Medicaid DSH Payment Adjustment Fairness Act of 2021

Bill: 117-hr-5015
Sponsor: full_name: Rep. Higgins, Brian [D-NY-26]
Introduced: 2021-08-13
Policy area: Health
Latest action: action_date: 2021-08-16
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-08-13
action_desc: Introduced in House
text: <p><b>Medicaid DSH Payment Adjustment Fairness Act of 2021</b></p> <p>This bill allows for the use of a certain prior methodology relating to the calculation of Medicaid disproportionate-share hospital (DSH) payment limits. (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)</p> <p>Under current law, effective October 1, 2021, costs and payments associated with services furnished to Medicaid-eligible individuals for whom Medicaid is not the primary payer are excluded from the calculation of DSH payment limits. However, for DSHs that provide a high volume of care to individuals who are entitled to Medicare and Supplemental Security Income (SSI) benefits, payment limits are calculated based on either the methodology in place as of January 1, 2020, or as in place on October 1, 2021, whichever is higher. The bill extends this option to all DSHs, not just those with a high volume of care for Medicare-SSI individuals.</p>

tv_txt: I 117th CONGRESS 1st Session H. R. 5015 IN THE HOUSE OF REPRESENTATIVES August 13, 2021 Mr. Higgins of New York (for himself and Mr. Katko ) 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 expand hospitals eligible for the Medicaid DSH payment adjustment.

1. Short title This Act may be cited as the Medicaid DSH Payment Adjustment Fairness Act of 2021 . 2. Expansion of hospitals eligible for the Medicaid DSH payment adjustment Effective as if included in the enactment of section 203(a) of title II of division CC of Public Law 116–260 , subsection (g) of section 1923 of the Social Security Act ( 42 U.S.C. 1396r–4 ), as amended by such section 203(a), is further amended— (1) in paragraph (1), by striking paragraph (2)(B) and inserting paragraph (2) ; and (2) in paragraph (2)— (A) in the heading, by striking for certain hospitals ; (B) in subparagraph (A)— (i) in the heading, by striking (A) In general.— ; and (ii) by striking described in subparagraph (B) ; and (C) by striking subparagraph (B).