Community Health Needs Assessment

In order to continue as a 501(c)(3) organization, each hospital must conduct a community health needs assessment every three years and adopt an implementation strategy to meet the community health needs identified through the assessment. The assessment must take into account input from persons who represent the broad interests of the community served by the hospital, including those with special knowledge of or expertise in public health, and such assessment is made widely available to the public. The statute mandates that the Secretary of the Treasury review at least once every 3 years the community benefit activities of each hospital.

This provision will be enforced by the Internal Revenue Service. In other words, the IRS will decide whether local hospitals are meeting their community’s medical need. If the IRS finds that they’re not up the proper medical mark the hospital will lose its tax exempt status. Who could possibly object? In case you doubt me the entire law is below. I suspect that there is not one person in the world who has read all of it, but even a gentle perusal of its many facets will convince all but the delusional that it can’t be understood or administered without considerable mischief as its doppelgänger.


Added today June 6 (D Day) – In view of the report that that Verizon is under court order to provide the federal government with daily information on millions of their customers I should mention that the healthcare act requires that US citizens and residents regularly report and update the IRS or state exchanges on almost all aspects of their lives – changes in job or salary, divorce and marital status, and a change in the state in which they live.

As it collects data on potential violators of Obamacare’s coercive mandates, the IRS will be aided by the creation of a new Federal Data Services Hub, which will allow information to be collected and shared between the Department of Health and Human Services, the Department of Justice, the Department of Homeland Security, the Social Security Administration, the several states, and the IRS. As if enough privacy concerns weren’t raised by this, HHS has contracted with a private company—Quality Software Services, Inc., a subsidiary of UnitedHealth Group—to help build and police Obamacare’s exchanges. So it won’t just be government entities that have access to Americans’ sensitive data.

If all this doesn’t induce paranoia…