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Hospital Charity Care in California: 400% FPL Screening Rule

Updated September 2, 2026. Quick answer: One California financial-qualification category is a patient whose family income does not exceed 400% of the federal poverty level.

This guide is limited to the cited California hospital-assistance source and its stated scope.

What changes in California

  • One California financial-qualification category is a patient whose family income does not exceed 400% of the federal poverty level.
  • A hospital may not consider a patient's monetary assets when deciding eligibility under its discount-payment or charity-care policy.
  • For an eligible discounted-payment patient, the expected payment ceiling uses the greater of the Medicare or Medi-Cal amount.

Where this rule stops

A rural hospital may set its assistance eligibility below 400% of the federal poverty level, so the hospital type must be checked before applying.

How to verify before you apply

  1. Identify the hospital or facility covered by the source and obtain its current policy.
  2. Ask for the current written policy and application instructions.
  3. Compare the policy with the official source below before relying on any threshold, discount, or deadline.

Related hospital-assistance guides

Primary source

Read California Health and Safety Code §§ 127400 and 127405. Verify the current official text and the facility’s current policy before acting; this is a source-backed planning guide, not individualized legal advice.

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