Consumer Price Index (CPI) for Medical Care

The 2018 Consumer Price Index (CPI) for Medical Care became effective for Hill-Burton obligated facilities on March 12, 2019.

The CPI is used for calculating adjusted annual compliance levels for facilities using the 10% method and for adjusting compliance excess or deficits from past years to the current year for facilities that provide uncompensated services in accordance with the requirements of the Hill-Burton Program.

The latest adjustments are based on the yearly average CPI for medical care in 2018 that were recently issued by the U.S. Department of Labor, Bureau of Labor Statistics, and on the CPI in prior years.

CPI application to 10% annual compliance level

The change in the CPI for medical care between the base year of 1979 and 2018 is 618.2%.

The annual compliance level will be calculated on a Facility Status Report (FSR), which will be provided to each facility within 60 days of the date of this email.

The FSR will include federal grant and loan assistance under obligation for the next fiscal year, as well as the facility's annual compliance level, adjusted by the CPI for inflation.

CPI application to excess or deficit amounts

The change in the CPI for medical care between 2017 and 2018 is 2.0%. Review Excess and Deficit Examples to see calculations for the adjusted excess and deficit earned between March 12, 2018 and March 11, 2019.

Review CPI Adjustment Tables (PDF - 110 KB) for a historical view of the CPI applications to the 10% annual compliance level.

Date Last Reviewed:  May 2019


Compliance & Recovery

Compliance & Recovery

Waiver & Recovery

Federal Poverty Guidelines

Spanish Poverty Guidelines
(PDF - 55 KB)

Consumer Price Index

Hill-Burton English Sign
(PDF - 121 KB)

Hill-Burton Spanish Sign
(PDF - 122 KB)

Provider's Guide to the Hill-Burton Uncompensated Services Regulations (If you use assistive technology, you may not be able to fully access information in this file. For assistance, contact HRSAAccessibility@hrsa.gov or 888-275-4772, TTY: 877-489-4772)