CA AB666

Redefines "community benefit" to include services for those eligible but not enrolled in Medi-Cal, Medicare, and similar programs; unreimbursed costs on IRS Form 990 Schedule H; and documented public health support.

Expands "vulnerable populations" to include racial and ethnic groups with health disparities, socially disadvantaged groups (unhoused, disabled, LGBTQ+, limited English proficiency, incarcerated, immigrants), and those below median income experiencing economic disparities.

Requires hospitals to update community needs assessments every 2 years (previously 3 years) and align community benefits plans with State Health Improvement Plans and Community Health Improvement Plans.

Increases maximum fines for failure to adopt or submit community benefits plans from $5,000 to $25,000, and authorizes new $50,000 fines for failure to implement plans; requires annual submission of IRS Form 990 Schedule H.

Mandates Department of Health Care Access and Information to define "community" by regulation and annually report community benefit spending attributable to public health needs and list non-compliant hospitals.