HR 3019 requires nonprofit hospitals to spend at least 100% of the value of their tax breaks on community benefits like charity care, training, and research. They can't cap how many Medicare or Medicaid patients they see, must bill financially assisted patients at Medicare rates, and must put local community members on their boards. Federal agencies would audit and report on compliance every year.
Modern Action shows what the legislation would change, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.
Holding Nonprofit Hospitals Accountable Act is a House bill in committee. The latest recorded action: Referred to the House Committee on Ways and Means.
Latest action on H.R. 3019: Referred to the House Committee on Ways and Means.
Who this affects: The bill impacts nonprofit hospitals, patients using public health programs, and taxpayers. It aims to ensure that hospitals provide real community benefits in exchange for tax exemptions.
Why this matters: Nonprofit hospitals receive significant tax benefits, which can lower their costs but also reduce tax revenue for governments. This bill ties those tax breaks more directly to clear requirements for serving the community, including caring for Medicare and Medicaid patients, offering free or discounted care, and investing in training, research, and facility improvements. It also limits how much of the required spending can go toward buildings and equipment instead of direct patient or community support. For patients, especially those with low incomes or public insurance, the bill could affect how easy it is to access care and how much they are charged, since financial assistance would be linked to Medicare rates. For hospitals, the bill could change budgeting and spending choices, because they would need to track the value of all tax exemptions and spend at least that amount on defined community benefits. The exact impact on patient care, hospital finances, and local health systems would depend on how hospitals respond and how the IRS and oversight agencies enforce these rules. The required reviews and recurring reports are meant to give Congress more information about how hospitals apply their financial assistance policies and how well the IRS enforces the standards. This could influence future changes to health and tax policy affecting nonprofit hospitals.
You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.
Officially: Holding Nonprofit Hospitals Accountable Act
HR 3019 requires nonprofit hospitals to spend at least 100% of the value of their tax breaks on community benefits like charity care, training, and research. They can't cap how many Medicare or Medicaid patients they see, must bill financially assisted patients at Medicare rates, and must put local community members on their boards. Federal agencies would audit and report on compliance every year.
Use this page to support, oppose, or ask Congress to amend HR3019. Modern Action shows what the bill would change, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in House Committee
No vote scheduled. Constituent contact is what moves bills out of committee.
↓ Why your message matters here
This bill is sitting in committee with no scheduled vote — which means a small number of constituent messages can decide whether it moves forward or quietly dies.
Enter your ZIP to see how your senators and member of Congress have voted, sponsored, or spoken on this bill.
The debate
Where this bill is in the process
Introduced
Introduced in House
House Committee
Under House committee consideration
Latest: Referred to the House Committee on Ways and Means. (4/24/2025)
House Floor Vote
Voted on by House
Passed House
Approved by House
Senate Review
Sent to Senate for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
For more detail
Choose one clear position: support, oppose, or amend. Then pick any reasons or personal context you want included. Modern Action uses that input and the bill context to draft a message you can edit and send.
Congressional offices prioritize messages from their own constituents. Modern Action uses your address to route the drafted message to your House representative when that is the most relevant target for this bill.
The draft includes the bill number, your position, the reasons you selected, any personal context you added, and a direct ask such as voting yes, voting no, cosponsoring, opposing, or seeking changes. You stay in control because you can edit the message before sending.
This page gives you an opportunity to support, oppose, or ask for changes to Holding Nonprofit Hospitals Accountable Act, then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it would do, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around HR3019, your stance, and the reasons you choose, then lets you edit and send when ready.
