AI-assisted analysis based on the official CRS summary. Source version: Jul 21, 2026. Analysis updated: Sep 15, 2026.
01 — The Text
What.
- Bill requires tax-exempt hospitals to report additional information to the IRS with Form 990, including community health needs assessment descriptions and unmet needs with reasons.
- Tax-exempt hospitals must report the value of financial assistance provided at cost, plus counts of financial assistance applications received, granted, and denied each year.
- Bill defines tax-exempt hospital organizations as entities licensed as hospitals that conduct community health needs assessments, maintain written financial assistance policies, limit charges for emergency care, and file Form 990.
- Additional reporting requirements apply to certain large or high-revenue tax-exempt hospital organizations, though specific thresholds are not detailed in the official summary.
- Bill directs the Government Accountability Office to study costs of the new reporting requirements and estimate tax revenue from the 25 highest-grossing tax-exempt hospitals if they were taxable.
02 — The Stakes
So what?
- The bill increases transparency and IRS oversight of tax-exempt hospital financial assistance practices and community benefit activities.
- Effects on tax revenue, compliance costs, hospital operations, or patient access are not established in the official summary.
- The GAO studies are directed but no findings, timelines, or resulting actions are documented.
03 — The Path
Now what?
- Bill was introduced in the House on June 29, 2026.
- Referred to the House Committee on Ways and Means on June 29, 2026.
- Committee held markup session on July 1, 2026.
- Committee ordered the bill to be reported in substitute form by vote (25-15) on July 1, 2026.
Legislative History
Actions.
- Jul 1, 2026 — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
- Jul 1, 2026 — Committee Consideration and Mark-up Session Held
- Jun 29, 2026 — Referred to the House Committee on Ways and Means.
- Jun 29, 2026 — Introduced in House
- Jun 29, 2026 — Introduced in House