Patient Financial Aid Law (FAL) Hospital Information

Compliance Letters and Guidance Documents

2026

• Hospital Financial Assistance Application (docx) - Also available in the following languages:
  • Arabic |
  • Bengali |
  • Burmese |
  • Chinese |
  • French |
  • Haitian Creole |
  • Hindi |
  • Italian |
  • Japanese |
  • Korean |
  • Nepali |
  • Polish |
  • Russian |
  • Spanish |
  • Urdu |
  • Yiddish

2025

• April 14, 2025 (PDF) - Hospital Financial Assistance
• Hospital Financial Assistance Application (docx) - Also available in the following languages:
  • Arabic |
  • Bengali |
  • Chinese |
  • French |
  • Haitian Creole |
  • Italian |
  • Korean |
  • Polish |
  • Russian |
  • Spanish |
  • Urdu |
  • Yiddish

2024

• October 18, 2024 (PDF) - Hospital Financial Assistance