Title: To amend title XIX of the Social Security Act to provide for a temporary increase in Medicaid DSH allotments during the COVID-19 emergency period, and for other purposes.
Policy area: Health

Summary:
This bill increases Medicaid disproportionate share hospital (DSH) allotments for FY2020 and for the duration of the public health emergency relating to COVID-19 (i.e., coronavirus disease 2019). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6584 Introduced in House (IH)]

<DOC>






116th CONGRESS
  2d Session
                                H. R. 6584

    To amend title XIX of the Social Security Act to provide for a 
   temporary increase in Medicaid DSH allotments during the COVID-19 
               emergency period, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             April 21, 2020

   Ms. Kelly of Illinois (for herself and Mr. Gomez) introduced the 
   following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
    To amend title XIX of the Social Security Act to provide for a 
   temporary increase in Medicaid DSH allotments during the COVID-19 
               emergency period, 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. TEMPORARY INCREASE IN MEDICAID DSH ALLOTMENTS DURING COVID-
              19 EMERGENCY PERIOD.

    (a) In General.--Section 1923(f)(3) of the Social Security Act (42 
U.S.C. 1396r-4(f)(3)) is amended--
            (1) in subparagraph (A), by striking ``and subparagraph 
        (E)'' and inserting ``and subparagraphs (E) and (F)''; and
            (2) by adding at the end the following new subparagraph:
                    ``(F) Temporary increase in allotments during 
                certain public health emergency.--The DSH allotment for 
                any State is--
                            ``(i) for fiscal year 2020, equal to 102.5 
                        percent of the DSH allotment that would be 
                        determined under this paragraph for the State 
                        for fiscal year 2020 without application of 
                        this subparagraph, notwithstanding 
                        subparagraphs (B) and (C); and
                            ``(ii) for a subsequent fiscal year (if 
                        any) during which the emergency period defined 
                        in paragraph (1)(B) of section 1135(g) is in 
                        effect, equal to 102.5 percent of the DSH 
                        allotment determined under this subparagraph 
                        for the State for the previous fiscal year.
                For each fiscal year after fiscal year 2020 during 
                which the emergency period described in clause (ii) is 
                not in effect, the DSH allotment for a State for such 
                fiscal year is equal to the DSH allotment that would 
                have been determined under this paragraph for such 
                fiscal year if this subparagraph had not been 
                enacted.''.
    (b) DSH Allotment Adjustment for Tennessee.--Section 
1923(f)(6)(A)(vi) of the Social Security Act (42 U.S.C. 1396r-
4(f)(6)(A)(vi)) is amended--
            (1) by striking ``Notwithstanding any other provision of 
        this subsection'' and inserting the following:
                                    ``(I) In general.--Notwithstanding 
                                any other provision of this subsection 
                                (except as provided in subclause (II) 
                                of this clause)''; and
            (2) by adding at the end the following:
                                    ``(II) Temporary increase in 
                                allotments during certain public health 
                                emergency.--For any of fiscal years 
                                2020 through 2025, if the emergency 
                                period defined in paragraph (1)(B) of 
                                section 1135(g) is in effect during 
                                such fiscal year, the DSH allotment for 
                                Tennessee for such fiscal year shall be 
                                $54,427,500.''.
    (c) Sense of Congress.--It is the sense of Congress that a State 
should prioritize making payments under the State plan of the State 
under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) (or 
a waiver of such plan) to disproportionate share hospitals that have a 
higher share of COVID-19 patients relative to other such hospitals in 
the State.
                                 <all>