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New Rules for Non-Profit Hospitals: Transparency and Community Benefits

This act introduces new requirements for tax-exempt hospitals to ensure they genuinely serve the community. Hospitals will need to meet specific standards, such as treating patients from public programs and investing in healthcare, which could improve access to medical services for all citizens.
Key points
Non-profit hospitals must have a board of directors drawn from their local community.
Hospitals cannot limit the number of patients served under Medicare and Medicaid programs.
Hospitals must spend an amount equal to their tax exemptions on training, education, research, facility improvements, or free/discounted care.
Expenditures on facility and equipment improvements are capped at 50% of the minimum spending, and acquiring other healthcare organizations does not count.
Hospitals must account for free or discounted care based on Medicare rates.
Regular reviews and reports on hospital financial assistance policies and compliance with new standards will be conducted.
These changes will apply to tax years beginning after December 31, 2023.
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Additional Information
Print number: 117_HR_9080
Sponsor: Rep. Spartz, Victoria [R-IN-5]
Process start date: 2022-09-29
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Non-Profit Hospital Tax Exemption Transparency Act

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_9080.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2022-09-29.

What are the main provisions?

Key points include:

  • Non-profit hospitals must have a board of directors drawn from their local community.
  • Hospitals cannot limit the number of patients served under Medicare and Medicaid programs.
  • Hospitals must spend an amount equal to their tax exemptions on training, education, research, facility improvements, or free/discounted care.
  • Expenditures on facility and equipment improvements are capped at 50% of the minimum spending, and acquiring other healthcare organizations does not count.
  • Hospitals must account for free or discounted care based on Medicare rates.
  • Regular reviews and reports on hospital financial assistance policies and compliance with new standards will be conducted.
  • These changes will apply to tax years beginning after December 31, 2023.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Spartz, Victoria [R-IN-5].

What is the latest detailed status?

The latest detailed status is: Referred to the House Committee on Ways and Means.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health Taxes