Proposed Regulations for Charitable Hospitals Released
June 28, 2012
The IRS has issued proposed rules for 501(c)(3) hospitals, stemming from provisions in the Affordable Care Act (ACA).
The ACA modified Internal Revenue Code section 501(r) to impose additional requirements on charitable hospitals. Specifically, the proposed rules set forth guidance on the requirements relating to financial assistance and emergency care policies, charges for certain care provided to individuals eligible for financial assistance, and billing and collection policies, including:
- Definitions for hospital facilities and hospital organizations, as well as guidance on hospital facilities located outside of the United States, hospitals operated through a partnership or disregarded entity, and government hospital organizations.
- Requirements that hospital organizations establish written financial assistance and emergency care policies.
- Prohibitions on charging an individual eligible for financial assistance more than the amount generally billed to individuals covered by health insurance.
- Guidance on billing and collection requirements, including a rule that charitable hospitals may not engage in extraordinary collection efforts against an individual before determining if that individual is eligible for financial assistance.
The proposed rules relating to financial assistance and billing and collections will be effective for taxable years beginning after the date they are published as final. Section 501(r)—with the exception of section 501(r)(3)—applies to taxable years beginning after March 23, 2010. Section 501(r)(3) applies to taxable years beginning after March 23, 2012. Comments on the proposed rules are due September 24.
Director, Tax Policy
- NACUBO Expresses Concerns with ED Proposal to Expand Federal Financial Responsibility Rules
- IRS Proposes Modifications to 1098-T Reporting
- ED Policy to Require Annual Student Aid Compliance Audits Beginning FY17
- 2016 Intermediate Accounting and Reporting Fall
October 24-25, 2016
- ON-DEMAND: The CBO's Role in Diversity and Inclusion on Campus
- ON-DEMAND: The Clery Act: Strategic Planning to Mitigate Institutional Risk
- ON-DEMAND: Title IX: Key Issues Surrounding Institutional Compliance
- ON-DEMAND: NACUBO Live! Higher Education Accounting Forum
- ON-DEMAND: Responsibility Center Management: Two Different Perspectives