Using the Affordable Care Act’s “Community Benefit” to Support Individuals Subject to Medicaid Work Requirements

Executive Summary

As states move to implement Medicaid work requirements, low-income enrollees will face barriers to maintaining health coverage. Nonprofit hospitals can help address these barriers in creative ways. Indeed, because they enjoy the benefits of federal tax-exempt status, these entities are well- positioned to help address barriers. A little-referenced federal law requires non-profit hospitals to identify and implement plans that address unmet needs in the community.

This paper explains how state advocates can leverage the community benefit requirements set forth in the Internal Revenue Code to engage hospitals as partners in supporting Medicaid recipients subject to work requirements.

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