one problem with the free care requirement under hill-burton was that it
no regulation
title: Hill–Burton Act text: and the move from a 20-year commitment to a requirement to provide free care in perpetuity. Still, it was not until 1979 that compliance levels were defined. Hill–Burton Act The Hospital Survey and Construction Act (or the Hill–Burton Act) is a U.S. federal law passed in 1946, during the 79th United States Congress. It was sponsored by Senator Harold Burton of Ohio and Senator Lister Hill of Alabama. In November 1945, President Harry S. Truman delivered a special message to Congress in which he outlined a five-part program for improving the health and health care of Americans. The Hospital Survey title: Patient Protection and Affordable Care Act text: for the uninsured. Studies by the CBO, Gruber and Rand Health concluded that a mandate was required. The mandate increased the size and diversity of the insured population, including more young and healthy participants to broaden the risk pool, spreading costs. Experience in New Jersey and Massachusetts offered divergent outcomes. Among the groups who were not subject to the individual mandate are: On December 20, 2017, the individual mandate was repealed starting in January 2019 via the "Tax Cuts and Jobs Act of 2017". Households with incomes between 100% and 400% of the federal poverty level are eligible to receive title: Hill–Burton Act text: regulation in place to define what constituted a "reasonable volume" or to ensure that hospitals were providing any free care at all. This did not improve until the early 1970s, when lawyers representing poor people began suing hospitals for not abiding by the law. Hill-Burton was set to expire in June 1973, but it was extended for one year in the last hour. In 1975, the Act was amended and became Title XVI of the Public Health Service Act. The most significant changes at this point were the addition of some regulatory mechanisms (defining what constitutes the inability to pay) title: Patient Protection and Affordable Care Act text: provision. They argued that the perverse incentives regarding part-time hours, even if they did not change existing plans, were real and harmful; that the raised marginal cost of the 50th worker for businesses could limit companies' growth; that the costs of reporting and administration were not worth the costs of maintaining employer plans; and noted that the employer mandate was not essential to maintain adequate risk pools. The effects of the provision generated vocal opposition from business interests and some unions not granted exemptions. A 2013/4 survey by the National Association for Business Economics found that about 75 percent of title: Hill–Burton Act text: provide federal grants and guaranteed loans to improve the physical plant of the nation’s hospital system. Money was designated to the states to achieve 4.5 beds per 1,000 people. The states allocated the available money to their various municipalities, but the law provided for a rotation mechanism, so that an area that received funding moved to the bottom of the list for further funding. Facilities that received Hill–Burton funding had to adhere to several requirements: The reality, however, did not nearly meet the written requirement of the law. For the first 20 years of the act’s existence, there was no