An Act relative to hospital profit and fairness

HD 3584, titled "An Act relative to hospital profit and fairness," targets hospitals receiving Commonwealth funding that serve fewer than 60% government patients (e.g., Medicaid/Medicare). It imposes civil penalties on facilities with operating margins exceeding 8% or CEO compensation over 50 times the minimum wage employee pay, requiring public reporting of all financial assets (including foreign holdings) within 7 days. Penalties collected fund a new Medicaid Reimbursement Enhancement Fund to improve Medicaid payments to eligible hospitals. The law applies to acute care hospitals, teaching hospitals, and state-operated facilities but excludes rehabilitation and long-term care centers. It takes effect January 1, 2025, without affecting pre-existing contracts.