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values | notes stringlengths 64 1.32k | source stringlengths 45 97 | source_quote stringlengths 152 1.14k | state stringlengths 4 12 | statute_citation stringlengths 7 19 | url stringlengths 80 88 | verified_fields listlengths 1 4 | free_care_threshold stringclasses 9
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
A hospital shall not impose time limits for applying for charity care or discounted payments, nor deny eligibility based on the timing of a patient’s application. | [
"state"
] | at or below 400 percent of the federal poverty level | Each hospital shall maintain an understandable written policy regarding discount payments for financially qualified patients as well as an understandable written charity care policy | california | federal poverty level | Rural hospitals, as defined in Section 124840, may establish eligibility levels for financial assistance and charity care at less than 400 percent of the federal poverty level as appropriate to maintain their financial and operational integrity. | https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=HSC§ionNum=127405 | Uninsured patients or patients with high medical costs who are at or below 400 percent of the federal poverty level, as defined in subdivision (b) of Section 127400, shall be eligible for participation under a hospital’s charity care policy or discount payment policy. | California | HSC 127405 | https://referencesource.org/state-hospital-financial-assistance-thresholds/california/ | [
"discount_threshold",
"income_basis"
] | null | null |
null | [
"state"
] | NOT MORE THAN TWO HUNDRED FIFTY PERCENT OF THE FEDERAL POVERTY LEVEL | A HEALTH-CARE FACILITY AND A LICENSED HEALTH-CARE PROFESSIONAL SHALL, FOR EMERGENCY AND OTHER NON-CICP HEALTH-CARE SERVICES | colorado | FEDERAL POVERTY LEVEL | (c) AFTER A CUMULATIVE THIRTY-SIX MONTHS OF PAYMENTS, CONSIDER THE PATIENT'S BILL PAID IN FULL AND PERMANENTLY CEASE ANY AND ALL COLLECTION ACTIVITIES ON ANY BALANCE THAT REMAINS UNPAID. | https://leg.colorado.gov/sites/default/files/2021a_1198_signed.pdf | BEGINNING JUNE 1, 2022, IF A PATIENT IS SCREENED PURSUANT TO SECTION 25.5-3-502 AND IS DETERMINED TO BE A QUALIFIED PATIENT, A HEALTH-CARE FACILITY AND A LICENSED HEALTH-CARE PROFESSIONAL SHALL, FOR EMERGENCY AND OTHER NON-CICP HEALTH-CARE SERVICES: (a) LIMIT THE AMOUNTS CHARGED TO NOT MORE THAN THE DISCOUNTED RATE EST... | Colorado | 25.5-3-503 | https://referencesource.org/state-hospital-financial-assistance-thresholds/colorado/ | [
"hospitals_covered"
] | null | null |
null | [
"state"
] | at or below two hundred fifty per cent of the poverty income guidelines | No hospital or entity that is owned by or affiliated with such hospital that has provided health care to an uninsured patient may collect from the uninsured patient more than the cost of providing such health care. | connecticut | poverty income guidelines | Each collection agent engaged in collecting a debt from a patient arising from health care provided at a hospital shall provide written notice to such patient as to whether the hospital deems the patient an insured patient or uninsured patient and the reasons for such determination. | https://www.cga.ct.gov/current/pub/chap_368z.htm#sec_19a-673 | “Uninsured patient” means any person who is liable for one or more hospital charges whose income is at or below two hundred fifty per cent of the poverty income guidelines who (A) has applied and been denied eligibility for any medical or health care coverage provided under the Medicaid program due to failure to satisf... | Connecticut | Sec. 19a-673 | https://referencesource.org/state-hospital-financial-assistance-thresholds/connecticut/ | [
"discount_threshold",
"income_basis"
] | null | null |
null | [
"state"
] | not more than 600% of the federal poverty income guidelines | A hospital, other than a rural hospital or | | Critical Access Hospital | illinois | federal poverty income guidelines | (3) A rural hospital or Critical Access Hospital | | shall provide a discount from its charges to any uninsured patient who applies for a discount and has annual family income of not more than 300% of the federal poverty income guidelines for all medically necessary health care services exceeding $300 in any one inpati... | https://www.ilga.gov/legislation/ilcs/fulltext.asp?DocName=021000890K10 | Critical Access Hospital, shall provide a discount from its charges to any uninsured patient who applies for a discount and has family income of not more than 600% of the federal poverty income guidelines for all medically necessary health care services exceeding $150 in any one inpatient admission or outpatient encoun... | Illinois | 210 ILCS 89/10 | https://referencesource.org/state-hospital-financial-assistance-thresholds/illinois/ | [
"discount_threshold",
"free_care_threshold",
"hospitals_covered",
"income_basis"
] | not more than 200% of the federal poverty income guidelines | null |
null | [
"state"
] | null | A hospital shall, in accordance with rules adopted by the department, provide free health care services to eligible patients who are state residents in accordance with this section. | maine | federal poverty level | In accordance with rules adopted by the department, a hospital shall offer a patient with a documented family income that does not exceed 400% of the federal poverty level a payment plan that requires monthly out-of-pocket payments that do not exceed 4% of the patient's monthly family income that is not exempt from att... | https://www.mainelegislature.org/legis/Statutes/22/title22sec1716-A.html | A hospital shall provide free, medically necessary services for patients whose family income is equal to or less than 200% of the federal poverty level. | Maine | Title 22, §1716-A | https://referencesource.org/state-hospital-financial-assistance-thresholds/maine/ | [
"free_care_threshold",
"income_basis"
] | equal to or less than 200% of the federal poverty level | null |
within 240 days after the initial hospital bill is provided | [
"state"
] | below 500% of the federal poverty level | each acute care hospital and each chronic care hospital in the State under the jurisdiction of the Commission | maryland | federal poverty level | Subject to income thresholds set under paragraph (3) of this subsection, the financial assistance policy required under this subsection shall provide reduced–cost medically necessary care to patients with family income below 500% of the federal poverty level who have a financial hardship. | https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg§ion=19-214.1 | Free medically necessary care to patients with family income at or below 200% of the federal poverty level, calculated at the time of service or updated, as appropriate, to account for any change in financial circumstances of the patient that occurs within 240 days after the initial hospital bill is provided; | Maryland | §19–214.1 | https://referencesource.org/state-hospital-financial-assistance-thresholds/maryland/ | [
"application_window",
"free_care_threshold",
"income_basis"
] | at or below 200% of the federal poverty level | 1. For a patient with family income of at least 201% but not more than 250% of the federal poverty level, by 75%; 2. For a patient with family income of more than 250% but not more than 300% of the federal poverty level, by 60%; 3. For a patient with family income of more than 300% but not more than 350% of the federal... |
null | [
"state"
] | null | A hospital shall provide, without charge, in each fiscal year, care for indigent inpatients | nevada | each county shall use the definition of “indigent” in NRS 439B.310 | 4. Whose income is less than: (a) For one person living without another member of a household, $438. (b) For two persons, $588. (c) For three or more persons, $588 plus $150 for each person in the family in excess of two. | https://www.leg.state.nv.us/nrs/nrs-439b.html | A hospital shall provide, without charge, in each fiscal year, care for indigent inpatients in an amount which represents 0.6 percent of its net revenue for the hospital’s preceding fiscal year. | Nevada | NRS 439B.320 | https://referencesource.org/state-hospital-financial-assistance-thresholds/nevada/ | [
"hospitals_covered"
] | null | null |
at any time up to one year from the date of outpatient service or inpatient discharge | [
"state"
] | greater than 200 percent of the HHS Poverty Guidelines but not more than 300 percent of these guidelines | null | new-jersey | HHS Poverty Guidelines | If qualified medical expenses, as defined for the purposes of Federal income tax deductibility, for applicants eligible for reduced charge charity care exceeds 30 percent of the applicant's or family's, if applicable, annual gross income as calculated by (e) below, such excess will be eligible for 100 percent coverage ... | https://www.nj.gov/health/hcf/documents/charitycare/02-27-26-charity-care-section.pdf | A person whose individual or, if applicable, family income, as determined by (e) below, is less than or equal to 200 percent of the HHS Poverty Guidelines shall be eligible for charity care for necessary health services without cost. | New Jersey | N.J.A.C. 10:52-11.8 | https://referencesource.org/state-hospital-financial-assistance-thresholds/new-jersey/ | [
"free_care_threshold",
"income_basis"
] | less than or equal to 200 percent of the HHS Poverty Guidelines | Income as a percentage of HHS Poverty Guidelines Percentage of Charges Paid by Applicant >200 to 225 20 >225 to 250 40 >250 to 275 60 >275 to 300 80 |
null | [
"state"
] | less than or equal to two hundred percent of the federal poverty guidelines | This rule applies to health care facilities, third-party health care providers, medical creditors, medical debt collectors and medical debt buyers subject to Sections 57-32-1 to 57-32-10 NMSA 1978. | new-mexico | federal poverty guidelines | Collection action based on charges for health care services and medical debt may not be pursued against an indigent patient. A determination whether a patient is an indigent patient shall be made before collection action is pursued against the patient. | https://www.srca.nm.gov/parts/title13/13.010.0039.html | utilizing the most recent federal poverty guidelines, the patient household income and household size, the medical creditor or medical debt collector shall determine whether the patient’s income is less than or equal to two hundred percent of the federal poverty guidelines | New Mexico | 13.10.39 NMAC | https://referencesource.org/state-hospital-financial-assistance-thresholds/new-mexico/ | [
"discount_threshold",
"income_basis"
] | null | null |
null | [
"state"
] | below at least four hundred percent of the federal poverty level | general hospitals shall, effective for periods on and after January first, two thousand seven, establish financial aid policies and procedures | new-york | federal poverty level | A hospital or its collection agent shall not commence a civil action against a patient or delegate a collection activity to a debt collector for nonpayment for at least one hundred eighty days after the first post-service bill is issued | https://codes.findlaw.com/ny/public-health-law/pbh-sect-2807-k.html | Such reductions from charges for patients with incomes below at least four hundred percent of the federal poverty level shall result in a charge to such individuals that does not exceed the amount that would have been paid for the same services provided pursuant to title XIX of the federal social security act (medicaid... | New York | PBH § 2807-k | https://referencesource.org/state-hospital-financial-assistance-thresholds/new-york/ | [
"discount_threshold",
"free_care_threshold",
"income_basis"
] | below at least two hundred percent of the federal poverty level, the hospital shall waive all charges | (ii) For patients with incomes between at least two hundred percent and up to three hundred percent of the federal poverty level, the hospital shall collect no more than the amount identified after application of a proportional sliding fee schedule under which patients with lower incomes shall pay the lowest amount. Su... |
null | [
"state"
] | null | Each hospital that receives funds distributed under sections 5168.01 to 5168.14 of the Revised Code | ohio | federal poverty line | The hospital has an established post-billing procedure for determining the individual's income and canceling the charges if the individual is found to qualify for services under this section. | https://codes.ohio.gov/ohio-revised-code/section-5168.14 | Each hospital that receives funds distributed under sections 5168.01 to 5168.14 of the Revised Code shall provide, without charge to the individual, basic, medically necessary hospital-level services to individuals who are residents of this state, are not medicaid recipients, and whose income is at or below the federal... | Ohio | Section 5168.14 | https://referencesource.org/state-hospital-financial-assistance-thresholds/ohio/ | [
"free_care_threshold",
"hospitals_covered",
"income_basis"
] | at or below the federal poverty line | null |
Any time up to 12 months after a patient pays for the services that the hospital provided. | [
"state"
] | not more than 400 percent of the federal poverty guidelines | A nonprofit hospital’s written financial assistance policy described in ORS 442.610 must | oregon | federal poverty guidelines | (b) Apply to all of the hospital’s nonprofit affiliated clinics; | https://www.oregonlegislature.gov/bills_laws/ors/ors442.html | (A) For a patient whose household income is not more than 200 percent of the federal poverty guidelines, by 100 percent; (B) For a patient whose household income is more than 200 percent of the federal poverty guidelines and not more than 300 percent of the federal poverty guidelines, by a minimum of 75 percent; (C) Fo... | Oregon | 442.614 | https://referencesource.org/state-hospital-financial-assistance-thresholds/oregon/ | [
"discount_schedule",
"discount_threshold",
"free_care_threshold",
"income_basis"
] | not more than 200 percent of the federal poverty guidelines | (B) For a patient whose household income is more than 200 percent of the federal poverty guidelines and not more than 300 percent of the federal poverty guidelines, by a minimum of 75 percent; (C) For a patient whose household income is more than 300 percent of the federal poverty guidelines and not more than 350 perce... |
null | [
"state"
] | between 200% and up to and including 300% of the Federal Poverty Levels (FPLs) | Every licensed hospital shall be in full compliance with the following statewide standards for the provision of charity care | rhode-island | Federal Poverty Levels (FPL) | This partial charity care shall be on a sliding scale discount basis determined by each individual hospital pursuant to its own evaluation of its service area needs and financial resources. | https://rules.sos.ri.gov/regulations/part/216-40-10-23 | Hospitals shall provide full charity care (i.e., a 100% discount) to patients/guarantors whose annual income is up to and including 200% of the Federal Poverty Levels (FPL), taking into consideration family unit size. | Rhode Island | 216-RICR-40-10-23 | https://referencesource.org/state-hospital-financial-assistance-thresholds/rhode-island/ | [
"free_care_threshold",
"income_basis"
] | up to and including 200% of the Federal Poverty Levels (FPL) | null |
at the time of application for charity care if the application is made within two years of the time of service | [
"state"
] | between 251 and 300 percent of the federal poverty level | For the purpose of providing charity care, each hospital shall develop, implement, and maintain a policy which shall enable indigent persons access to charity care | washington | federal poverty level | an acute care hospital with over 300 licensed beds located in the most populous county in Washington, or an acute care hospital with over 200 licensed beds located in a county with at least 450,000 residents and located on Washington's southern border shall grant charity care per the following guidelines: (i) All patie... | https://app.leg.wa.gov/RCW/default.aspx?cite=70.170.060 | (b) At a minimum, a hospital not subject to (a) of this subsection shall grant charity care per the following guidelines: (i) All patients and their guarantors whose income is not more than 200 percent of the federal poverty level, adjusted for family size, shall be deemed charity care patients for the full amount of t... | Washington | RCW 70.170.060 | https://referencesource.org/state-hospital-financial-assistance-thresholds/washington/ | [
"discount_schedule",
"discount_threshold",
"free_care_threshold",
"income_basis"
] | not more than 200 percent of the federal poverty level | (ii) All patients and their guarantors whose income is between 201 and 250 percent of the federal poverty level, adjusted for family size, shall be entitled to a 75 percent discount for the full amount of the patient responsibility portion of their hospital charges, which may be reduced by amounts reasonably related to... |
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