December 05,2019
Grassley Presses Memphis Hospital on Tax-Exempt Obligations
Washington – Senate Finance Committee Chairman Chuck Grassley
(R-Iowa) wrote to a Memphis, Tennessee hospital regarding a recent news
report outlining its potential failure to live up to its legal obligations
as a tax-exempt organization.
Methodist
Le Bonheur Healthcare is tax-exempt and therefore must serve community health
needs, provide financial assistance, limit amounts charged for
medically-necessary care and refrain from extraordinary collection actions
against patients eligible for financial assistance.
According
to a recent MLK50 news
report, “Methodist Le Bonheur Healthcare is among the least generous in
Tennessee when it comes to charity care and does not offer free or highly
discounted care.”
“Unfortunately,
I have seen a variety of news reports lately discussing what appear to be
relentless debt-collection efforts by various tax-exempt hospitals, including
Methodist Le Bonheur Healthcare. These efforts raise questions about how
Methodist Le Bonheur Healthcare, and other tax-exempt hospitals, are complying
with these requirements,” Grassley wrote.
According
to a review of the Shelby County General Sessions Court docket conducted by
Grassley, it appears that Methodist Le Bonheur Healthcare filed 1,337 suits
against patients for hospital debts in 2017, 1,380 suits against patients for
hospital debts in 2018, and 585 suits against patients for hospital debts in
2019 through June 21.
In
his letter, Grassley raises several questions regarding the hospital’s
debt-collections history and process, charity care and financial assistance
offered, patients’ rights and transparency guidelines, potential overcharging
and process for determining its prices.
Earlier
this year, Grassley announced
he was renewing his probe of non-profit, tax-exempt hospitals. Grassley has
been a leader in Congress in the effort to lower health care costs,
recently introducing
sweeping, bipartisan legislation to lower prescription drug prices. Grassley
also recently
wrote to UVA Health System in Charlottesville, Virginia with similar
concerns.
In
2015, Grassley conducted
an investigation into the Mosaic Life Care hospital system, which was suing
low-income patients to force them to pay their hospital bills even when those
patients were eligible for financial assistance and discounted treatments. As a
result
of that investigation, Mosaic Life Care established a three-month debt
forgiveness period in which patients could apply or re-apply for financial
assistance, forgave the debt of 5,070 patients, and hired more employees to
help low-income patients apply for financial assistance.
Grassley’s
full letter can be found HERE.
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