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To amend title XIX of the Social Security Act to delay certain disproportionate share hospital payment reductions under the Medicaid program.
Summary
This bill delays certain disproportionate share hospital (DSH) payment reductions under Medicaid that were scheduled to take effect in 2026 through 2028, postponing those reductions to 2029 through 2031 instead. Disproportionate share hospitals are facilities that serve a large share of low-income Medicaid and uninsured patients. The bill extends the timeline by which scheduled Medicaid DSH payment cuts would be implemented, providing additional years before the reductions take effect.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Crenshaw, Dan [R-TX-2] (R-TX)
Money behind the sponsor
Top reported contributors to Dan Crenshaw’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $228,839
- CAMDEN PROPERTY TRUST $19,800
- MCCORD DEVELOPMENT $16,500
- RIDA DEVELOPMENT $15,700
- ADVANCED HEALTH CARE $14,241
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Dan Crenshaw → · Outside spending →
Actions (2)
- May 23, 2025 Referred to the House Committee on Energy and Commerce. · house
- May 23, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
May 23, 2025
Mr. Crenshaw 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 delay certain disproportionate share hospital payment reductions under the Medicaid program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Protect DSH Act”.
SEC. 2. DELAYING DSH REDUCTIONS.
(a) In General.—Section 1923(f) of the Social Security Act (42 U.S.C. 1396r-4(f)) is amended—
(1) in paragraph (7)(A)—
(A) in clause (i)—
(i) in the matter preceding subclause (I), by striking “2026 through 2028” and inserting “2029 through 2031”; and
(ii) in subclause (II), by striking “or period”; and
(B) in clause (ii), by striking “2026 through 2028” and inserting “2029 through 2031”; and (2) in paragraph (8), by striking “2027” and inserting “2031”. <all>
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