HR2859-118

Introduced

To amend the Internal Revenue Code of 1986 to establish new community benefit standards for tax-exempt hospital organizations, and for other purposes.

118th Congress Introduced Apr 25, 2023

Summary

What This Bill Does

The bill creates additional requirements for certain hospitals Section 501(r) of the Internal Revenue Code of 1986 is amended— in paragraph (1), by striking and in subparagraph (C), by striking the period at the end, creates hospital organization financial assistance policy compliance requirements Section 501(r) of the Internal Revenue Code of 1986, as amended by the preceding provision of this Act, is further amended in paragraph, and creates financial assistance policy review and report The Treasury Inspector General for Tax Administration shall conduct a review of financial assistance policies of hospital organizations under section 501(r)(4). It relies on compliance mandates, grants, tax rate changes, and definition changes. The main policy areas are Education, Healthcare, Finance, and Science & Space.

Who Benefits and How

Patients and health care consumers affected by the bill could face lower compliance burdens, Financial services firms and customers affected by the bill could gain revenue opportunities, and Public beneficiaries or protected communities affected by the clause could face reduced risk.

Who Bears the Burden and How

Federal, state, or local agencies responsible for implementing the clause would take on compliance duties and Patients and health care consumers affected by the bill would take on compliance duties.

Key Provisions

  • Creates additional requirements for certain hospitals Section 501(r) of the Internal Revenue Code of 1986 is amended— in paragraph (1), by striking and in subparagraph (C), by striking the period at the end...
  • Creates hospital organization financial assistance policy compliance requirements Section 501(r) of the Internal Revenue Code of 1986, as amended by the preceding provision of this Act, is further amended in paragraph...
  • Creates financial assistance policy review and report The Treasury Inspector General for Tax Administration shall conduct a review of financial assistance policies of hospital organizations under section 501(r)(4)...
  • Requires internal Revenue Service enforcement review and report The Comptroller General of the United States shall conduct a review of the effectiveness of the Internal Revenue Service in enforcing compliance with...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill creates additional requirements for certain hospitals Section 501(r) of the Internal Revenue Code of 1986 is amended— in paragraph (1), by striking and in subparagraph (C), by striking the period at the end, creates hospital organization financial assistance policy compliance requirements Section 501(r) of the Internal Revenue Code of 1986, as amended by the preceding provision of this Act, is further amended in paragraph, and creates financial assistance policy review and report The Treasury Inspector General for Tax Administration shall conduct a review of financial assistance policies of hospital organizations under section 501(r)(4).

Key Policy Areas

Education, Healthcare, Finance, Science & Space

Primary Purpose

The bill creates additional requirements for certain hospitals Section 501(r) of the Internal Revenue Code of 1986 is amended— in paragraph (1), by striking and in subparagraph (C), by striking the period at the end, creates hospital organization financial assistance policy compliance requirements Section 501(r) of the Internal Revenue Code of 1986, as amended by the preceding provision of this Act, is further amended in paragraph, and creates financial assistance policy review and report The Treasury Inspector General for Tax Administration shall conduct a review of financial assistance policies of hospital organizations under section 501(r)(4).

Policy Domains

Education Healthcare Finance Science & Space

Whole bill

Identified Gains
  • Patients and health care consumers affected by the bill
  • Financial services firms and customers affected by the bill
  • Public beneficiaries or protected communities affected by the clause
  • Researchers and scientific institutions affected by the bill
  • Educational institutions and students affected by the bill
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Patients and health care consumers affected by the bill: , ,
Educational institutions and students affected by the bill:
Financial services firms and customers affected by the bill: , ,
Researchers and scientific institutions affected by the bill:
Public beneficiaries or protected communities affected by the clause: , ,
Identified Costs
  • Federal, state, or local agencies responsible for implementing the clause
  • Patients and health care consumers affected by the bill
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Patients and health care consumers affected by the bill:
Federal, state, or local agencies responsible for implementing the clause: , , ,

Legislative Progress

Introduced
Introduced Committee Passed
Apr 25, 2023

Mrs. Spartz introduced the following bill; which was referred to …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Education Healthcare Finance Science & Space

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology