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Hospitals Call for Medicaid DSH Cut Delay as Policymakers Revisit Coverage Mandates

July 10, 2013

Statement attributable to:
Bruce Siegel, MD, MPH
President and CEO
America’s Essential Hospitals

WASHINGTON – “Vulnerable patients and the hospitals that care for them face a troubling future as the administration and Congress move to delay key coverage provisions of the Affordable Care Act.”

“Already, health care coverage may fall short of projections by more than 7 million people due to state decisions against Medicaid expansion. Delaying mandates on employers and individuals would further erode coverage. Hospitals, which also face deep cuts to Medicaid disproportionate share hospital (DSH) payments, will struggle to maintain access for the uninsured, as well as essential community services, such as trauma care, disaster response, and workforce training.”

“As the administration and Congress consider changes that will additionally reduce expected gains in coverage, they must also act to delay the impending cuts to Medicaid DSH payments. These payments provide a lifeline for hospitals and the vulnerable patients they serve, and grow even more important as the prospects for coverage expansion dim.”

“America’s Essential Hospitals and its members, leaders in giving the disadvantaged access to high-quality care, remain committed to realizing the Affordable Care Act’s promise of expanded access to health care services. We will continue to work with Congress and the administration to achieve this goal.”

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About America’s Essential Hospitals
America’s Essential Hospitals, formerly the National Association of Public Hospitals and Health Systems, is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. It supports members with advocacy, policy development, research, and education.

Our more than 200 members are vital to their communities, providing primary through trauma care, disaster response, health professionals training, research, public health programs, and other services. They innovate and adapt to lead the broader health care community toward more effective and efficient care. Visit to learn more.

Carl Graziano


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