Medicaid DSH Payment Adjustment Fairness Act of 2021
This bill allows for the use of a certain prior methodology relating to the calculation of Medicaid disproportionate-share hospital (DSH) payment limits. (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)
Under current law, effective October 1, 2021, costs and payments associated with services furnished to Medicaid-eligible individuals for whom Medicaid is not the primary payer are excluded from the calculation of DSH payment limits. However, for DSHs that provide a high volume of care to individuals who are entitled to Medicare and Supplemental Security Income (SSI) benefits, payment limits are calculated based on either the methodology in place as of January 1, 2020, or as in place on October 1, 2021, whichever is higher. The bill extends this option to all DSHs, not just those with a high volume of care for Medicare-SSI individuals.
[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5015 Introduced in House (IH)]
<DOC>
117th CONGRESS
1st Session
H. R. 5015
To amend title XIX of the Social Security Act to expand hospitals
eligible for the Medicaid DSH payment adjustment.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
August 13, 2021
Mr. Higgins of New York (for himself and Mr. Katko) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Social Security Act to expand hospitals
eligible for the Medicaid DSH payment adjustment.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicaid DSH Payment Adjustment
Fairness Act of 2021''.
SEC. 2. EXPANSION OF HOSPITALS ELIGIBLE FOR THE MEDICAID DSH PAYMENT
ADJUSTMENT.
Effective as if included in the enactment of section 203(a) of
title II of division CC of Public Law 116-260, subsection (g) of
section 1923 of the Social Security Act (42 U.S.C. 1396r-4), as amended
by such section 203(a), is further amended--
(1) in paragraph (1), by striking ``paragraph (2)(B)'' and
inserting ``paragraph (2)''; and
(2) in paragraph (2)--
(A) in the heading, by striking ``for certain
hospitals'';
(B) in subparagraph (A)--
(i) in the heading, by striking ``(A) In
general.--''; and
(ii) by striking ``described in
subparagraph (B)''; and
(C) by striking subparagraph (B).
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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