Geological Observatory of Coldigioco
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Charity Care for All: State Efforts to Ensure Equitable Access to Financial Assistance for Noncitizen Patients
Non-profit hospitals have long been required to provide certain benefits to the community in which they reside in order to maintain tax-exempt status. The nature of these community benefits has evolved since the mid-twentieth century, but “charity care”—free or discounted care for patients who are unable to pay for it—is the quintessential hospital community benefit. Although the Patient Protection and Affordable Care Act of 2010 (ACA) extended eligibility for subsidized health coverage to many more people living in the United States, some noncitizens—including those without a valid immigration status—were excluded. As a result, this group is disproportionately likely to need financial assistance to afford health care because they lack insurance. However, some hospitals exclude noncitizens from eligibility for charity care because of their immigration status.
This Article explores the development of prohibitions against discrimination on the basis of immigration status in hospital charity care programs in certain states and the relative inaction by the majority of the states and the federal government. When non-profit hospitals exclude patients from charity care on the basis of immigration status, they contribute to health care inequity among noncitizens—the population in the United States least likely to have access to health care. These actions contravene the longstanding tradition of non-profit, taxexempt hospitals providing benefits to the community of people living in the geographic areas from which the hospitals draw their patients. Congress, state legislatures, and hospitals themselves are in a position to prohibit discrimination in charity care programs; failure to act further entrenches the exclusion of noncitizens from the threadbare health care “safety net” and perpetuates inequity in access to health care for noncitizens
Flip Flops Should Be Limited to Footwear: An Analysis of the NLRB\u27s Ever-Changing Interpretations of Concerted Activity Under the NLRA
Denying the Disability: The Phrase “Regular Occupation” in Long-Term Disability Benefit Plans
Technology Competence Instruction and Assessment under the Principles and Standards of Legal Research Competency
Many states require lawyers to maintain technology competence. This article discusses the importance of teaching technology competency to law students. It describes the recent technology competency updates made to the Principles and Standards for Legal Research Competency. It provides suggestions for teaching and assessing technology competency in legal research or other skills-related instruction