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[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 1555 Introduced in Senate (IS)]

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.

    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) Effective Date.--The amendments made by subsection (a) 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).

SEC. 4. REBASING OF MEDICAID DISPROPORTIONATE SHARE HOSPITAL 
              ALLOTMENTS.

    Section 1923(f)(8) of the Social Security Act (42 U.S.C. 1396r-
4(f)(8)) is amended--
            (1) by redesignating subparagraph (C) as subparagraph (D);
            (2) by inserting after subparagraph (B) the following new 
        subparagraph:
                    ``(C) Fiscal year 2023.--Only with respect to 
                fiscal year 2023, the DSH allotment for a State, in 
                lieu of the amount determined under paragraph (3) for 
                the State for that year, shall be equal to the DSH 
                allotment for the State for fiscal year 2022, as 
                determined under subparagraph (B), increased, subject 
                to subparagraphs (B) and (C) of paragraph (3), and 
                paragraph (5), by the percentage change in the consumer 
                price index for all urban consumers (all items; U.S. 
                city average), for fiscal year 2022.''; and
            (3) in subparagraph (D) (as redesignated by paragraph (1) 
        of this section), by striking ``fiscal year 2022'' and 
        inserting ``fiscal year 2023.
                                 <all>
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