Charity Care Expansion Act of 2014

To amend the Internal Revenue Code of 1986 to increase access for the uninsured to high quality physician care. 1. Short title This Act may be cited as the Charity Care Expansion Act of 2014 2. Physician charity care deduction (a) In general Part VI of subchapter B of chapter 1 199A. Physician charity care (a) In general In the case of a physician, there shall be allowed as a deduction for the taxable year an amount equal to the amount such physician would have otherwise charged for qualified charity care provided by such physician during the taxable year. (b) Qualified charity care For purposes of this section— (1) Qualified charity care The term qualified charity care (2) Physician The term physician 42 U.S.C. 1395x(r) (3) Qualifying arrangement The term qualifying arrangement (A) between the physician and a health care clinic or other organization providing health care which is targeted to serve underserved or low-income individuals, and (B) before the date the services are provided. (c) Limitations (1) Service charge limitation The amount determined under subsection (a) with respect to any services shall not exceed the medicare economic index (referred to in the fourth sentence of section 1842(b)(3) of the Social Security Act ( 42 U.S.C. 1395u(b)(3) (2) Overall limitation The amount allowed as a deduction under subsection (a) for any taxable year shall not exceed an amount equal to— (A) 10 percent of the gross income of the taxpayer for the taxable year derived from the taxpayer’s provision of physicians’ services (as defined in section 1861(q) of the Social Security Act), or (B) in the case of a physician who does not have income for the taxable year derived from the provision of physicians' services, $10,000. (3) Exclusion for services with respect to which any reimbursement is received Physicians' services shall not be treated as qualified charity care under subsection (b) if a physician receives any reimbursement, including payment at a partial or discounted rate, for such services. . (b) Clerical amendment The table of sections for part VI of subchapter B of chapter 1 of such Code is amended by adding at the end the following new item: Sec. 199A. Physician charity care. . (c) Effective date The amendments made by this section shall apply to taxable years beginning after the date of the enactment of this Act. 3. Preventive health and health services block grant Part A of title XIX of the Public Health Service Act ( 42 U.S.C. 300w et seq.

Summary: Charity Care Expansion Act of 2014 - Amends the Internal Revenue Code to allow a physician a tax deduction equal to the amount such physician would have otherwise charged for charity medical care provided on a volunteer or pro bono basis through a pre-existing agreement between the physician and a health care clinic or other organization providing health care to underserved or low-income individuals. Imposes an overal limitation on such deduction equal to 10% of the physician's gross income derived from physicians' services (as defined by the Social Security Act) or $10,000 for physicians who do not have income derived from physicians' services. Repeals the block grant program for preventive health and health services under the Public Health Service Act.