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Hill-Burton Act: Free or Low Cost Care

Who Can Receive Free Care?

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Eligibility for Hill-Burton care is based on family size and income. There is no citizenship requirement, but there is a residency requirement. Hill-Burton facilities may not discriminate based on race etc.

Income Requirement

You may qualify if your income falls within the poverty guidelines, as published in the Federal Register every year. To see the poverty guidelines for 2016, click here offsite link.

You may also qualify for free or reduced cost care at some facilities if your income is up to double (or triple for nursing home services) the poverty guidelines.

When considering eligibility for Hill-Burton assistance, income is calculated based on your actual income for the last 12 months or your last 3 month's income times 4, whichever is less.

  • Examples of income that are counted are gross income (before taxes), interest/dividends earned, and child support payments.
  • Examples of items that are not included as income are assets, food stamps, gifts, loans or one-time insurance payments.
  • For self-employed people, income is determined after deductions for business expenses.
  • Assets are not counted for purposes of Hill-Burton.

For details of what is counted, and what is not counted as income, see the next section.

No Citizenship Requirement

United States citizenship is not required for Hill-Burton eligibility.

Residency Requirement

In order to be eligible for Hill-Burton assistance, you must have lived in the U. S. for at least 3 months.

Hill Burton Facilities Cannot Discriminate

Hill-Burton facilities are responsible for treating all persons residing in the service area, regardless of race, color, national origin, creed or Medicare or Medicaid status. This assurance is in effect for the life of the facility. If you feel you were unfairly denied services or discriminated against you should contact the Office for Civil Rights at 800.368.1019.

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