G. Hospital Community Benefit (The Hilltop Institute, UMBC)

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    What Are Hospital Community Benefits
    (The Hilltop Institute, 2016-06-01) The Hilltop Institute
    This fact sheet explains hospital community benefits—initiatives and activities undertaken by nonprofit hospitals to improve health in the communities they serve—in the context of the federal framework as well as the state and local framework.
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    Hospital Community Benefits after the ACA: Trends in State Community Benefit Legislation, November 2015 – May 2016
    (The Hilltop Institute, 2016-06) Inniss, Blair; Tan, Brenna; Woodcock, Cynthia H.
    This issue brief, the thirteenth in a series, addresses Hilltop’s latest update of the Community Benefit State Law Profiles to reflect new community benefit legislation enacted between November 1, 2015, and May 31, 2016. Just three states enacted new community benefit legislation: Florida, New Hampshire, and Vermont. To better under-stand current trends in legislative action, Hilltop also reviewed community benefit bills in eight states that were introduced but not enacted or are still pending. Bills like these are often reintroduced in subsequent sessions and inform legislative activity and policy-making in other states.
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    Community Benefit State Law Profiles A 50-State Survey of State Community Benefit Laws through the Lens of the ACA
    (The Hilltop Institute, 2016-06) The Hilltop Institute
    The Hilltop Institute’s Community Benefit State Law Profiles (Profiles) present a comprehensive analysis of each state’s community benefit landscape as defined by its laws, regulations, tax exemptions, and, in some cases, policies and activities of state executive agencies. The Profiles organize these state-level legal frameworks by the major categories of federal community benefit requirements found in §9007 of the Affordable Care Act (ACA), §501(r) of the Internal Revenue Code. As state policymakers and community stakeholders assess their state’s community benefit landscape in the wake of national health reform, the Profiles provide a needed contextual basis for consideration of these policies against those of other states and federal community benefit benchmarks
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    Hospital Community Benefits after the ACA Trends in State Community Benefit Legislation, January-October 2015
    (The Hilltop Institute, 2015-11) Nelson, Gayle D.; Woodcock, Cynthia H.
    This issue brief, the twelfth in a series, addresses Hilltop’s latest update of the Community Benefit State Law Profiles to reflect new community benefit legislation enacted between January 1, 2015, and October 31, 2015. Just two states—Connecticut and North Carolina—enacted new community benefit legislation during this time. This brief discusses these changes, as well as community benefit bills in twelve states that were introduced but not enacted in 2015 in order to better understand current trends in legislative action.
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    Federal Requirements for Tax-Exempt Hospitals: the IRS Final Rules
    (2015-06-26) Nelson, Gayle D.
    Hilltop Hospital Community Benefit Program Director Gayle D. Nelson, JD, gave this presentation at a Payers and Providers webinar titled The New Era: Hospital Community Benefits & Patient Financial Assistance on June 26, 2015. The webinar was attended by a national audience of state policymakers, community benefit directors of hospitals and health plans, financial officers, and providers. In her presentation, Nelson gave an overview of Affordable Care Act (ACA) §9007, “Additional Requirements for Charitable Hospitals,” which added I.R.C. §501(r) when it was enacted in 2010; gave a regulatory history from 2010 to the present; and discussed the Final Rules and their stipulations that were promulgated on December 31, 2014
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    Hospital Community Benefits after the ACA Leveraging Hospital Community Benefit Policy to Improve Community Health
    (The Hilltop Institute, 2015-06) Woodcock, Cynthia H.; Nelson, Gayle D.
    This is the eleventh issue brief in a series published by the Hospital Community Benefit Program. This brief discusses the fact that payment reform focusing on value and quality is driving change that is redefining the hospital’s role in the continuum of care and the health of the broader population. This brief also identifies opportunities for state policymakers to encourage the evolution of hospital community benefit policy in ways that complement and support the realignment of the hospital business model, proactively address the social determinants of health, and ultimately improve the health of the entire community.
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    Hospital Community Benefits after the ACA State Law Changes and Promotion of Community Health
    (The Hilltop Institute, 2015-02) Nelson, Gayle D.; Mueller, Carl H.; Wells, Teneil K.; Boddie-Willis, Cynthia L.; Woodcock, Cynthia H.
    This is the tenth issue brief in a series published by the Hospital Community Benefit Program. This brief examines state-level community benefit oversight by studying specific changes to community benefit statutes, regulations, and policies in 5 states selected from among the 40 states known to provide oversight of any type. These five states—Colorado, Illinois, Minnesota, New Hampshire, and New York—adopted changes during the period spanning four years before and after adoption of the Affordable Care Act.
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    Leveraging Hospital Community Benefit Requirements
    (The Hilltop Institute, 2014-10-08) Nelson, Gayle
    Hilltop Hospital Community Benefit Program Director Gayle Nelson gave this presentation at the National Academy for State Health Policy’s 27th Annual State Health Policy Conference on October 8, 2014, in Atlanta, Georgia. Nelson discussed hospital community benefits and various approaches states could use to leverage them to improve population health
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    Hospital Community Benefit: A Policy Lever for States
    (The Hilltop Institute, 2014-08-27) Nelson, Gayle D.
    Hilltop Hospital Community Benefit Program Director Gayle D. Nelson, JD, MPH, gave this presentation to the steering committee of the Milbank Memorial Fund-supported Reforming States Group (RSG) at their meeting in Chicago, Illinois, on August 27, 2014. Nelson discussed hospital community benefit and the cost of tax exemption; using hospital community benefit as a policy lever; and avenues interested policymakers could explore with respect to their own states’ community benefit landscapes.
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    Hospital Community Benefits after the ACA Addressing Social and Economic Factors that Shape Health
    (The Hilltop Institute, 2014-05) Nelson, Gayle D.; Skopac, Jessica S.; Mueller, Carl H.; Wells, Teneil K.; Boddie-Willis, Cynthia L.
    This is the ninth issue brief in a series released by Hilltop’s Hospital Community Benefit Program. This brief continues the program’s examination of state-level community benefit oversight by focusing on the ten states that require hospitals to develop implementation strategies.
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    Hospital Community Benefits after the ACA: Present Posture, Future Challenge
    (The Hilltop Institute, 2013-10) Somerville, Martha H.; Nelson, Gayle D.; Mueller, Carl H.; Boddie‐Willis, Cynthia L.
    This is the eighth issue brief in a series published by Hilltop’s Hospital Community Benefit Program. This brief focuses on updating significant points concerning community health needs assessment (CHNA) and other aspects of community benefit discussed in the earlier briefs, as well as on identifying and exploring more recent developments and emerging issues. Specifically, this brief discusses the Internal Revenue Service’s (IRS’s) 2013 proposed rules, “Community Health Needs Assessments for Charitable Hospitals,” and their potential impact on nonprofit hospital needs assessment, community benefit planning, and collaborative approaches to community health improvement.
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    Hospital Community Benefits after the ACA: Policy Implications of the State Law Landscape
    (The Hilltop Institute, 2013-09) Nelson, Gayle D.; Somerville, Martha H.; Mueller, Carl H.; Boddie-Willis, Cynthia L.
    This is the seventh issue brief in a series released by Hilltop’s Hospital Community Benefit Program. This brief is a companion to the online tool, Community Benefit State Law Profiles, and presents the Profiles’ findings and begins the analysis—in effect, viewing state community benefit standards through the lens of the ACA—to facilitate a better understanding of each state’s community benefit landscape and its significance in the context of national health reform.
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    Community Health Needs Assessment: Legal Requirements, Practical Opportunities
    (The Hilltop Institute, 2013-06-25) Somerville, Martha H.
    At the Academy Health Annual Research Meeting on June 25, 2013, in Baltimore, Maryland, Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, delivered a panel discussion. Her presentation addressed hospital charity care/community benefits/tax exemption; federal community health needs assessment and implementation strategies; collaborative needs assessment; and the role of nonprofit hospitals in health system transformation.
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    Community Benefit State Law Profiles
    (The Hilltop Institute, 2013-06-23) Somerville, Martha H.; Nelson, Gayle D.; Mueller, Carl H.; Boddie‐Willis, Cynthia L.
    At the Academy Health Annual Research Meeting on June 23, 2013, in Baltimore, Maryland, Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, and Policy Analyst Gayle Nelson, JD, MPH, gave a poster presentation entitled Community Benefit State Law Profiles. This poster highlights the variation in community benefit laws across states in comparison with the federal community benefit standard.
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    Community Health Needs Assessment: A Tool for Improving Community Health
    (The Hilltop Institute, 2013-05-30) Nelson, Gayle D.
    Hilltop Hospital Community Benefit Program Policy Analyst Gayle D. Nelson, JD, MPH, gave a presentation at a National Association of Counties (NaCo) webinar titled “Using the Community Health Needs Assessment to Inform Policy making” on May 30, 2013. In her presentation, Nelson provided a legal context for community health needs assessment (CHNA); described CHNA’s role in community health improvement; and discussed CHNA requirements and processes for nonprofit hospitals.
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    Driving Health Equity through Public Policy: Hospital Community Benefits
    (The Hilltop Institute, 2013-04-22) Somerville, Martha H.
    Hilltop Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, gave a presentation at an Institute of Medicine (IOM) workshop titled Achieving Health Equity via the Affordable Care Act: Promises, Provisions, and Making Reform a Reality for Diverse Patients on April 22, 2013, in Hartford, Connecticut. In her presentation, Driving Health Equity through Public Policy: Hospital Community Benefits, Somerville discussed tax-exempt hospitals’ community benefit responsibilities under the Affordable Care Act (ACA) and identified how the ACA requirements can be used as levers to advance health equity.
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    Hospital Community Benefits after the ACA: The State Law Landscape
    (The Hilltop Institute, 2013-03) Somerville, Martha H.; Nelson, Gayle D.; Mueller, Carl H.
    This is the sixth issue brief in a series released by Hilltop’s Hospital Community Benefit Program. This brief is a companion to the online tool, Community Benefit State Law Profiles, and presents the Profiles’ findings and begins the analysis—in effect, viewing state community benefit standards through the lens of the ACA—to facilitate a better understanding of each state’s community benefit landscape and its significance in the context of national health reform. The other issue briefs in the Hospital Community Benefits after the ACA series are The Emerging Federal Framework, Building on State Experience, Partnerships for Community Health Improvement, Schedule H and Hospital Community Benefit—Opportunities and Challenges for the States, and Community Building and the Root Causes of Poor Health.
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    Hospital Community Benefits after the ACA: Schedule H and Hospital Community Benefit—Opportunities and Challenges for the States
    (The Hilltop Institute, 2012-10) Barnett, Kevin; Somerville, Martha H.
    This issue brief, the fourth in a series published by Hilltop’s Hospital Community Benefit Program, is a collaboration between Kevin Barnett, DrPH, MCP, Senior Investigator at the Public Health Institute, and Martha Somerville, JD, MPH, Hilltop’s Hospital Community Benefit Program Director. It discusses key federal community benefit reporting requirements developed by the Internal Revenue Service (IRS) as Form 990, Schedule H and explores the opportunities and challenges these present to state officials and policymakers, both as a reporting framework and as an informational resource.The other issue briefs in the Hospital Community Benefits after the ACA series are The Emerging Federal Framework, Building on State Experience, Partnerships for Community Health Improvement, and Community Building and the Root Causes of Poor Health.
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    Hospital Community Benefits after the ACA: Community Building and the Root Causes of Poor Health
    (The Hilltop Institute, 2012-10) Somerville, Martha H.; Nelson, Gayle D.; Mueller, Carl H.; Boddie-Willis, Cynthia L.; Folkemer, Donna C.
    This is the fifth issue brief in a series released by Hilltop’s Hospital Community Benefit Program. It discusses hospital community building activities and their importance in addressing the root causes of poor health and disability. It explores hospitals’ community benefit activities that go beyond the provision of health care services to focus on “upstream” social, economic, and environmental factors—education, employment, income, housing, community design, family and social support, community safety, and the environment—that are major contributors to community health. IRS Form 990, Schedule H is the vehicle hospitals use to report these activities.The other issue briefs in the Hospital Community Benefits after the ACA series are The Emerging Federal Framework, Building on State Experience, Partnerships for Community Health Improvement, and Schedule H and Hospital Community Benefit—Opportunities and Challenges for the States.
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    Community Benefit in Context: Evolution to ACA §9007
    (The Hilltop Institute, 2012-06-21) Somerville, Martha H.
    Hilltop Hospital Community Benefit Program Director Martha H. Somerville, JD, MPH, presented at the American Health Lawyers Association’s June 21, 2012, webinar titled Protecting Tax Exemption Under the ACA: Exploring New Requirements Related to Community Needs Assessments; Financial Assistance Policies; and Billing and Collection Policies and Procedures. Somerville’s presentation provided an overview of the origins and evolution of charitable tax exemption, the community benefit standard, and current tax exemption requirements for nonprofit hospitals. Other webinar presenters were Julie A. Trocchio, Senior Director of Community Benefit and Continuing Care at the Catholic Health Association, and Jessica Curtis, Esquire, Project Director of Community Catalyst’s Hospital Accountability Project. The session was moderated by Thomas Hyatt, Esquire, of SNR Denton.