What is the Hill-Burton Act’s mandates on “uncompensated care” and “community service” obligations?

Management of risk | HSA4502 | Florida State College at Jacksonville

Hill-Burton Act, a 1946 piece of federal legislation that funds healthcare facilities’ construction and modernization funding. One of the key mandates included within this act is that health care providers receiving assistance must agree to provide “uncompensated care” to those who cannot afford payment and “community service” obligations based on the type of facility they operate (e.g., hospital, nursing home etc.).

Uncompensated care refers to medical services provided without charge or at reduced rates while community service obligations typically involve providing specific types of services/care based on an individual facility’s capacity and capabilities such as offering discounted rates/payment plans or free screening programs for underserved populations within their area. These requirements have been removed from the law due to the changes that were made in the 1980s. However, many facilities continue to adhere to them voluntary to ensure quality care and access for everyone.

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