// Deduction
Hospital incentive payments received through Medicaid quality improvement program
B&O Tax deduction · RCW 82.04.43395(2)(a) · enacted 2019
Details
- Citation
- RCW 82.04.43395(2)(a)
- Study reference
- E1151-1
- Tax type
- B&O Tax
- Preference type
- Deduction
- Category
- Nonprofit
- Year enacted
- 2019
- End date
- None scheduled
Fiscal impact (2024 study estimates)
- Revenue if repealed — local ($M)
- FY 2024: 0 · FY 2025: 0 · FY 2026: 0 · FY 2027: 0
- Revenue if repealed — state ($M)
- FY 2024: 0 · FY 2025: 4.66 · FY 2026: 4.551 · FY 2027: 4.596
- Taxpayer savings — local ($M)
- FY 2024: 0 · FY 2025: 0 · FY 2026: 0 · FY 2027: 0
- Taxpayer savings — state ($M)
- FY 2024: 3.072 · FY 2025: 5.083 · FY 2026: 4.551 · FY 2027: 4.596
CTI = confidential taxpayer information · D = unable to disclose
From the 2024 DOR Tax Exemption Study
82.04.43395(2)(a) - Hospital incentive payments received through Medicaid quality improvement program Description Certain hospitals may take a B&O tax deduction from income for incentive payments received through the Medicaid quality improvement program established through federal law. To claim this deduction, a hospital must be owned by a municipal corporation or political subdivision or must be affiliated with a state institution. Purpose To lower costs for hospitals and managed care organizations. Taxpayer ($ in millions): savings FY 2024 FY 2025 FY 2026 FY 2027 State Taxes $3.072 $5.083 $4.551 $4.596 Local Taxes $0.000 $0.000 $0.000 $0.000 Repeal of Repealing this deduction would increase revenues. exemption Potential ($ in millions): revenue gains FY 2024 FY 2025 FY 2026 FY 2027 from full repeal State Taxes $0.000 $4.660 $4.551 $4.596 Local Taxes $0.000 $0.000 $0.000 $0.000 Assumptions - This repeal takes effect July 1, 2024, and impacts 11 months of collections in fiscal year 2025. - Estimated payment amounts provided Health Care Authority for the forecasted period of this study. Data Sources - Health Care Authority, Medicaid estimated payments - Statista, "Number of Hospital
Does this apply to you?
This is reference data from the 2024 study — not advice, and 2025–26 legislation may have changed it. Three ways to go deeper: