Referred to the House Committee on Ways and Means.
The bill requires expanded IRS reporting for tax-exempt hospitals, adding a new section 6033A. It requires disclosure of community health needs responses, audited financial statements, CMS identifiers, charity care value and application counts, and facility-level breakdowns for large hospitals.
Transparency and community accountability versus administrative burden.
Relative to its intended legislative type, this bill is a detailed administrative/operational statute that prescribes extensive new reporting obligations for tax-exempt hospital organizations, with a secondary reporting/study element (GAO study).
The bill requires expanded IRS reporting for tax-exempt hospitals, adding a new section 6033A.
It requires disclosure of community health needs responses, audited financial statements, CMS identifiers, charity care value and application counts, and facility-level breakdowns for large hospitals.
Large hospitals must report top community needs, spending on those needs, quality improvement, nonclinical programming, and other community benefits.
Technocratic transparency aims can win support, but added compliance for powerful hospital interests and Senate obstacles reduce chances absent major compromise or inclusion in broader legislation.
Relative to its intended legislative type, this bill is a detailed administrative/operational statute that prescribes extensive new reporting obligations for tax-exempt hospital organizations, with a secondary reporting/study element (GAO study). It provides high specificity on what must be reported and how key terms are defined, and it assigns interagency responsibilities and timelines for taxonomy development and coordination.
Transparency and community accountability versus administrative burden.
These are examples from the analysis, not a ranked list of the most-affected groups.
Transparency and community accountability versus administrative burden.
Likely supportive; views the bill as increasing accountability of tax-exempt hospitals to community benefit obligations.
Will welcome charity-care disclosure, facility-level transparency, and 340B reporting as tools to evaluate whether hospitals meet their tax-exempt purpose.
Cautiously favorable overall; appreciates increased transparency but worries about compliance complexity and cost.
Likely to seek clearer definitions, phased implementation, and robust interagency coordination to limit unintended burdens.
Likely opposed or skeptical; sees the measure as federal expansion of reporting and potential intrusion into proprietary hospital information.
Concerned about increased costs, competitive harm, and regulatory overreach without clear benefit.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Technocratic transparency aims can win support, but added compliance for powerful hospital interests and Senate obstacles reduce chances absent major compromise or inclusion in broader legislation.
The bill has not accumulated any surfaced votes yet.
Transparency and community accountability versus administrative burden.
Technocratic transparency aims can win support, but added compliance for powerful hospital interests and Senate obstacles reduce chances ab…
Relative to its intended legislative type, this bill is a detailed administrative/operational statute that prescribes extensive new reporting obligations for tax-exempt hospital organizations, with a secondary reporting…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.