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   &lt;pre&gt;[Congressional Record Volume 167, Number 102 (Friday, June 11, 2021)][House]From the Congressional Record Online through the Government Publishing Office [&lt;a href="https://www.gpo.gov"&gt;www.gpo.gov&lt;/a&gt;]By Mr. BILIRAKIS:H.R. 3806.Congress has the power to enact this legislation pursuantto the following:This bill is enacted pursuant to Article I, Section 8,Clause 1 of the Constitution of the United States.[Page H2709]&lt;/pre&gt;
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     &lt;p&gt;&lt;b&gt;State Accountability, Flexibility, and Equity for Hospitals Act of 2021 or the SAFE Hospitals Act of &lt;/b&gt;&lt;b&gt;2021&lt;/b&gt;&lt;/p&gt; &lt;p&gt;This bill alters Medicaid requirements relating to payment for inpatient hospital services that are provided by disproportionate share hospitals (DSHs). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)&lt;/p&gt; &lt;p&gt;Among other changes, the bill requires state Medicaid programs to adopt a payment methodology that meets certain criteria, including by prioritizing payments based on the DSH tier for which the hospital qualifies; tiers are determined based on factors such as the hospital's Medicaid inpatient utilization rate. &lt;/p&gt; &lt;p&gt;The bill also incorporates state poverty ratios (i.e., the number of qualifying low-income individuals in a state compared to all states) into the formula for determining state DSH allotments under Medicaid. The bill phases in application of the revised formula over the course of 10 to 15 years. &lt;/p&gt;
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   SAFE Hospitals Act of 2021
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     To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments that is based on State poverty levels, to require States to prioritize disproportionate share hospital payments on the basis of Medicaid inpatient utilization and low-income utilization rates, and for other purposes.
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   This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.
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2021-06-14
Health Subcommittee
hsif14
1
House committee actions
Referred to the Subcommittee on Health.
Committee
H11100
2021-06-11
Energy and Commerce Committee
hsif00
2
House floor actions
Referred to the House Committee on Energy and Commerce.
IntroReferral
Intro-H
2021-06-11
9
Library of Congress
Introduced in House
IntroReferral
1000
2021-06-11
9
Library of Congress
Introduced in House
IntroReferral
2021-06-11T15:35:35Z
Referred to
House
Energy and Commerce Committee
2021-06-14T21:10:47Z
Referred to
Health Subcommittee
hsif14
hsif00
Standing
Congressional Research Service, Library of Congress
This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
2021-06-11
2021-06-14
Referred to the Subcommittee on Health.
House
Health
2021-06-10
Read twice and referred to the Committee on Finance.
CRS
Identical bill
SAFE Hospitals Act of 2021
S
B001257
12
Gus
Rep. Bilirakis, Gus M. [R-FL-12]
N
Bilirakis
M.
R
FL
Health care coverage and access Hospital care Medicaid
2021-06-11
Introduced in House
 <p><b>State Accountability, Flexibility, and Equity for Hospitals Act of 2021 or the SAFE Hospitals Act of </b><b>2021</b></p> <p>This bill alters Medicaid requirements relating to payment for inpatient hospital services that are provided by disproportionate share hospitals (DSHs). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)</p> <p>Among other changes, the bill requires state Medicaid programs to adopt a payment methodology that meets certain criteria, including by prioritizing payments based on the DSH tier for which the hospital qualifies; tiers are determined based on factors such as the hospital's Medicaid inpatient utilization rate. </p> <p>The bill also incorporates state poverty ratios (i.e., the number of qualifying low-income individuals in a state compared to all states) into the formula for determining state DSH allotments under Medicaid. The bill phases in application of the revised formula over the course of 10 to 15 years. </p>
2021-07-23T14:36:20Z
00
2021-06-11T04:00:00Z
Introduced in House
https://www.govinfo.gov/content/pkg/BILLS-117hr3806ih/xml/BILLS-117hr3806ih.xml
SAFE Hospitals Act of 2021
SAFE Hospitals Act of 2021
Display Title
IH
Introduced in House
To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments that is based on State poverty levels, to require States to prioritize disproportionate share hospital payments on the basis of Medicaid inpatient utilization and low-income utilization rates, and for other purposes.
Official Title as Introduced
IH
Introduced in House
SAFE Hospitals Act of 2021
Short Title(s) as Introduced
IH
Introduced in House
State Accountability, Flexibility, and Equity for Hospitals Act of 2021
Short Title(s) as Introduced
HR
2022-12-30T17:47:45Z
2022-12-30T17:47:45Z
3.0.0
2021-06-10
Read twice and referred to the Committee on Finance.
CRS
Identical bill
SAFE Hospitals Act of 2021
S
2021-06-14
Health Subcommittee
hsif14
1
House committee actions
Referred to the Subcommittee on Health.
Committee
H11100
2021-06-11
Energy and Commerce Committee
hsif00
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House floor actions
Referred to the House Committee on Energy and Commerce.
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2021-06-11
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Library of Congress
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2021-06-11
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Library of Congress
Introduced in House
IntroReferral
B001257
12
Gus
Rep. Bilirakis, Gus M. [R-FL-12]
N
Bilirakis
M.
R
FL
Health care coverage and access Hospital care Medicaid
2021-06-11
Introduced in House
 <p><b>State Accountability, Flexibility, and Equity for Hospitals Act of 2021 or the SAFE Hospitals Act of </b><b>2021</b></p> <p>This bill alters Medicaid requirements relating to payment for inpatient hospital services that are provided by disproportionate share hospitals (DSHs). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)</p> <p>Among other changes, the bill requires state Medicaid programs to adopt a payment methodology that meets certain criteria, including by prioritizing payments based on the DSH tier for which the hospital qualifies; tiers are determined based on factors such as the hospital's Medicaid inpatient utilization rate. </p> <p>The bill also incorporates state poverty ratios (i.e., the number of qualifying low-income individuals in a state compared to all states) into the formula for determining state DSH allotments under Medicaid. The bill phases in application of the revised formula over the course of 10 to 15 years. </p>
2021-07-23T14:36:20Z
00
SAFE Hospitals Act of 2021
SAFE Hospitals Act of 2021
Display Title
IH
Introduced in House
To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments that is based on State poverty levels, to require States to prioritize disproportionate share hospital payments on the basis of Medicaid inpatient utilization and low-income utilization rates, and for other purposes.
Official Title as Introduced
IH
Introduced in House
SAFE Hospitals Act of 2021
Short Title(s) as Introduced
IH
Introduced in House
State Accountability, Flexibility, and Equity for Hospitals Act of 2021
Short Title(s) as Introduced
2021-06-14
Referred to the Subcommittee on Health.