MA S899

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

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

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

Penalties collected fund a new Medicaid Reimbursement Enhancement Fund to improve Medicaid payments to eligible hospitals

Health Policy Commission will promulgate regulations for implementation and enforcement; contracts in effect as of January 1, 2025 are protected