The Tax Cuts and Jobs Act, H.R. 1, was released and is being debated this week in the U.S. House Ways and Means Committee. There is a significant problem for the Kentucky not-for-profit hospitals included in the bill. The proposal would eliminate the tax-exemption for private-activity bonds (PABs), including qualified 501(c)(3) hospital bonds and advance refunding bonds. The ability to obtain tax-exempt financing is a key benefit of hospital tax-exemption that works to make access to vital hospital services available in communities large and small across the commonwealth.

These bonds play a critical role in helping not-for-profit hospitals and health systems access low-cost capital, enabling them to keep infrastructure expenditures low so they can efficiently fulfill their mission and focus on the work they do for the public good. Tax-exempt bonds reduce hospitals’ borrowing costs because they normally can be sold at a lower rate of interest than taxable debt of comparable risk and maturity....

From AHA: A new and evolving cyberattack using a variant of Ransomware has hit businesses in Ukraine, India, France, Russia and Spain. The Department of Health and Human Services (HHS) informed AHA that some U.S. hospitals and a pharmaceutical company also have been attacked. At this time, there is no definitive assessment about the source of the cyberattack. HHS is advising vigilance and following general cyber hygiene practices, such as ensuring that all your systems’ patches and anti-virus definitions are up to date. AHA is closely monitoring the situation and will update members as more information becomes available.

For more on the developing attack, make sure to check US-CERT, ...

The Connecticut Hospital Association shared the following incident with the Kentucky Institute for Patient Safety and Quality (KIPSQ), KHA’s Patient Safety Organization, for distribution to its members in the hopes that it will prevent a harm event in hospitals.

On May 16, Griffin Hospital in Derby, Connecticut, announced that during a daily safety huddle (begun as part of the hospital’s participation in their statewide high reliability collaborative), it had identified an issue regarding the use of insulin pens — devices intended to make insulin injections more efficient and accurate. They consist of a cartridge and needles. While needles were never reused, a few staff used the cartridges for more than one patient. Despite changing the needles, there is still slight risk of blood contamination of the pen reservoir or cartridge, which could result in transmission of blood-borne pathogens from the previous patient.

Griffin has used the insulin pens for several years and has identified approximately...