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House panel approves hospital community‑benefit reporting bill after reconsideration

House Health Human Services · April 17, 2025
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Summary

After an earlier failure and a motion to table, the House Health and Human Services Committee voted 13–8 to concur with Senate Bill 560 as amended, requiring standardized reporting of hospitals’ community‑benefit data to the state to compare with tax‑exemption benefits.

The House Health and Human Services Committee approved Senate Bill 560 as amended on a 13–8 roll‑call vote after first tabling the measure and later reconsidering it. The bill, as amended, directs hospitals to submit defined community‑benefit data to the state so legislators can assess whether those benefits offset tax exemptions.

Representative Buttrey, who described the amendment and later urged passage, said the change clarifies two issues: removing language that excluded affiliated critical access hospitals from receiving funds and excluding property for which a hospital has paid property taxes from calculations of tax benefit. “I don’t want that counted because they are paying it,” Buttrey said, citing a local example: “Benefits in Great Falls pays over $500,000 last year in property taxes.”

Opponents framed the bill as duplicative. Vice Chair Howell said the measure would create “a duplicative reporting process” and risked the legislature second‑guessing hospitals’ determinations of community benefit, calling that oversight “big government” and expressing constitutional and practical objections.

Committee debate focused on two recurring tensions: whether the state needs a separate, standardized reporting stream beyond federal reporting (for example, Schedule H filings) and whether the legislature should define what counts as community benefit. Supporters said clearer state reporting would settle lingering questions about whether community benefit offsets tax exemptions; Buttrey and other proponents said hospitals themselves supported defined reporting to resolve uncertainty.

The bill’s path in committee was bumpy: an earlier roll call failed (announced as 10 ayes, 11 nays), and members moved to table the bill. Later, a successful motion to reconsider allowed the committee to take the measure from the table. On reconsideration and a subsequent roll call, the clerk announced the concurrence motion passed, 13 ayes to 8 nays. The committee then reported SB 560 as passed out of Health and Human Services to the next stage.

What’s next: With committee concurrence, SB 560 will proceed through the legislative process as scheduled; the committee record shows the bill passed as amended but does not record further amendments or an enacted effective date.