Charity care and community benefits by hospital type in Texas

Hospital care is the largest component of the health care sector. This industry is made up of for profit hospital (FPH) organizations, not for profit (NFP) hospitals, and government (GOV) run hospital facilities. Objectives of this analysis were: (a) to conduct a literature review on NFP hospital legislation at the state level in Texas and at the federal level in the broader U.S.; and (b) to describe the types of charity care and community benefits currently being provided: by NFP hospitals compared to FPH hospitals and GOV hospitals; by hospitals geographic proximity to the Texas-Mexico border; and by hospital community type (rural, suburban, and urban); and (c) propose specific policy changes that may be needed to improve the current Texas State statute. Methods. In describing the historical and current policy context of NFP hospital legislation in the United States, federal legislation was reviewed from 1913 to the present and Texas State legislation was reviewed from 1980 to the present. In describing the provision of charity care, data from the 2008 Annual Cooperative Hospital Survey were examined by hospital organizational type, size, proximity to the border, and community type using linear regression and chi-squared tests to assess differences in charity care and community benefits. Results. The data included 123 NFP hospitals, 114 GOV hospitals, and 123 FPH. Results. Small sized (p<0.001) and medium sized (p<0.001) NFP hospitals provide a greater percent of total charity care when compared to FPH hospitals and to both GOV and FPH hospitals respectively; however, no significant difference in total charity care was found among large sized NFP hospitals when compared to FPH hospitals alone (p=.345) and both GOV and FPH facilities (p=.214). The amount of charity care provided was not found to be different based on proximity to the border or community type. Community benefit planning and budgeting was found to be similar regardless of community type and proximity to the border. Conclusion. No differences in charity care in Texas were found for large sized NFP hospitals compared to FPH and GOV hospitals. Contrary to widely held beliefs, this study did not find the border region to provide a greater amount of charity care or bad debt. Charity care also did not vary by community type. These findings underscore the need for continued collection of transparent data from all hospitals in order to provide policy makers and consumers with information on utilization trends to ensure benefits are being provided to the community. Policy changes or revoking tax-benefits may occur as charity care utilization declines with the implementation of health reform in the next few years.^

Uniform child labor laws

by Owen R. Lovejoy.

The Europeanisation of Criminal Law and the Criminal Law Dimension of European Integration. Research Papers in Law, 3/2005

From the Introduction. In the academic year 1991-1992, Utrecht University, on my initiative, started to offer courses in European criminal law. This initiative came at a symbolic moment, just prior to the entry into force of the EU Treaty of Maastricht1 and the outlining of European policy in the areas of Justice and Home Affairs (JHA). The Director of the Legal Department, Paul DEMARET, was aware of the significance of this development and I have been given the opportunity to teach this subject at the College of Europe since 1995. Since then, JHA has evolved into one of the main areas of EU legislation. Now we are again on the threshold of an important historical feat. In June 2003, the European Convention reached agreement concerning a draft Treaty establishing a Constitution for Europe.2 The use of the term “Constitution” for the future EU Treaty is not simply cosmetic. The realisation has dawned that EU integration must be embedded in a treaty document which also regulates the rights and duties of citizens, not just with respect to European citizenship, but also with respect to, for example, Justice. Where JHA is concerned, this result acknowledges that the harmonisation of criminal law and criminal procedure and transnational cooperation cannot preclude the harmonisation of principles of due law and fair trial. Despite the substantial Europeanisation of criminal law, many criminal lawyers are defending the achievements and typicalities of their national criminal law like never before. EU initiatives are assessed from the perspective of the national agenda and national achievements. We are still too far removed from a European criminal law policy that is both European and enjoys national support. The core issue is therefore not how to keep our criminal (procedural) law national and free from European influences, but rather how to ensure democratic decision making, the quality of the constitutional state and the guarantees of criminal law in a national administrative model which has to operate increasingly interactively within a European and international context. In this contribution, the contours of the Europeanisation of criminal law are outlined and analysed. First, attention will be paid to the EC and, second, to the JHA. Following this, an evaluation and a look ahead at the current IGC are indicated.

Trading under the laws of Venezuela,

At head of title: U.S. Department of Commerce. Daniel C. Roper, secretary. Bureau of Foreign and Domestic Commerce. Alexander V. Dye, director ...

A guide for labor organizations to the filing requirements of the Labor Management Relations Act, 1947, Section 9 f, g, and h.

Mode of access: Internet.

School law of 1865. An act to establish and maintain a system of free schools, in the state of Illinois, as amended February 16, 1865.

Mode of access: Internet.

Immigration laws and rules.

Mode of access: Internet.

A synthesis of existing bicyclist and pedestrian related laws and enforcement programs. Case study #13. Final report.

Federal Highway Administration, Washington, D.C.

The general laws of Pennsylvania from the year 1700, to April 1849 : chronologically arranged : with notes and references to all the decisions of the Supreme Court of Pennsylvania, giving construction to said laws : and a copius and minute index /

Includes index.

A summary of the law of patents for useful inventions, with forms.

"In ... 1874, I published a Manual of patent law ... I have rewritten the whole into a substantially new book."--Prefatory note.

The ship-master's assistant and owner's manual : containing complete information ... relative to the mercantile and maritime laws and customs ... /

Mode of access: Internet.

A digest of laws and decisions : ecclesiastical and civil relating to the constitution, practice, and affairs of the church of Scotland, with explanatory notes and forms of procedure /

Includes index.

Session laws and resolutions

Title varies

General and local laws and joint resolutions passed by the General Assembly.

Volumes on microfiche. (See Microfiche 266)

Legal maxis in Urdu, illustrated and explained with special reference to the laws in force in British India, the Hindu and the Mahomedan laws, and precedents of the high courts and Privy council,

Mode of access: Internet.