California Hospital Financial Assistance Policies Manual
A handbook on financial assistance policies and community benefit laws


NOTE: Content in this manual can be found entirely in the California Hospital Compliance Manual available to members immediately through PDF download

The California Hospital Financial Assistance Policies Manual explains the requirements of the Hospital Fair Pricing Policies law, the Emergency Physician Fair Pricing Policies law, the financial assistance requirements for tax-exempt hospitals of Internal Revenue Code Section 501(r), and other related laws.

The guidebook is more comprehensive than ever, and includes IRS-issued clarifications regarding hospital financial assistance policies, community health needs assessments, community benefits plans and related requirements. It also includes details on requirements regarding the provider list that must be given to patients.

The guidebook addresses state and federal laws, answers the most frequently asked compliance questions, and includes:

  • Policy and procedure checklists
  • Program monitoring and evaluation tools
  • Staff education and training components

A must-have for CFOs and COOs, and recommended for legal counsel, compliance officers and department directors.

(4th edition, June 2018)


  • Financial Assistance Policies
  • Community Benefits Requirements
  • Pricing Transparency Requirements
  • Accounting for and Reporting Charity Care
  • Side-by-side comparison of state vs. federal requirements for hospitals subject to both sets of laws.
  • Compliance Tools
  • Resources/Websites

Forms Policy

CHA includes hard copies of forms and appendices in its manuals for all purchasers. Electronic versions of forms, appendices, and the model compliance plan are available to CHA members for download at

E-Manual Terms of Use

CHA Members

Electronic copies of CHA Publications are available free to CHA members. CHA members may download each PDF for their individual use and/or post it to an Intranet or shared workstation environment.

CHA Nonmembers

Limited Use License: In purchasing this electronic publication (Publication), the individual who purchased it (Purchaser) agrees to abide by the terms of this Limited Use License. This Limited Use License: (1) gives Purchaser a non-exclusive, non-assignable, royalty free, perpetual, limited right to use this electronic publication only for his/her personal use; and (2) prohibits Purchaser from posting, reproducing, distributing, disseminating, transmitting, or otherwise allowing anyone else to access or use this Publication. CHA is and will be the sole and exclusive owner of all right, title, and interest, including intellectual property rights, in this Publication and its contents. CHA will strictly enforce the terms of this Limited Use License.

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Purchases that include electronic publications are not refundable.

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