An Act to address medical debt through hospital financial assistance reform

This bill requires Massachusetts hospitals to establish clear financial assistance policies for low- and moderate-income patients. It sets income-based discounts: free care for households under 200% of the federal poverty level (FPL), 75% discounts for 201-300% FPL, 50% for 301-350% FPL, and 25% for 351-400% FPL. Hospitals must provide written and verbal notices about these policies during registration and billing, post notices prominently in facilities, and include clear financial assistance information on all billing statements. The bill also prohibits hospitals from considering immigration status, total bill cost, or restrictive contracts when determining eligibility, and mandates annual reporting of application data by hospital.