Graphic: How 10 States Keep the ‘Community’ in Hospitals’ Community Health Needs Assessments

This graphic shows 10 states’ guidelines for involving community members in the community health needs assessment (CHNA) process, as well as their enforcement levers.

Non-profit hospitals are federally-required to conduct CHNAs every three years and develop a plan to meet those needs in exchange for their tax exempt status. Many states have laws or guidelines that are more detailed than the federal requirements.