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AHA, IRS discuss need to update rules hampering efforts to transform care

October 9, 2012

At a meeting today with senior Internal Revenue Service officials, AHA representatives continued to press the agency to modernize tax-exempt bond rules that hamper hospital efforts to engage in cooperative arrangements with physicians and other providers. Stressing the penalties hospitals face for failure to meet new requirements of the Patient Protection and Affordable Care Act, hospital representatives urged the IRS to quickly issue new guidance that removes hurdles to implementation of innovative new hospital, physician and other provider arrangements under private-use rules for health care facilities financed with tax-exempt bonds. The meeting follows an AHA letter to IRS Commissioner Doug Schulman in May, which outlined barriers to integration imposed by the IRS rules. AHA continues to welcome comments from hospitals affected by the restrictions imposed by IRS Revenue Procedure 97-13; contact Mike Rock at mrock@aha.org