// Deduction

Hospital incentive payments received through Medicaid quality improvement program

B&O Tax deduction · RCW 82.04.43395(2)(a) · enacted 2019

All exemptions & deductions

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Revenue if repealed — local ($M)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Revenue if repealed — state ($M)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

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This is reference data from the 2024 study — not advice, and 2025–26 legislation may have changed it. Three ways to go deeper: