I 113th CONGRESS 1st Session H. R. 1920 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.

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 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 ). 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 ).