Senate File 449 - Introduced



                                       SENATE FILE       
                                       BY  COMMITTEE ON STATE
                                           GOVERNMENT

                                       (SUCCESSOR TO SSB 1297)


    Passed Senate, Date               Passed House,  Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act requiring the legislative services agency to prepare
  2    reports regarding nonprofit hospitals and organized health
  3    systems.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  5 TLSB 2418SV 82
  6 nh/gg/14

PAG LIN



  1  1    Section 1.  NONPROFIT HOSPITALS AND ORGANIZED HEALTH
  1  2 SYSTEMS == ANALYSIS AND ANNUAL REPORTS BY LEGISLATIVE SERVICES
  1  3 AGENCY.  The legislative services agency shall prepare all of
  1  4 the following information in regard to nonprofit hospitals and
  1  5 organized health systems in this state:
  1  6    1.  An annual report, to be submitted to the general
  1  7 assembly by January 1 each year through January 1, 2012,
  1  8 compiling information reported on federal tax form 990 by
  1  9 nonprofit hospitals operating in the state.  The department of
  1 10 revenue shall assist the legislative services agency in
  1 11 obtaining the information.  The information shall include all
  1 12 of the following, reported on a per hospital and an aggregate
  1 13 basis:
  1 14    a.  Total revenues.
  1 15    b.  The amount of excess revenue or profit.
  1 16    c.  The amount of the compensation paid to the hospital's
  1 17 chief executive officer, chief financial officer, and other
  1 18 executive=level administrators.
  1 19    d.  The amount and percentage of free care provided.
  1 20    e.  The amount and percentage of revenue received from
  1 21 Medicaid.
  1 22    f.  The amount and percentage of revenue received from
  1 23 Medicare.
  1 24    2.  An annual report, to be submitted to the general
  1 25 assembly by January 1 each year through January 1, 2012,
  1 26 compiling information reported on federal tax form 990 by
  1 27 organized health systems operating in the state.  The
  1 28 department of revenue shall assist the legislative services
  1 29 agency in obtaining the information.  The information shall
  1 30 include all of the following, reported on a per organized
  1 31 health system and an aggregate basis:
  1 32    a.  Total revenues.
  1 33    b.  The amount of excess revenue or profit.
  1 34    c.  The amount of the compensation paid to the health
  1 35 system's chief executive officer, chief financial officer, and
  2  1 other executive=level administrators.
  2  2    d.  The amount and percentage of free care provided.
  2  3    e.  The amount and percentage of revenue received from
  2  4 Medicaid.
  2  5    f.  The amount and percentage of revenue received from
  2  6 Medicare.
  2  7    3.  A report reviewing and comparing the laws of this state
  2  8 and surrounding states governing nonprofit corporations as
  2  9 such laws relate to the operation of nonprofit hospitals and
  2 10 organized health systems.  The report shall be submitted to
  2 11 the general assembly by January 1, 2008.
  2 12                           EXPLANATION
  2 13    This bill requires the legislative services agency to
  2 14 prepare the following reports for submission to the general
  2 15 assembly:
  2 16    1.  An annual report to be submitted by January 1, each
  2 17 year through January 1, 2012, compiling information reported
  2 18 on federal tax form 990 by nonprofit hospitals operating in
  2 19 the state.  The information shall include all of the
  2 20 following, reported on a per hospital and an aggregate basis:
  2 21 total revenues; the amount of excess revenue or profit; the
  2 22 amount of compensation paid to the hospital's chief executive
  2 23 officer, chief financial officer, and other executive=level
  2 24 administrators; the amount and percentage of free care
  2 25 provided; the amount and percentage of revenue received from
  2 26 Medicaid; and the amount and percentage of revenue received
  2 27 from Medicare.
  2 28    2.  An annual report to be submitted by January 1, each
  2 29 year through January 1, 2012, compiling information reported
  2 30 on federal tax form 990 by organized health systems operating
  2 31 in the state.  The information shall include all of the
  2 32 following, reported on a per organized health system and an
  2 33 aggregate basis:  total revenues; the amount of excess revenue
  2 34 or profit; the amount of the compensation paid to the health
  2 35 system's chief executive officer, chief financial officer, and
  3  1 other executive=level administrators; the amount and
  3  2 percentage of free care provided; the amount and percentage of
  3  3 revenue received from Medicaid; the amount and percentage of
  3  4 revenue received from Medicare.
  3  5    3.  A report, to be submitted by January 1, 2008, reviewing
  3  6 and comparing the laws of this state and surrounding states
  3  7 governing nonprofit corporations as such laws relate to the
  3  8 operation of nonprofit hospitals and organized health systems.
  3  9 LSB 2418SV 82
  3 10 nh:rj/gg/14