Maryland 2026 Regular Session

Maryland House Bill HB1136

Introduced
2/11/26  

Caption

Nonprofit Hospitals - Community Benefits

Impact

The introduction of HB 1136 has the potential to significantly influence the operational landscape of nonprofit hospitals in Maryland. By imposing stringent requirements for community benefit reporting to the Health Services Cost Review Commission, the bill seeks to enhance transparency and accountability. Hospitals must file annual reports detailing their contributions to community health and the costs associated with these services. Failure to comply can lead to penalties, including the revocation of tax-exempt status, which encourages hospitals to adhere to the outlined regulations while serving their communities effectively.

Summary

House Bill 1136 is centered around the framework that governs nonprofit hospitals in Maryland, specifically addressing their community benefit requirements. The bill mandates that nonprofit hospitals deliver community benefits equaling 100% of their tax-exempt value or at least 5% of their net patient revenue, contingent on certain conditions related to charity care provision. This requirement aims to ensure that nonprofit hospitals actively contribute to the health needs of their communities, aligning their services with local health priorities.

Contention

Debate around HB 1136 may arise from the perceived burden it places on nonprofit hospitals, particularly smaller institutions that may find it challenging to meet the stringent community benefit requirements. While proponents argue that these measures are necessary to ensure that nonprofit hospitals fulfill their mission of serving the community, critics may contend that it could lead to financial strain or discourage some hospitals from maintaining their nonprofit status altogether. The bill's stipulations necessitate careful consideration of both the financial capabilities of these institutions and the health needs of the communities they serve.

Companion Bills

MD SB832

Crossfiled Nonprofit Hospitals - Community Benefits

Previously Filed As

MD HB1136

Nonprofit Hospitals - Community Benefits

MD HB871

Health Services Cost Review Commission - Community Benefits - Community Health Worker Workforce Program

MD HB1228

Insurance - Premium Receipts Tax - Exemption for Captive Insurance Procured by Nonprofit Hospitals and Health Care Systems

MD HB765

Hospitals - Medical Debt Collection - Sale of Patient Debt

MD HB268

Hospitals - Financial Assistance and Collection of Debts - Policies

MD SB890

Housing and Community Development - Division of Just Communities - Establishment

MD SB981

Hospitals - Financial Assistance and Collection of Debts - Policies

MD SB365

Department of Commerce – Nonprofit Organizations Navigator – Established

MD HB541

Department of Commerce - Nonprofit Organizations Navigator - Established

MD HB547

Hospitals - Price Transparency - Requirements and Fund

Similar Bills

CA SB1240

Office of Nonprofit Empowerment.

AL SB277

Unincorporated nonprofit associations; decentralized associations provided for

AL HB483

Unincorporated nonprofit associations; decentralized associations provided for

HI HB1645

Relating To Liability.

CA SCR171

California Nonprofits Day.

CA ACR62

California Nonprofits Day.

CA AB1836

California State Nonprofit Security Grant Program.

CO HB1170

Lobbying by Nonprofit Entities