A former Montana health department staffer criticized new rules implementing legislation to scrutinize nonprofit hospitals’ charitable acts as being a hospital “wish list.” The rules aim to collect data on hospitals’ charitable acts to eventually create giving standards. However, the rules have been accused of catering to the Montana Hospital Association and providing exemptions for hospitals with operating losses. The debate reflects tensions nationwide between states seeking to regulate nonprofit hospitals and pushback from hospitals. The goal is to ensure hospitals give back their fair share, but challenges remain in defining what should count as a benefit and setting proper oversight standards.
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