Bill would force nonprofit hospitals to disclose more financial detail
In markupH.R. 9504Latest action
Sponsor: Gregory F. Murphy · Representative · NC
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Official title: Tax Exempt Hospital Transparency Act
119th Congress
Topics: Jobs & the economy
Introduced:
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Tax-exempt hospitals would face new annual reporting rules, with tougher requirements for large, high-revenue facilities.
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What does this do?
The Tax Exempt Hospital Transparency Act requires nonprofit hospitals to report more detailed financial and operational data annually, including audited financial statements, charity care levels, financial assistance applications, and community health need responses. Larger hospitals (over 100 inpatient beds) and high-revenue hospitals (over $100 million in patient revenue) must also break down spending by quality versus administrative costs, disclose advertising expenses, report service-line revenue and costs, and detail 340B drug discount program finances.
Who does it affect?
Tax-exempt hospitals nationwide are affected, with the heaviest new obligations falling on large and high-revenue hospitals; small, rural, and critical-access hospitals face lighter requirements.
Why does it matter?
The changes would increase hospitals' paperwork and disclosure obligations and give the public more visibility into nonprofit hospital finances and community benefit spending.
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Where does it stand?
- IntroducedJun 29, 2026
- House committeeYou are here · Jul 1, 2026
- House vote
- Senate
- The president's desk
Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.
Latest action: — Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
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