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Fair Funding for Rural Hospitals Act
To amend title XIX of the Social Security Act to establish a minimum Medicaid disproportionate share hospital allotment for States.
Summary
This bill amends Medicaid law to establish a minimum annual allotment of federal funds that each state must receive for its Disproportionate Share Hospital (DSH) payments. DSH payments are federal Medicaid funds distributed to hospitals that serve a large share of low-income and uninsured patients. The bill sets the minimum DSH allotment at $20 million per state for fiscal years 2025 through 2029, and requires that the minimum amount be adjusted for inflation beginning in fiscal year 2030 while remaining at least equal to the prior year level.
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)
- Sen. Barrasso, John [R-WY] (R-WY)
3 cosponsors
- Sen. Cramer, Kevin [R-ND] (R-ND)
- Sen. Schatz, Brian [D-HI] (D-HI)
- Sen. Welch, Peter [D-VT] (D-VT)
Actions (2)
- Feb 6, 2025 Read twice and referred to the Committee on Finance. (text: CR S796) · senate
- Feb 6, 2025 Introduced in Senate
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.
Full text
IN THE SENATE OF THE UNITED STATES
February 6 (legislative day, February 5), 2025
Mr. Barrasso (for himself, Mr. Schatz, Mr. Cramer, and Mr. Welch) introduced the following bill; which was read twice and referred to the Committee on Finance
A BILL
To amend title XIX of the Social Security Act to establish a minimum Medicaid disproportionate share hospital allotment for States.
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 “Fair Funding for Rural Hospitals Act”.
SEC. 2. MINIMUM MEDICAID DSH ALLOTMENT.
Section 1923(f)(6) of the Social Security Act (42 U.S.C. 1396r- 4(f)(6)) is amended by adding at the end the following new subparagraph:
“(C) Minimum dsh allotment for fiscal years after 2024.—
“(i) In general.—Notwithstanding the table set forth in paragraph (2) or the reductions required under paragraph (7), for fiscal year 2025 and each succeeding fiscal year, the DSH allotment for any State shall not be less than the minimum DSH allotment amount established for the fiscal year under clause
(ii).
“(ii) Minimum dsh allotment amount.—The minimum DSH allotment amount established under this clause—
“(I) for each of fiscal years 2025 through 2029, shall be equal to $20,000,000; and
“(II) for fiscal year 2030 and each succeeding fiscal year, shall be equal to the minimum DSH allotment amount established under this clause for the preceding fiscal year, subject to an increase for inflation as provided in paragraph (3)(A).”. <all>
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