Letter to the EditorProvision of Utility Shut-off Protection Letters at an Urban Safety-Net Hospital, 2009-2018Giraldo, Paula BA; Hsu, Heather E. MD, MPH; Ashe, Erin M. MPH; Buitron de la Vega, Pablo A. MD, MSc; Losi, Stephanie PMP; Silverstein, Michael MD, MPH; Lasser, Karen E. MD, MPHAuthor Information Boston University, Massachusetts (Ms Giraldo); Division of General Pediatrics, Boston Medical Center, Massachusetts (Drs Hsu and Silverstein and Ms Ashe); Boston University School of Medicine, Massachusetts (Drs Hsu, Buitron de la Vega, Silverstein, and Lasser); Section of General Internal Medicine, Boston Medical Center, Massachusetts (Drs Buitron de la Vega and Lasser); Boston Medical Center, Massachusetts (Drs Buitron de la Vega and Lasser and Ms Losi); and Boston University School of Public Health, Massachusetts (Dr Lasser). Correspondence: Karen E. Lasser, MD, MPH, Boston University School of Medicine, Boston, MA 02118 (firstname.lastname@example.org). Paula Giraldo received funding from the Boston University Undergraduate Research Opportunities Program (UROP).The other authors have disclosed that they have no significant relationships with, or financial interest in any commercial companies pertaining to this article. Journal of Ambulatory Care Management: April/June 2020 - Volume 43 - Issue 2 - p 179-182 doi: 10.1097/JAC.0000000000000328 Buy Metrics Abstract Most states prohibit utility companies from terminating service to low-income households when occupants present a medical letter confirming a household member has a chronic serious illness. It is unclear how many patients receive these letters and whether screening for health-related social needs (HRSN) identifies these patients. We analyzed characteristics of adult patients at a safety-net hospital with a utility shut-off protection letter 2009-2018. A total of 2973 patients received a letter; most were non-Hispanic black, and had government insurance. Among patients who received a letter in 2018, 70% were screened for HRSN. Among these, only 16% screened positive for difficulty paying utility bills. © 2020 Wolters Kluwer Health, Inc. All rights reserved.