In 1946, Congress passed the Hill-Burton Act
, providing federal grants and guaranteed loans to build or improve nonprofit hospitals.
The federal power of the purse was first applied in eliminating segregation in Veteran's Administration (VA) facilities, then to medical schools seeking National Institutes of Health (NIH) funding, and, finally in an important legal precedent, to voluntary hospitals receiving funds under the Hill-Burton Act
The explosion of medical costs dates back to the Hill-Burton Act
, which inflicted government hospitals on countless communities.
Hospital funding has come directly from the government, through sources such as the Hill-Burton Act
, as well as indirectly, through social insurance programs that cover millions of Americans.
In this exhaustively researched book, Karen Kruse Thomas shows how federal policies that impacted health--from the New Deal to the Hill-Burton Act
and beyond--attempted to give poor rural and black populations health care access "without disturbing the hornet's nest of segregation" (48).
In the 1950s, concern about the quality of nursing home care and the desire for healthcare reform led to the passage of the Hill-Burton Act
, which funded new nursing home construction with the proviso that in order to get the money, the nursing home had to be affiliated with a hospital.
Shortage was a consistent phenomenon throughout the twenty five years, but it was particularly aggravated by passage of the federal Hill-Burton Act
of 1946 which provided for the building of hospitals, but did not make provision for staffing them.
The Hill-Burton act
of 1946 provided federal grants and loans to improve the nation's hospitals, especially in rural parts of our country.
Take Dranove's state of Illinois: He points out that Illinois has one of the toughest CON laws, "having recently approved the first greenfield hospital construction in over twenty years." Because of those strict laws on entry of new hospitals, "Illinois hospitals today are located where Illinoisians lived in the 1950s, and the hospitals that received Hill Burton licenses dictate which of today's growing suburbs get to have local hospital services." (Under the 1946 Hill-Burton Act
, the federal government subsidized the construction of nonprofit hospitals on condition that those hospitals would treat patients who lacked insurance and could not afford to pay for health care.)
(11.) The Hill-Burton Act
, also known as the Hospital Survey and Construction Act, was originally passed by Congress in 1946 to provide federal funding to improve the physical plant of the U.S.
Costs are escalating, there are aging facilities built under the Hill-Burton Act
, access to capital is not great and they are using their endowments to handle operations," Callender says.
For example, such suits have been brought in the past to enforce hospital obligations to provide charity care under the Hill-Burton Act