# 119-hr-3019: Holding Nonprofit Hospitals Accountable Act

119-hr-3019, Holding Nonprofit Hospitals Accountable Act, is a 119th Congress bill sponsored by Rep. Spartz, Victoria [R-IN-5] (R-IN); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3019
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3019
- Congress: 119
- Title: Holding Nonprofit Hospitals Accountable Act
- Status: introduced
- Introduced: 2025-04-24
- Sponsor: Rep. Spartz, Victoria [R-IN-5] (R-IN)
- Cosponsors: 0
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

This bill would require nonprofit hospitals to meet a new **community benefit spending test tied to the value of their tax exemptions** and align financial-assistance billing with Medicare rates. - Patients and families: Financial-assistance policies would be tied to Medicare rates for billing, and free or discounted care would count toward hospitals' community benefit obligations. - Nonprofit hospitals: Hospitals that have community-based boards and serve Medicare and Medicaid patients would need to spend at least 100 percent of the value of their federal, state, and local tax exemptions each taxable year on training, research, facility or equipment improvements, or free/discounted care. No more than 50 percent of that minimum could be spent on facility or equipment improvements and purchases of other care delivery organizations would not count as improvements. - Oversight and reporting: The Treasury Inspector General for Tax Administration would review financial-assistance policies and report to congressional tax committees within 365 days and annually after that. The Comptroller General would review IRS enforcement of the new standard within 365 days and then every three years.

## Provisions PRIA read

- New community spending rules for nonprofit hospitals: benefit, medium. This bill would set new rules for tax‑exempt hospitals. Each year, they would have to spend at least the full value of their federal, state, and local tax breaks on community benefits. That spending could fund training and research, upgrades to facilities and equipment, and free or discounted care,…
- Medicare rates for hospital financial help: benefit, low. The bill would make hospitals use Medicare rates when they set the amounts billed in their financial assistance policies. If you qualify for a hospital’s financial help, this could lower the charges used to decide your discount. This would apply for taxable years beginning after December 31, 2025.

## Related bills

- 119-hr-5582: Patients Deserve Price Tags Act
- 119-hr-3222: SMART Health Care Act
- 119-hr-2548: Sanctioning Russia Act of 2025
- 119-hr-1357: Susan Muffley Act of 2025
- 119-hr-3184: PFAS Alternatives Act
- 119-hr-10463: Combat Veterans Retirement Restoration Act

## Sources
- [119-hr-3019 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3019)

## Related
- [119-hr-5582: Patients Deserve Price Tags Act](https://policyrisk.com/legislation/119-hr-5582)
- [119-hr-3222: SMART Health Care Act](https://policyrisk.com/legislation/119-hr-3222)
- [119-hr-2548: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-hr-2548)
- [119-hr-1357: Susan Muffley Act of 2025](https://policyrisk.com/legislation/119-hr-1357)
- [119-hr-3184: PFAS Alternatives Act](https://policyrisk.com/legislation/119-hr-3184)
- [119-hr-10463: Combat Veterans Retirement Restoration Act](https://policyrisk.com/legislation/119-hr-10463)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3019 (as of 2025-12-21).