II 

113TH CONGRESS 

1ST SESSION S. 1555 

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 SENATE OF THE UNITED STATES 

SEPTEMBER 26, 2013 

Mr. WICKER introduced the following bill; which was read twice and referred 

to the Committee on Finance 

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 02:07 Sep 29, 2013 Jkt 029200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S1555.IS S1555

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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) EFFECTIVE DATE.—The amendments made by 

10 subsection (a) shall take effect as if included in the enact11 ment of section 1203 of the Health Care and Education 

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

13 SEC. 4. REBASING OF MEDICAID DISPROPORTIONATE 

14 SHARE HOSPITAL ALLOTMENTS. 

15 Section 1923(f)(8) of the Social Security Act (42 

16 U.S.C. 1396r–4(f)(8)) is amended— 

17 (1) by redesignating subparagraph (C) as sub18 paragraph (D); 

19 (2) by inserting after subparagraph (B) the fol20 lowing new subparagraph: 

21 ‘‘(C) FISCAL YEAR 2023.—Only with re22 spect to fiscal year 2023, the DSH allotment 

23 for a State, in lieu of the amount determined 

24 under paragraph (3) for the State for that year, 

25 shall be equal to the DSH allotment for the 


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1 State for fiscal year 2022, as determined under 

2 subparagraph (B), increased, subject to sub3 paragraphs (B) and (C) of paragraph (3), and 

4 paragraph (5), by the percentage change in the 

5 consumer price index for all urban consumers 

6 (all items; U.S. city average), for fiscal year 

7 2022.’’; and 

8 (3) in subparagraph (D) (as redesignated by 

9 paragraph (1) of this section), by striking ‘‘fiscal 

10 year 2022’’ and inserting ‘‘fiscal year 2023. 

Æ 


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