Number of taxes and types of methods states used to levy health care provider taxes in state fiscal year 2011

State Number of health care provider taxes levied as a percentage of net patient service revenues Number of health care provider taxes levied as a percentage of revenues other than net patient service revenues Number of health care provider taxes levied under an arrangement other than a percentage of revenues, such as a dollar amount per-bed-day rate or flat rate per year
Alabama 0 1 2
Arizona 0 1 0
Arkansas 3 0 0
California 0 2 14
Colorado 0 2 2
Connecticut 0 0 2
District of Columbia 0 2 2
Florida 0 0 3
Georgia 0 2 1
Idaho 0 2 1
Illinois 0 1 2
Indiana 0 1 2
Iowa 3 0 2
Kansas 0 1 2
Kentucky 0 4 0
Louisiana 0 1 3
Maine 0 4 0
Maryland 0 4 0
Massachusetts 0 2 2
Michigan 0 2 0
Minnesota 0 3 2
Mississippi 0 0 4
Missouri 0 3 1
Montana 0 0 2
Nebraska 0 1 0
Nevada 1 0 0
New Hampshire 3 0 0
New Jersey 0 5 2
New York 0 9 0
North Carolina 0 2 3
North Dakota 0 0 1
Ohio 0 1 2
Oklahoma 0 2 3
Oregon 0 3 0
Pennsylvania 0 7 2
Rhode Island 2 2 0
South Carolina 1 0 1
South Dakota 0 1 0
Tennessee 0 3 1
Texas 0 1 0
Utah 0 0 6
Vermont 0 3 2
Washington 0 0 3
West Virginia 0 7 0
Wisconsin 0 4 2
Wyoming 0 0 1
Total 13 89 78

Source: GAO analysis of state-reported data. | GAO-15-227SP
 
Note: When counting the number of taxes, we counted a tax more than once when a tax was levied using different tax rates during a given year. For example, if for 6 months of the year a tax was levied at 4 percent of net patient service revenues, and for the other 6 months the tax was levied at 6 percent of net patient service revenues, we counted this as two taxes. For taxes that were reported as not being levied as a percentage of net patient service revenues, we used a similar approach in counting these taxes.

 


Definition
 
Health care provider taxes are taxes, licensures or other fees, assessments, or other mandatory payments, imposed on health care services or providers, as defined in Section 1903 of the Social Security Act and in 42 C.F.R. § 433.55 - Health Care-Related Taxes Defined.