MA H1398

Hospitals accepting Commonwealth funds with less than 60% government payer mix face civil penalties equal to any annual operating margin exceeding 8%

CEO compensation at publicly-funded hospitals is capped at 50 times the facility's minimum wage employee compensation, with penalties for the excess amount

Hospitals must annually report all financial assets to the Center for Health Information and Analysis, including assets held outside the United States, which must be made public within 7 days

Establishes the Medicaid Reimbursement Enhancement Fund to collect penalties and improve Medicaid reimbursement to eligible hospitals

Health Policy Commission will promulgate regulations for implementation; existing contracts as of January 1, 2025 are protected