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
- Affordable Care Act: Final Rules on Coverage for Adjuncts and Students
- Administrative Jobs and Benefits Costs Drive Higher Ed Labor Costs
- OMB Super Circular Makes Changes to Audit Requirements
- 2014 Higher Education Accounting Forum
April 27-29, 2014
- ON-DEMAND: Understanding the Results of the 2013 NACUBO-Commonfund Study of Endowments, and a Look to 2014 and Beyond
- ON-DEMAND: How Behavioral Changes Helped Cut Energy Usage in Half
- ON-DEMAND: Developing a Market-Informed Approach to Tuition Pricing
- ON-DEMAND: Responsibility Center Management: The Process Necessary to Complete a Successful Implementation
- ON-DEMAND: OD: Responsibility Center Management: How Innovations Have Changed the Nature of RCM
- A Guide to College and University Budgeting: Foundations for Institutional Effectiveness, 4th ed. - by Larry Goldstein
- NACUBO's Guide to Unitizing Investment Pools - by Mary S. Wheeler
- Managing and Collecting Student Accounts and Loans - by David R. Glezerman and Dennis DeSantis