DSH Act

[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 5346 Introduced in Senate (IS)]

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118th CONGRESS
  2d Session
                                S. 5346

 To amend title XIX of the Social Security Act to establish a minimum 
     Medicaid disproportionate share hospital allotment for States.


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                   IN THE SENATE OF THE UNITED STATES

                           November 19, 2024

   Mr. Barrasso (for himself, Mr. Schatz, Mr. Cramer, and Mr. Welch) 
introduced the following bill; which was read twice and referred to the 
                          Committee on Finance

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                                 A BILL


 
 To amend title XIX of the Social Security Act to establish a minimum 
     Medicaid disproportionate share hospital allotment for States.

    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 ``Delivering Support for Hospitals 
Act'' or the ``DSH Act''.

SEC. 2. MINIMUM MEDICAID DSH ALLOTMENT.

    Section 1923(f)(6) of the Social Security Act (42 U.S.C. 1396r-
4(f)(6)) is amended by adding at the end the following new 
subparagraph:
                    ``(C) Minimum dsh allotment for fiscal years after 
                2024.--
                            ``(i) In general.--Notwithstanding the 
                        table set forth in paragraph (2) or the 
                        reductions required under paragraph (7), for 
                        fiscal year 2025 and each succeeding fiscal 
                        year, the DSH allotment for any State shall not 
                        be less than the minimum DSH allotment amount 
                        established for the fiscal year under clause 
                        (ii).
                            ``(ii) Minimum dsh allotment amount.--The 
                        minimum DSH allotment amount established under 
                        this clause--
                                    ``(I) for each of fiscal years 2025 
                                through 2029, shall be equal to 
                                $20,000,000; and
                                    ``(II) for fiscal year 2030 and 
                                each succeeding fiscal year, shall be 
                                equal to the minimum DSH allotment 
                                amount established under this clause 
                                for the preceding fiscal year, subject 
                                to an increase for inflation as 
                                provided in paragraph (3)(A).''.
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