II
119th CONGRESS
1st Session
S. 474
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.
Short title
This Act may be cited as the Fair Funding for Rural Hospitals Act
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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:
Minimum DSH allotment for fiscal years after 2024
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).
Minimum DSH allotment amount
The minimum DSH allotment amount established under this clause—
for each of fiscal years 2025 through 2029, shall be equal to $20,000,000; and
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).
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