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[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>
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