Medicaid DSH

The Centers for Medicare & Medicaid Services Feb. 20 finalized proposed changes to how states calculate the hospital-specific cap for Medicaid Disproportionate Share Hospitals.
It is important for us to continue to exercise the principles of democracy that Washington and the Founding Fathers fought so hard for and speak up, asking hard questions of candidates in this election year and evaluating their thinking on the issues that affect our field.
The AHA, joined by five other national associations representing hospitals, Feb. 2 urged the U.S. Supreme Court to review a case challenging how the Department of Health and Human Services applies Congress’ formula for calculating Disproportionate Share Hospital payments.
As congressional leaders continue to hammer out annual spending bills ahead of the Jan. 19 and Feb. 2 deadlines to fund various agencies, a number of important issues affecting hospitals and health systems are being considered.
Ask your lawmakers not to include any site-neutral payment cuts as part of a legislative package that would fund the government; first funding deadline is Jan. 19
The AHA Jan. 10 urged House and Senate leaders to eliminate Medicaid disproportionate share hospital reductions for two years and reject policies to expand site-neutral payment cuts or add regulatory burdens on hospitals and health systems as part of any government funding package.
At its December meeting this week, the Medicaid and CHIP Payment and Access Commission expressed concern about the financial viability of Medicaid Disproportionate Share Hospitals if Congress fails to delay cuts scheduled to take effect Jan. 19.
The House of Representatives as soon as next week could consider the Lower Costs, More Transparency Act (H.R. 5378), a bill that includes site-neutral payment cuts and detrimental provisions focused on hospital price transparency, among other issues.
The Senate Nov. 15 voted 87-11 to pass a continuing resolution (H.R.6363) funding the federal government through early 2024, avoiding a government shutdown when the current CR expires at midnight Friday.