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Unless you enter through the ER, a healthcare system can deny you.
Also, the ACA requires hospitals have a charity care program and notify people about it (often buried pages deep in your discharge papers). If you qualify, they’ll write off your debt and count it towards their “charity care,” which helps them justify their non-profit status, when applicable. The ACA has no rules about what charity care looks like and the hospital can set whatever criteria they want (some may have charity for those under 100% FPL, others higher).
Source: I’m in a masters program studying this
From my post: "Many people would go to the ER for non-ER reasons because it was the only way to get treatment when you didn't have the money to pay"
Seems pretty obvious that I meant the ER...
You distinguished between medical centers and hospitals, while most practices are hospital-owned now. It just sounded like you didn’t quite know that, sorry.
Perhaps I could have included a list of other places as an example that can refuse you for financial reasons. It would have helped for people not familiar with the system..