland Security and State Department to submit semiannual reports to Congress detailing denials of visas and parole, investigations, prosecutions, and removals related to birth tourism, beginning immediately upon enactment with no specified end date.