Massachusetts Hospital Charity Care & Financial Assistance

Massachusetts charity care law

Massachusetts Health Safety Net (M.G.L. c.118E; 101 CMR 613.00) requires free care for household incomes up to 150% FPL and discounted care up to 400% FPL, applying to acute care hospitals and community health centers (MA residents). Last verified 2026-07-10. Read the statute.

State minimums are a floor, not a ceiling: individual hospital policies are often more generous, and the hospital's Financial Assistance Policy makes the final determination.

Hospitals in Massachusetts with policies on file

Your rights under IRS Section 501(r)

Nonprofit hospitals must maintain a written Financial Assistance Policy, make it publicly available, limit charges for FAP-eligible patients to amounts generally billed to insured patients, and accept applications for at least 240 days after the first billing statement. 501(r) does not set an income threshold; each hospital's own policy does, so patients may qualify at one hospital and not another.