Issues

Hospital Tax

Hospital Settlement

Historically, federal and state governments have treated hospitals as tax-exempt entities, recognizing the vital role they play in strengthening the health and well-being of the communities they serve. While not-for-profit hospitals are exempt from corporate, sales and use, and property taxes, they are one of the state’s largest providers of tax revenue through the provider tax, known as the “hospital tax.”

The hospital tax is a major source of revenue for the state. States can use hospital tax dollars as the state share for Medicaid services, allowing them to access federal matching dollars to pay for Medicaid services. Disputes over the state filling budget holes with hospital tax revenue, rather than using it to benefit hospitals and their patients, resulted in a historic settlement between the state and Connecticut hospitals in 2019. The settlement expires in June 2026.

Amid new federal provider tax restrictions that may worsen Medicaid underpayment, it is imperative that the state works with hospitals to ensure the tax sustains and strengthens the Medicaid program and supports critical services for Medicaid beneficiaries.

Learn more about the hospital tax:

Related Issues:

Hospital Finance

Related Advocacy:

Protect CT Care
Paul Kidwell

Paul Kidwell

Senior Vice President, Policy

(203) 294-7247
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