Bill · H.R. 3019· House(119-HR-3019)
Holding Nonprofit Hospitals Accountable Act
- Introduced
- 4/24/2025
- Last activity
- 4/24/2025 — Referred to the House Committee on Ways and Means.
- Sponsored by
- Victoria Spartz
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
The "Holding Nonprofit Hospitals Accountable Act" aims to amend the Internal Revenue Code of 1986 to establish new community benefit standards for tax-exempt hospital organizations. Under these new rules, hospitals must have a board of directors drawn from their local community. They must also treat patients who pay through public programs like Medicare or Medicaid without limiting the number of such patients at any clinical site. Additionally, hospitals must meet a specific expenditure threshold related to their tax exemptions. The bill also mandates reviews of financial assistance policies and IRS enforcement effectiveness.
Yes· 3 of 10
Does this make health care easier to get in general?+6
The bill requires hospitals to treat patients using public programs without limiting their volume at clinical sites.
Would households on low incomes be better off under this?+6
The bill ensures hospitals cannot limit patients relying on Medicaid and requires spending on free or discounted care.
Does this raise the taxes companies pay?+5
The bill imposes stricter community benefit and spending requirements on tax-exempt hospital organizations.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Community Representation: Hospital boards of directors would be required to be drawn from the community in which the organization is located (Section 2(a)(1)).
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Increased Access for Public Program Patients: Hospital organizations must treat patients who pay through public programs, such as Medicare or Medicaid, and cannot limit the number of these patients served at any owned or controlled clinical site (Section 2(a)(1)).
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Increased Spending on Care and Facilities: Hospitals must meet or exceed an expenditure threshold that covers training, education, research to improve patient care, improvements to facilities and equipment, or free or discounted care (Section 2(a)(1)).
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Policy Oversight: The Treasury Inspector General for Tax Administration will conduct reviews and submit annual reports regarding the content and compliance of hospital financial assistance policies (Section 4).
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Enforcement Accountability: The Comptroller General of the United States will review how effectively the IRS enforces these new community benefit standards (Section 5).
Potential Negative Impacts for People
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Restrictions on Facility Improvements: Expenditures for the acquisition of a physician practice, hospital, ambulatory surgical center, or other care delivery organizations cannot be counted toward the required spending threshold (Section 2(a)(1)(C)(i)(II)).
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Spending Limits on Equipment: Improvements to facilities and equipment can account for no more than 50 percent of the minimum spending requirement (Section 2(a)(1)(C)(i)(I)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Healthcare
- Improves Healthcare Access+6Increases Medicaid Funding+4Increases Medicare Funding+4Increases Research Funding+4
- Demographic And Interest Groups
- Good For Low Income Households+6Good For Seniors+4
- Economy And Finance
- Increases Corporate Taxes+5Improves Fiscal Responsibility+3
- Governance And Ideology
- Improves Government Transparency+5
- Social Issues And Justice
- Improves Poverty Reduction+3
- 4/24/2025
- Referred to the House Committee on Ways and Means.
- Introduced in House