H.R. 9504 · 119th Congress
Tax Exempt Hospital Transparency Act
Introduced on Jun 29, 2026 by Gregory F. Murphy (R-NC-3). One cosponsor. Latest action (Jul 1, 2026): Ordered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
- Stage
- Introduced
- Introduced
- Jun 29, 2026
- Cosponsors
- 1
- 0 from the other party
- Policy area
- Taxation
Progress
The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.
- Introduced
- 2Reported by committee
- 3Passed one chamber
- 4Passed both chambers
- 5Sent to the President
- 6Became law
Official title
To amend the Internal Revenue Code of 1986 to establish additional reporting requirements for hospital organizations, and for other purposes.
Subjects
- Accounting and auditing
- Business records
- Congressional oversight
- Government studies and investigations
- Health facilities and institutions
- Tax-exempt organizations
Summary
By the Congressional Research Service (Introduced in House, Jun 29, 2026). Public domain.
Tax Exempt Hospital Transparency Act
This bill requires tax-exempt hospital organizations to report additional information to the Internal Revenue Service.
The bill defines a tax-exempt hospital organization as an organization that is licensed or recognized as a hospital and is required to
- conduct a community health needs assessment and adopt a strategy to meet the needs identified in the assessment,
- have a written financial assistance policy,
- limit charges for emergency and medically necessary care provided to individuals eligible for financial assistance and prohibit the use of gross charges,
- meet certain billing and collection requirements, and
- file IRS Form 990 (Return of Organization Exempt From Income Tax).
Under the bill, a tax-exempt hospital organization must include with Form 990 certain identifying information and
- a description of how the organization addresses the needs identified in the most recent community health needs assessment, the needs not addressed, and the reasons why needs are not being addressed;
- audited financial statements;
- the value (at cost) of the financial assistance provided; and
- the numbers of completed financial assistance applications received, granted, and denied during the tax year.
Further information reporting requirements are imposed on certain large or high-revenue tax-exempt hospital organizations.
Finally, the bill requires the Government Accountability Office to (1) study and report the costs associated with the additional information reporting requirements, and (2) estimate the amount of tax revenue that would be generated from the 25 tax-exempt hospital organizations with the highest gross revenue if such organizations were not exempt from tax.
Sponsor and cosponsors
Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.
Republicans · 1
- Lloyd SmuckerR-PA-11original
Roll calls
Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.
No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.
History
Every action as published, oldest first. Roll calls link to how each member voted.
- Jun 29, 2026Introduced in House
- Jun 29, 2026Introduced in House
- Jun 29, 2026 · HouseReferred to the House Committee on Ways and Means.
- Jul 1, 2026 · HouseCommittee Consideration and Mark-up Session Held
- Jul 1, 2026 · HouseOrdered to be Reported in the Nature of a Substitute by the Yeas and Nays: 25 - 15.
Committees
Committees and subcommittees the measure was referred to.
Agencies in its committees' jurisdiction
Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.
Who lobbied on it
Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.
- AMERICAN HOSPITAL ASSOCIATION3 reports$4.5M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
- Association of American Medical Colleges2 reports$821.4K reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
- Banner Health2 reports$60K reported (all issues)Federal contractor: BANNER HEALTH$2.6M in contracts, FY2026AI match · 100%
- Greater New York Hospital Association2 reports
- Indiana University Health, Inc.2 reports$110K reported (all issues)Federal contractor: INDIANA UNIVERSITY HEALTH, INC.$1.4M in contracts, FY2026AI match · 100%
- JOHNS HOPKINS UNIVERSITY2 reports$350K reported (all issues)Federal contractor: THE JOHNS HOPKINS UNIVERSITY$30.2M in contracts, FY2026AI match · 100%
- KAISER FOUNDATION HEALTH PLAN INC.2 reports$530K reported (all issues)Federal contractor: KAISER FOUNDATION HEALTH PLAN OF WASHINGTONAI match · 97%
- PHARMACEUTICAL RESEARCH & MANUFACTURERS OF AMERICA2 reports
- The New York and Presbyterian Hospital2 reports$130K reported (all issues)
- Trustees of the University of Pennsylvania2 reports$280K reported (all issues)Federal contractor: TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA, THE$18.3M in contracts, FY2026AI match · 100%
- 340B HEALTH1 report$240K reported (all issues)
- AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)1 report$3M reported (all issues)
- American Medical Association1 report$5.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
- Ascension Health Alliance1 report$80K reported (all issues)
- BIOTECHNOLOGY INNOVATION ORGANIZATION1 report$2.4M reported (all issues)
- BLUE CROSS BLUE SHIELD ASSOCIATION1 report$80K reported (all issues)
- BayCare Health System1 report
- CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES1 report$240.7K reported (all issues)
- California Hospital Association1 report$410K reported (all issues)
- Catholic Health Association1 report$50K reported (all issues)
- Children's Hospital Association f/k/a Nat'l Association of Children's Hospitals1 report$100K reported (all issues)
- Cleveland Clinic Foundation1 report
- Florida Hospital Association1 report
- GENENTECH INC.1 report
- HEALTHCARE ASSOCIATION OF NYS1 report$110K reported (all issues)Federal contractor: HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC.AI match · 100%
- Houston Methodist Hospital1 report$50K reported (all issues)
- LUNDBECK LLC1 report
- Large Urology Group Practice Association1 report$90K reported (all issues)
- Large Urology Group Practice Association (LUGPA)1 report$60K reported (all issues)
- MICHIGAN HEALTH & HOSPITAL ASSOCIATION1 report
- Maryland Hospital Association1 report$50K reported (all issues)Federal contractor: THE MARYLAND HOSPITAL ASSOCIATION, INCORPORATED$48.6K in contracts, FY2026AI match · 100%
- Mayo Clinic1 report
- Mount Sinai Hospitals Group, Inc1 report
- NATIONAL ASSOCIATION OF WHOLESALER-DISTRIBUTORS1 report$490K reported (all issues)
- NATIONWIDE CHILDREN'S HOSPITAL, INC.1 report$80K reported (all issues)
- NORTHWESTERN MEMORIAL HOSPITAL1 report$20K reported (all issues)
- NOVARTIS CORPORATION1 report$1.4M reported (all issues)Federal contractor: NOVARTIS PHARMACEUTICALS CORPORATION$36.2M in contracts, FY2026AI match · 100%
- NYU Langone Hospitals (Formerly NYU Hospitals Center)1 report$50K reported (all issues)
- National Taxpayers Union1 report$30K reported (all issues)
- Nemours Children's Health1 report$30K reported (all issues)
Reports filed in 2026.
Sources and method
Every figure on this page traces to these records.
- Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
- Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
- House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
- Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
- Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
- Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
- Money and votes are shown side by side; neither explains the other.