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line 1 (B)  Health care services or items provided to a financially <br /> line 2 qualified patient through other nonprofit or public outpatient <br /> line 3 clinics, hospitals, or health care organizations with no expectation <br /> line 4 of payment. <br /> line 5 (C)  Community benefits, provided that the provision, funding, <br /> line 6 or financial support of those benefits is demonstrated to reduce <br /> line 7 community health care costs. For purposes of this subparagraph, <br /> line 8 “community benefits” means any of the following: vaccination <br /> line 9 programs and services for low-income families, chronic illness <br /> line 10 prevention programs and services, nursing and caregiver training <br /> line 11 provided without assessment of fees or payment of tuition, <br /> line 12 home-based health care programs for low-income families, or <br /> line 13 community-based mental health and outreach and assessment <br /> line 14 programs for low-income families. For purposes of this <br /> line 15 subparagraph, “low-income families” means families or individuals <br /> line 16 with income less than or equal to 350 percent of the federal poverty <br /> line 17 level. <br /> line 18 (2)  Charity care does not include any of the following: <br /> line 19 (A)  Uncollected fees or accounts written off as bad debt. <br /> line 20 (B)  Care provided to patients for which a public program or <br /> line 21 public or private grant funds pay for any of the charges for the <br /> line 22 care. <br /> line 23 (C)  Contractual adjustments in the provision of health care <br /> line 24 services below the amount identified as gross charges or <br /> line 25 “chargemaster” rates by the health care provider. <br /> line 26 (D)  Any amount over 125 percent of the Medicare rate for the <br /> line 27 health care services or items provided on an inpatient or outpatient <br /> line 28 basis. <br /> line 29 (E)  Any amount over 125 percent of the Medicare rate for <br /> line 30 providing, funding, or otherwise financially supporting health care <br /> line 31 services or items with no expectation of payment provided to <br /> line 32 financially qualified patients through other nonprofit or public <br /> line 33 outpatient clinics, hospitals, or health care organizations. <br /> line 34 (F)  The cost to a nonprofit hospital of paying a tax or other <br /> line 35 governmental assessment. <br /> line 36 (c)  “Federal poverty level” means the poverty guidelines updated <br /> line 37 periodically in the Federal Register by the United States <br /> line 38 Department of Health and Human Services under authority of <br /> line 39 subsection (2) of Section 9902 of Title 42 of the United States <br /> line 40 Code. <br />96 <br />— 6 —AB 975 <br />