Medicaid DSH Payment Adjustment Fairness Act of 2021
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.)
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.
To amend title XIX of the Social Security Act to expand hospitals 
           eligible for the Medicaid DSH payment adjustment.

    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 ``Medicaid DSH Payment Adjustment 
Fairness Act of 2021''.

SEC. 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).
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Medicaid DSH Payment Adjustment Fairness Act of 2021
To amend title XIX of the Social Security Act to expand hospitals eligible for the Medicaid DSH payment adjustment.
Medicaid DSH Payment Adjustment Fairness Act of 2021
Rep. Higgins, Brian