A Republican bill with 1 Republican cosponsor · See the cosponsor
Last activity — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
Introduced, nothing more yet
Formally proposed, and not yet handed to a committee.
Nearly every bill is sent to a committee within days. Introduction alone is not a sign of support, of momentum, or of any likelihood of passing — any member may introduce any bill.
Its path through Congress
- Introduced
What this bill would do
The Tax Exempt Hospital Transparency Act aims to amend the Internal Revenue Code to create more detailed reporting requirements for tax-exempt hospital organizations. Every such organization would be required to report on how they address community health needs, financial assistance details, and audited financial statements. Larger hospitals would have to provide additional data regarding their spending on quality improvement, nonclinical programming, and priority health needs. High-revenue hospitals would face even stricter requirements, including information on advertising costs, specific health service lines, and Federal 340B drug discount program data. Many of these requirements would need to be reported separately for each hospital facility operated by the organization.
Yes· 3 of 6
- Scored +3
Does this make what the government does easier for the public to see?
The bill mandates detailed public reporting on hospital spending, financial assistance, and community health needs.
- Scored +2
Does this make health care easier to get in general?
The bill requires hospitals to report on how they address community health needs and financial assistance, which can improve access for low-income patients.
- Scored +2
Would households on low incomes be better off under this?
Increased transparency in hospital financial assistance reporting can help ensure low-income families receive the aid they are entitled to.
The opposite
- Scored -2
Would business owners be better off under this?
Hospital organizations will face higher administrative and compliance costs due to the new detailed reporting requirements.
- Scored -1
Does this raise the taxes companies pay?
The bill increases administrative and compliance costs for tax-exempt hospital organizations through new reporting requirements.
- Scored -1
Does this make the government pay for what it commits to?
The bill may increase government spending due to the labor and resource costs required for the Treasury to administer new reporting mandates.
Who it would affect, and how
Potential Positive Impacts for People
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Increased Transparency on Community Needs: Hospitals must describe how they are addressing needs identified in recent community health assessments and explain why any needs are not being addressed (Section 2(a)(1)(A)).
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Clarity on Financial Assistance: The bill requires reporting the value of financial assistance provided and the number of financial assistance applications received, granted, or denied (Section 2(a)(1)(D)-(E)).
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Insight into Hospital Spending: Large hospitals must report spending on quality improvement and nonclinical programming, providing a clearer picture of where funds are directed (Section 2(b)(1)).
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Detailed Service Line Information: High-revenue hospitals would have to disclose gross receipts and costs for specific health service lines, offering more detail on clinical program operations (Section 2(c)(3)(A)).
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Drug Program Oversight: The bill requires reporting on the number of individuals receiving drugs under the Federal 340B drug discount program and the aggregate net payments (Section 2(c)(4)(A)).
Potential Negative Impacts for People
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Increased Administrative Costs for Hospitals: The bill may result in higher costs for hospitals to comply with the new, detailed reporting requirements (Section 3(1)).
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Increased Costs for the Government: The Department of the Treasury may face additional labor and resource costs to administer these new requirements (Section 3(1)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Governance And Ideology
- Does this make what the government does easier for the public to see? — The bill mandates detailed public reporting on hospital spending, financial assistance, and community health needs.
- Healthcare
- Does this make health care easier to get in general? — The bill requires hospitals to report on how they address community health needs and financial assistance, which can improve access for low-income patients. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill increases transparency regarding the 340B drug discount program which impacts Medicaid populations.
- Economy And Finance
- Does this make the government pay for what it commits to? — The bill may increase government spending due to the labor and resource costs required for the Treasury to administer new reporting mandates. Does this raise the taxes companies pay? — The bill increases administrative and compliance costs for tax-exempt hospital organizations through new reporting requirements.
- Demographic And Interest Groups
- Would households on low incomes be better off under this? — Increased transparency in hospital financial assistance reporting can help ensure low-income families receive the aid they are entitled to. Would people in cities be better off under this? — Increased transparency in hospital operations can lead to better-targeted community health services in populated areas. Would business owners be better off under this? — Hospital organizations will face higher administrative and compliance costs due to the new detailed reporting requirements.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — The bill increases transparency regarding the value and processing of hospital financial assistance applications for those in need.
- 7/1/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
- 6/29/2026
- Referred to the House Committee on Ways and Means.
- 1 Cosponsor added.
- Introduced in House
Lloyd SmuckerRepublican · Pennsylvania