DSH Reduction Relief Act of 2013

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. Short title The Act may be cited as the DSH Reduction Relief Act of 2013 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 For fiscal year 2016 (2) in paragraph (2)— (A) in the matter preceding subparagraph (A), by striking for fiscal year 2014 for fiscal year 2016 (B) in subparagraph (B)(i)— (i) in the heading of clause (i), by striking 2014, 2015, 2016, and 2017 2016, 2017, 2018, and 2019 (ii) in the matter preceding subclause (I), by striking For each of fiscal years 2014, 2015, 2016, and 2017 For each of fiscal years 2016, 2017, 2018, and 2019 (iii) in the matter following subclause (II)— (I) by striking fiscal year 2014 fiscal year 2016 (II) by striking fiscal years 2015, 2016, and 2017 fiscal years 2017, 2018, and 2019 (C) in subparagraph (B)(ii)— (i) in the heading of clause (ii), by striking 2018 2020 (ii) in the matter preceding subclause (I), by striking For fiscal year 2018 For fiscal year 2020 (iii) in the matter following subclause (II), by striking fiscal years 2018 and 2019 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 Public Law 111–152 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) (1) in clause (i) in the matter preceding subclause (I), by striking fiscal years 2014 fiscal years 2016 (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) (1) in the heading of clause (v), by striking for fiscal year 2013 for fiscal years 2013 through 2015 (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 for fiscal year 2013, (C) by striking for such fiscal year 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

Summary: DSH Reduction Relief Act of 2013 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to delay from FY2014 to FY2016 commencement of the period during which the Secretary of Health and Human Services (HHS) is required to pay to any "subsection (d) hospital": (1) 25% of the amount of the disproportionate share hospital (DSH) payment that would otherwise be made to it for the fiscal year, plus (2) an additional payment amount according to a specified formula. (Generally, a subsection [d] hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system [IPPS] when providing covered inpatient services to eligible beneficiaries.) Amends SSA title XIX (Medicaid) to delay from the beginning of FY2014 until the beginning of FY2016 (and so eliminate for FY2014 and FY2015) aggregate reductions in DSH allotments for all states.