I 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 The Act may be cited as the ‘‘DSH Reduction Relief 

5 Act of 2013’’. 


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1 SEC. 2. DELAY IN IMPLEMENTATION OF REVISED MEDI2 CARE DISPROPORTIONATE SHARE HOSPITAL 

3 PAYMENT METHODOLOGY. 

4 (a) TWO-YEAR DELAY.—Section 1886(r) of the So5 cial Security Act (42 U.S.C. 1395ww(r)) is amended— 

6 (1) in paragraph (1), by striking ‘‘For fiscal 

7 year 2014’’ and inserting ‘‘For fiscal year 2016’’; 

8 and 

9 (2) in paragraph (2)— 

10 (A) in the matter preceding subparagraph 

11 (A), by striking ‘‘for fiscal year 2014’’ and in12 serting ‘‘for fiscal year 2016’’; 

13 (B) in subparagraph (B)(i)— 

14 (i) in the heading of clause (i), by 

15 striking ‘‘2014, 2015, 2016, AND 2017’’ and 

16 inserting ‘‘2016, 2017, 2018, AND 2019’’; 

17 (ii) in the matter preceding subclause 

18 (I), by striking ‘‘For each of fiscal years 

19 2014, 2015, 2016, and 2017’’ and insert20 ing ‘‘For each of fiscal years 2016, 2017, 

21 2018, and 2019’’; and 

22 (iii) in the matter following subclause 

23 (II)— 

24 (I) by striking ‘‘fiscal year 2014’’ 

25 and inserting ‘‘fiscal year 2016’’; and 


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1 (II) by striking ‘‘fiscal years 

2 2015, 2016, and 2017’’ and inserting 

3 ‘‘fiscal years 2017, 2018, and 2019’’; 

4 and 

5 (C) in subparagraph (B)(ii)— 

6 (i) in the heading of clause (ii), by 

7 striking ‘‘2018’’ and inserting ‘‘2020’’; 

8 (ii) in the matter preceding subclause 

9 (I), by striking ‘‘For fiscal year 2018’’ and 

10 inserting ‘‘For fiscal year 2020’’; and 

11 (iii) in the matter following subclause 

12 (II), by striking ‘‘fiscal years 2018 and 

13 2019’’ and inserting ‘‘fiscal years 2020 

14 and 2021’’. 

15 (b) EFFECTIVE DATE.—The amendments made by 

16 subsection (a) shall take effect as if included in the enact17 ment of section 3133 of the Patient Protection and Af18 fordable Care Act (Public Law 111–148), as amended by 

19 section 10316 of such Act, and as further amended by 

20 section 1104 of the Health Care and Education Reconcili21 ation Act of 2010 (Public Law 111–152). 

22 SEC. 3. MODIFICATION OF REDUCTION SCHEDULE FOR 

23 MEDICAID DSH ALLOTMENTS TO STATES. 

24 (a) ELIMINATION OF REDUCTIONS FOR FISCAL

25 YEARS 2014 AND 2015.—Section 1923(f)(7)(A) of the SoVerDate Mar 15 2010 00:32 May 14, 2013 Jkt 029200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1920.IH H1920

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1 cial Security Act (42 U.S.C. 1396r–4(f)(7)(A)) is amend2 ed— 

3 (1) in clause (i) in the matter preceding sub4 clause (I), by striking ‘‘fiscal years 2014’’ and in5 serting ‘‘fiscal years 2016’’ ; and 

6 (2) in clause (ii), by striking subclauses (I) and 

7 (II) and redesignating subclauses (III) through 

8 (VII) as subclauses (I) through (V), respectively. 

9 (b) CONFORMING AMENDMENTS.—Section 

10 1923(f)(6)(A)(v) of the Social Security Act (42 U.S.C. 

11 1396r–4(f)(6)(A)(v)) is amended— 

12 (1) in the heading of clause (v), by striking 

13 ‘‘FOR FISCAL YEAR 2013’’ and inserting ‘‘FOR FISCAL

14 YEARS 2013 THROUGH 2015’’; and 

15 (2) in subclause (II)— 

16 (A) by amending the heading of such sub17 clause to read as follows: ‘‘FISCAL YEARS 2013

18 THROUGH 2015’’; 

19 (B) by inserting ‘‘2014, or 2015’’ after 

20 ‘‘for fiscal year 2013,’’; and 

21 (C) by striking ‘‘for such fiscal year’’ and 

22 inserting ‘‘for each such fiscal year’’. 

23 (c) EFFECTIVE DATE.—The amendments made by 

24 this section shall take effect as if included in the enactVerDate Mar 15 2010 00:32 May 14, 2013 Jkt 029200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1920.IH H1920

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1 ment of section 1203 of the Health Care and Education 

2 Reconciliation Act of 2010 (Public Law 111–152). 

Æ 


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