DSH Reduction Relief Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to delay from FY2014 to FY2016 commencement of the period during which the Secretary of Health and Human Services (HHS) is required to pay to any "subsection (d) hospital": (1) 25% of the amount of the disproportionate share hospital (DSH) payment that would otherwise be made to it for the fiscal year, plus (2) an additional payment amount according to a specified formula.
(Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.)
Amends SSA title XIX (Medicaid) to delay from the beginning of FY2014 until the beginning of FY2016 (and so eliminate for FY2014 and FY2015) aggregate reductions in DSH allotments for all states.
[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1920 Introduced in House (IH)]
113th CONGRESS
1st Session
H. R. 1920
To amend titles XVIII and XIX of the Social Security Act to provide for
a delay in the implementation schedule of the reductions in
disproportionate share hospital payments, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
May 9, 2013
Mr. Lewis introduced the following bill; which was referred to the
Committee on Ways and Means, and in addition to the Committee on Energy
and Commerce, for a period to be subsequently determined by the
Speaker, in each case for consideration of such provisions as fall
within the jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend titles XVIII and XIX of the Social Security Act to provide for
a delay in the implementation schedule of the reductions in
disproportionate share hospital payments, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
The Act may be cited as the ``DSH Reduction Relief Act of 2013''.
SEC. 2. DELAY IN IMPLEMENTATION OF REVISED MEDICARE DISPROPORTIONATE
SHARE HOSPITAL PAYMENT METHODOLOGY.
(a) Two-Year Delay.--Section 1886(r) of the Social Security Act (42
U.S.C. 1395ww(r)) is amended--
(1) in paragraph (1), by striking ``For fiscal year 2014''
and inserting ``For fiscal year 2016''; and
(2) in paragraph (2)--
(A) in the matter preceding subparagraph (A), by
striking ``for fiscal year 2014'' and inserting ``for
fiscal year 2016'';
(B) in subparagraph (B)(i)--
(i) in the heading of clause (i), by
striking ``2014, 2015, 2016, and 2017'' and
inserting ``2016, 2017, 2018, and 2019'';
(ii) in the matter preceding subclause (I),
by striking ``For each of fiscal years 2014,
2015, 2016, and 2017'' and inserting ``For each
of fiscal years 2016, 2017, 2018, and 2019'';
and
(iii) in the matter following subclause
(II)--
(I) by striking ``fiscal year
2014'' and inserting ``fiscal year
2016''; and
(II) by striking ``fiscal years
2015, 2016, and 2017'' and inserting
``fiscal years 2017, 2018, and 2019'';
and
(C) in subparagraph (B)(ii)--
(i) in the heading of clause (ii), by
striking ``2018'' and inserting ``2020'';
(ii) in the matter preceding subclause (I),
by striking ``For fiscal year 2018'' and
inserting ``For fiscal year 2020''; and
(iii) in the matter following subclause
(II), by striking ``fiscal years 2018 and
2019'' and inserting ``fiscal years 2020 and
2021''.
(b) Effective Date.--The amendments made by subsection (a) shall
take effect as if included in the enactment of section 3133 of the
Patient Protection and Affordable Care Act (Public Law 111-148), as
amended by section 10316 of such Act, and as further amended by section
1104 of the Health Care and Education Reconciliation Act of 2010
(Public Law 111-152).
SEC. 3. MODIFICATION OF REDUCTION SCHEDULE FOR MEDICAID DSH ALLOTMENTS
TO STATES.
(a) Elimination of Reductions for Fiscal Years 2014 and 2015.--
Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r-
4(f)(7)(A)) is amended--
(1) in clause (i) in the matter preceding subclause (I), by
striking ``fiscal years 2014'' and inserting ``fiscal years
2016'' ; and
(2) in clause (ii), by striking subclauses (I) and (II) and
redesignating subclauses (III) through (VII) as subclauses (I)
through (V), respectively.
(b) Conforming Amendments.--Section 1923(f)(6)(A)(v) of the Social
Security Act (42 U.S.C. 1396r-4(f)(6)(A)(v)) is amended--
(1) in the heading of clause (v), by striking ``for fiscal
year 2013'' and inserting ``for fiscal years 2013 through
2015''; and
(2) in subclause (II)--
(A) by amending the heading of such subclause to
read as follows: ``Fiscal years 2013 through 2015'';
(B) by inserting ``2014, or 2015'' after ``for
fiscal year 2013,''; and
(C) by striking ``for such fiscal year'' and
inserting ``for each such fiscal year''.
(c) Effective Date.--The amendments made by this section shall take
effect as if included in the enactment of section 1203 of the Health
Care and Education Reconciliation Act of 2010 (Public Law 111-152).
<all>
Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
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