State-Level Community Benefit Regulation and Nonprofit Hospitals' Provision of Community Benefits.

@article{Singh2018StateLevelCB,
  title={State-Level Community Benefit Regulation and Nonprofit Hospitals' Provision of Community Benefits.},
  author={Simone R Singh and Gary J. Young and Lacey Loomer and Kristin M. Madison},
  journal={Journal of health politics, policy and law},
  year={2018},
  volume={43 2},
  pages={
          229-269
        }
}
Do nonprofit hospitals provide enough community benefits to justify their tax exemptions? States have sought to enhance nonprofit hospitals' accountability and oversight through regulation, including requirements to report community benefits, conduct community health needs assessments, provide minimum levels of community benefits, and adhere to minimum income eligibility standards for charity care. However, little research has assessed these regulations' impact on community benefits. Using 2009… 
State Laws and Nonprofit Hospital Community Benefit Spending
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  • 2020
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Increased availability of data on health care costs, mapping of health care utilization patterns, and parallel overlays of hospital location, jurisdictional boundaries, and the social determinants of health offer significant potential for informed public dialogue at the regional level that builds an ethic of shared ownership for health across sectors.
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  • Business, Medicine
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  • 2020
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This scoping review considers what has been learned about community benefit from 2010 to 2019 and suggests several areas of community benefit in need of further study, including governance, program evaluation, and collaboration.
The Importance of Governmental and Nongovernmental Investments in Public Health and Social Services for Improving Community Health Outcomes.
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Hospitals' provision of community health services and increases in local governmental health and social services spending were both associated with improved health.
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There was little evidence to suggest that communities that invest in public hospitals, public health, or other social services see commensurate increases in other areas, and competing hypotheses regarding achievement of balanced multi-sector resources for health were tested.
Do State Opioid Policies Influence Nonprofit Hospitals’ Decisions to Address Substance Abuse in Their Communities?
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It is suggested that several key state policies are related to hospital investments in substance abuse initiatives and policies that provide specific direction for and engagement with local hospitals may increase cooperation and investments to address substance abuse.
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In 2009, tax-exempt hospitals varied markedly in the level of community benefits provided, with most of their benefit-related expenditures allocated to patient care services, and little was spent on community health improvement.
Analysis of hospital community benefit expenditures' alignment with community health needs: evidence from a national investigation of tax-exempt hospitals.
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Important opportunities exist for tax-exempt hospitals to improve the alignment between their community benefit activities and the health needs of the community they serve by conducting periodic community health needs assessments.
The Value Of The Nonprofit Hospital Tax Exemption Was $24.6 Billion In 2011.
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The magnitude of the tax exemption, coupled with ACA reforms, underscores the public's interest not only in community benefit spending generally but also in the extent to which nonprofit hospitals allocate funds for community benefit expenditures that improve the overall health of their communities.
The impact of state community benefit laws on the community health orientation and health promotion services of hospitals.
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The study found that community benefit laws had the effect of decreasing ownership-related differences in reported community health orientation activities and the mimetic pressures associated with these laws were effective in inducing investor-owned hospitals to report increased community orientation activities.
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Policymakers often question whether not-for-profit (NFP) hospitals provide enough charity care to justify tax advantages. In 1993, Texas enacted legislation requiring NFP hospitals to provide certain
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The historical and legal development of the community benefit standard is discussed, including the key controversies that have emerged in recent years and the policy responses attempted thus far, and possible future policy directions are evaluated.
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Hospitals in the U.S. have long been able to obtain exemption from federal income tax because they meet the requirement known as the standard of “community benefit.” Yet lawmakers and scholars know
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The article examines the key elements of the ACA and the Internal Revenue Service’s (IRS) initial implementation steps in the wake of the Act.
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Gayle D. Nelson, JD, MPH, is a Policy Analyst at The Hilltop Institute at UMBC. Martha H. Somerville, JD, MPH, is a Senior Policy Analyst at The Hilltop Institute at UMBC and directs Hilltop’s
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