,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #ijhj  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,septemb] #bi1        
#bjbb,mrs4 ,sp>tz introduc$ ! foll[+    
bill2 :i* 0 ref]r$ to ! ,committee on   
,ways & ,means  ,a ,,bill  ,to am5d !   
,int]nal ,rev5ue ,code ( #aihf to       
e/abli% new community b5efit /&>ds =    
tax-exempt hospital organizations1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,non-,pr(it ,hospital  
,tax ,exemption ,transp>5cy ,act4  #b4  
,additional requirem5ts = c]ta9         
hospitals  7a7 ,9 g5]al ,section #eja7r7
 ( ! ,int]nal ,rev5ue ,code ( #aihf is  
am5d$-- 7#a7 9 p>agraph 7#a71 by /rik+ &
 9 subp>agraph 7,c71 by /rik+ ! p]iod at
 ! end ( subp>agraph 7,d7 & ins]t+ 1 &1 
& by add+ at ! end ! foll[+ new         
subp>agraph3  7,e7 meets ! community    
b5efit /&>d describ$ 9 p>agraph 7#g74  1
  7#b7 by r$esignat+ p>agraph 7#g7 z    
p>agraph 7#h71 &  7#c7 by ins]t+ aft]   
p>agraph 7#f7 ! foll[+ new p>agraph3    
7#g7 ,community b5efit /&>d  7,a7 ,9    

g5]al ,a hospital organization meets !  
requirem5ts ( ?is p>agraph if su*       
organization-- 7i7 has a bo>d (         
directors drawn f ! community 9 :i* su* 
organization is locat$1  7ii7 bo?-- 7,i7
 treats pati5ts :o pay _! bills ?r\gh   
public programs1 includ+ "u ! ,m$ic>e   
program "u title ,,xviii ( ! ,social    
,security ,act or "u ! ,m$icaid program 
"u title ,,xix ( su* ,act1 &  7,,ii7    
does n limit ! numb] ( su* pati5ts s]v$ 
at any cl9ical site own$ or controll$ by
 su* organization1 &  7iii7 sp5ds an    
am\nt :i* meets or exce$s ! exp5diture  
?re%old = ! taxable ye> on any          
comb9ation (-- 7,i7 tra9+1 education1 or
 rese>* design$ to improve pati5t c>e1  
7,,ii7 improvem5ts to facilities &      
equipm5t except z provid$ 9 subp>agraph 
7,c71 &  7,,iii7 free or disc\nt$ c>e   
pursuant to a f9ancial assi/ance policy4
  7,b7 ,exp5diture ?re%old ,= purposes (
 ?is p>agraph1 ! t]m exp5diture ?re%old 
means #ajj p]c5t ( ! value ( ! ,f$]al1  
,/ate1 & local tax exemptions ( !       

hospital organization = ! taxable ye>4  
7,c7 ,special rules = improvem5ts to    
facilities & equipm5t  7i7 ,9 g5]al ,=  
purposes ( clause 7iii77,,ii7 (         
subp>agraph 7,a7-- 7,i7 exp5ditures "u  
su* clause may n be us$ to acc\nt = m   
?an #ej p]c5t ( ! m9imum sp5d+          
requirem5t "u su* subp>agraph1 &  7,,ii7
 exp5ditures = ! acquisition ( a        
physician practice1 hospital1 ambulatory
 surgical c5t]1 or any o!r c>e deliv]y  
organization %all n be tak5 into acc\nt 
z an improvem5t to facilities or        
equipm5t "u su* clause4  7ii7 ,c>e      
deliv]y organization ,= purposes (      
clause 7i71 ! t]m c>e deliv]y           
organization means an organization ( p1 
in/itutions1 & res\rces ^: prim>y       
mission is to deliv] heal? c>e s]vices  
to meet ! heal? ne$s ( a t>get          
population4  4  7b7 ,effective date ,!  
am5dm5ts made by ?is section %all apply 
to taxable ye>s beg9n+ aft] ,decemb]    
#ca1 #bjbc4  #c4 ,hospital organization 
f9ancial assi/ance policy compliance    

requirem5ts  7a7 ,9 g5]al ,section      
#eja7r7 ( ! ,int]nal ,rev5ue ,code (    
#aihf1 z am5d$ by ! prec$+ provision (  
?is ,act1 is fur!r am5d$ 9 p>agraph     
7#e77;,a7 by ins]t+ accord+ to ,m$ic>e  
rates ) respect aft] bill$4  7b7        
,effective date ,! am5dm5t made by ?is  
section %all apply to taxable ye>s      
beg9n+ aft] ,decemb] #ca1 #bjbc4  #d4   
,f9ancial assi/ance policy review &     
report  7a7 ,review ,! ,treasury        
,inspector ,g5]al = ,tax ,adm9i/ration  
%all conduct a review ( f9ancial        
assi/ance policies ( hospital           
organizations "u section #eja7r77#d7 ( !
 ,int]nal ,rev5ue ,code ( #aihf4  7b7   
,report ,n lat] ?an #cfe days aft] !    
date ( ! enactm5t ( ?is ,act & annually 
!reaft]1 ! ,treasury ,inspector ,g5]al =
 ,tax ,adm9i/ration %all submit to !    
,committee on ,ways & ,means ( ! ,h\se (
 ,repres5tatives & ! ,committee on      
,f9ance ( ! ,s5ate a report on ! results
 ( ! review conduct$ "u subsection 7a71 
includ+-- 7#a7 ! cont5t ( f9ancial      

assi/ance policies ( hospital           
organizations1  7#b7 compliance (       
hospital organizations ) ! f9ancial     
assi/ance policy requirem5ts ( section  
#eja7r77#d7 ( ! ,int]nal ,rev5ue ,code (
 #aihf1 &  7#c7 su* o!r topics z are    
det]m9$ by ! ,treasury ,inspector ,g5]al
 = ,tax ,adm9i/ration to be relevant to 
f9ancial assi/ance policies4  #e4       
,int]nal ,rev5ue ,s]vice en=cem5t review
 & report  7a7 ,review ,! ,comptroll]   
,g5]al ( ! ,unit$ ,/ates %all conduct a 
review ( ! effectiv5ess ( ! ,int]nal    
,rev5ue ,s]vice 9 en=c+ compliance ) !  
community b5efit /&>d = hospital        
organizations "u section #eja7r77#g7 ( !
 ,int]nal ,rev5ue ,code ( #aihf4  7b7   
,report ,n lat] ?an #cfe days aft] !    
date ( ! enactm5t ( ?is ,act & no lat]  
?an e ?ree ye>s !reaft]1 ! ,comptroll]  
,g5]al ( ! ,unit$ ,/ates %all submit to 
! ,committee on ,ways & ,means ( ! ,h\se
 ( ,repres5tatives & ! ,committee on    
,f9ance ( ! ,s5ate a report on ! results
 ( ! review conduct$ "u subsection 7a74