Financial Assistance Policy, Hospital Charity Care, and Medical Debt in Collections

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Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.

Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee

JAMA Network Open, 9(1), e2555698

01/2026

Healthcare business and finance · Hospitals · Policy · Rural-urban differences · Statistics and data · Oregon