Recent policy changes have drained vital funding and threaten a financial crisis at essential hospitals. Without action by Congress, communities nationwide will lose access to care and vital support services.

This year's report includes the commission’s statutorily required annual analysis of Medicaid disproportionate share hospital payments, as well as chapters on Medicaid managed care and telehealth.

A federal court in Washington, D.C., vacated a final rule requiring Medicaid disproportionate share hospital limit calculations to include Medicare and commercial insurance payments; the court explicitly issued a decision with nationwide impact.

A federal court in Missouri ruled that the Centers for Medicare & Medicaid Services’ April 2017 third-party payer DSH final rule is unenforceable. This decision is the first to invalidate the final rule.

America’s Essential Hospitals thanks its member hospitals and congressional champions for their hard work and advocacy during the lengthy process to finalize a two-year delay of Medicaid disproportionate share hospital funding cuts.

America's Essential Hospitals urges all association members to contact their delegations in Congress and ask them to vote in favor of a bill that delays Medicaid DSH cuts.

The measure, which updates a continuing resolution set to expire on Feb. 8, delays cuts to Medicaid disproportionate share hospital payments for fiscal years 2018 and 2019.

Funding for the federal government expires February 8, and Congress has yet to delay Medicaid disproportionate share hospital payment cuts that took effect October 1, 2017. Association members should ask their delegations to urge House leadership to include a two-year delay in the next funding bill.

The association continues to work with congressional leadership and staff to ensure a delay of Medicaid disproportionate share hospital cuts is included in the next funding measure; Senate confirms new Health and Human Services Secretary.

The measure passed by Congress and signed by President Trump Monday funds the government through Feb. 8 and extends the Children's Health Insurance Program six years, but leaves unresolved a delay of Medicaid disproportionate share hospital cuts.

The Senate needs 60 votes to avoid a filibuster and pass the continuing resolution. There are only 51 Republicans in the Senate, and several have said they won’t vote for the bill in its current form.

As Congress focuses on Jan. 19 funding deadline, America's Essential Hospitals continues pressure to delay Medicaid disproportionate share hospital cuts. The Trump administration releases guidance on work requirements for Medicaid recipients.

The association launched an advocacy and media campaign calling on Congress to delay Medicaid disproportionate share hospital payment cuts as part of a long-term government funding measure.

Congress has two weeks to decide what to include in its next spending bill for the federal government. Association members should urge lawmakers to ensure that legislation delays Medicaid disproportionate share hospital cuts for at least two years.

Congress returns from recess to focus on long-term solutions after passing a short-term bill to fund the government through Jan. 19; lawmakers push for delay of 340B Drug Pricing Program cuts.

America’s Essential Hospitals will continue its fight to stop the onset of these cuts, and have assurances that lawmakers are committed to a two-year delay. We urge Congress to act swiftly to delay the Medicaid DSH cuts when lawmakers return in January.

The final tax deal includes the repeal of the Affordable Care Act's individual mandate, Advance Refunding Bonds and Private Activity Bonds.

Tax reform legislation heads to a House-Senate conference committee. Meanwhile, a bill to delay Medicaid disproportionate share hospital payment cuts could be included in year-end legislation.

The legislative priorities include a health care extenders package, tax reform, and a long-term funding bill. Also, bipartisan House legislation to halt 340B payment cuts now has more than 50 cosponsors.

The House passed the Tax Cuts and Jobs Act; the Senate version of the tax reform bill includes a repeal of the Affordable Care Act's individual mandate.

Senate legislation does not include a delay of Medicaid disproportionate share hospital cuts. Contact your senators today and insist they take immediate action on legislation that is consistent with the House package and includes at least a two-year delay of disproportionate share hospital cuts.

In a Nov. 2 Federal Register notice, the Centers for Medicare & Medicaid Services posted final DSH allotments for FY 2015 and preliminary allotments for FY 2017.

The CHAMPIONING HEALTHY KIDS Act extends Children's Health Insurance Program funding for five years and delays cuts to Medicaid disproportionate share hospital payments for two years.

Senate and House bills to fund the Children's Health Insurance Program are similar, but the House version includes a one-year delay of Medicaid disproportionate share hospital cuts.

The federal fiscal year came to a close Sept. 30, ending a nearly yearlong congressional effort to repeal and replace the Affordable Care Act and bringing tax reform efforts and other health care priorities to the forefront in Congress.

Reductions to Medicaid disproportionate share hospital (DSH) payments, as mandated by the Affordable Care Act, went into effect on Oct. 1. A total of $2 billion will be cut from Medicaid DSH funding in fiscal year 2018 alone.

A push is underway on Capitol Hill to delay Medicaid disproportionate share hospital cuts and withdraw proposed 340B policy. Please urge your member of Congress to sign both letters.

Unless another delay is secured, Medicaid disproportionate share hospital payments will be cut by $2 billion beginning in fiscal year 2018, escalating to $8 billion by 2024.

The proposed reductions are set to take effect Oct. 1; the association recommended the Centers for Medicare & Medicaid Services protect state disproportionate share hospital payment allotments from total elimination, among other suggestions.

Substantial cuts to Medicaid disproportionate share hospital payments are set to begin on Oct. 1; strong and immediate input from essential hospitals is vital to successfully secure another delay.

The newly released set of frequently asked questions relates to potential payment issues for Medicaid managed care patients in institutions for mental disease.

Medicaid disproportionate share hospital payment cuts cannot be justified. America's Essential Hospitals urges member CEOs to sign a letter asking Congress for a delay.

America's Essential Hospitals asks Congress to postpone Medicaid disproportionate share hospital payment cuts until they can reach a sustainable solution.

Senate committees will focus on market stabilization legislation and Children’s Health Insurance Program (CHIP) reauthorization; the association seeks to attach to the CHIP bill a delay of Medicaid disproportionate share hospital payment cuts.

Courts in Minnesota, Tennessee, and Virginia have ruled in favor of hospitals challenging the Center for Medicare & Medicaid Services' inclusion of Medicare and commercial payments in the calculation of disproportionate-share hospital payment limits.

As the Senate considers the Better Care Reconciliation Act (BCRA) of 2017, America’s Essential Hospitals and its more than 300 members urge lawmakers to protect low-income and other Americans who face financial challenges—and the hospitals on which they rely.

The brief projects Medicaid disproportionate share hospital payment reductions under the Affordable Care Act and the House-passed American Health Care Act.

A white paper calls for a stop to impending cuts to Medicaid disproportionate share hospital (DSH) payments and recommends modernizing existing DSH policy.

Three new amendments garnered enough Republican support to pass the bill in a 217-213 vote; CBO has not scored the bill since the amendments were added.

Your members of Congress are back in their home districts through April 24, giving you an ideal opportunity to make your views known.

CMS finalizes the agency's interpretation that, in determining hospital-specific DSH payment limits, the total costs of care for Medicaid inpatient and outpatient services must account for all third-party payments.

House GOP leadership pulled the bill due to inadequate support; the association now resumes its focus on other hospital-related issues, including DSH cuts.

MACPAC's March report includes analysis on Medicaid DSH and impacts of the ACA on hospitals, as well as recommendations for the future of CHIP.

The American Health Care Act offers some relief for the safety net, but the association remains deeply concerned about substantial changes to Medicaid.

According to reports, draft House reconciliation legislation would cut Medicaid disproportionate share hospital payments starting Oct. 1 and impose per-capita caps on Medicaid funding, resulting in devastating losses for essential hospitals.

A memo instructs all executive departments and agencies to temporarily halt pending regulations until incoming department or agency heads can review them.

MACPAC's recommendation is part of a larger package of suggestions meant to improve coverage for children in low- and moderate-income families.

The letter was signed by America's Essential Hospital and 20 other national organizations.

The notice contains state-specific, final FY 2014 disproportionate share hospital allotments, without reductions that would have been imposed under the ACA.

Aggregate data collected by the association will help inform advocacy on disproportionate share hospital payments and other funding support.

The law also delays Medicaid DSH payment cuts for an additional year - until fiscal year 2018 - and extends CHIP funding for two years.

The Senate will vote on the SGR measure after a two-week recess. Both chambers also passed budget legislation before adjourning.

DSH cuts would be eliminated in FY 2017, and DSH would be "rebased," extending cuts by one year, to 2025.

Contact your lawmakers on the House Energy and Commerce and Senate Health, Education, Labor, and Pensions committees to underscore the critical need for the 340B program. An update on the SGR package will be provided as more information is available.

New association materials include messaging on Medicaid DSH, Medicare, risk adjustment for sociodemographic status, 340B, and more.

The budget would extend Medicaid DSH cuts another year and reduce Medicare payments for outpatient services, medical education, and bad debt, among other threats to essential hospitals.

In a new policy brief, America's Essential Hospitals describes how billions of dollars in reductions to Medicaid and Medicare funding threaten care at essential hospitals.

A district court has granted a preliminary injunction restricting HHS and CMS from altering the hospital-specific DSH limit without following notice-and-comment procedures.

Agency reverts to position recommended by America's Essential Hospitals to define uninsured status at the service level for purposes of calculating DSH payments; sets Dec. 31 as start of new policy

CMS returns to a pre-2008 definition of uninsured that includes whether a patient is covered for a particular service, among other changes.

Plans include evaluating potential data sources, constructing an operational model to estimate state-level DSH allocations, and consulting with stakeholders throughout the process.

It provides information to help states prepare for the end of the transition period established in 2008. CMS specifically outlines the requirements independent auditors must follow when conducting annual DSH audits, as well as information to help states calculate uncompensated care costs.

Association members explained what makes an essential hospital and the key issues facing essential hospitals to their policymakers on the Hill. The event also included reflections from senior Capitol Hill and administration staff and two award ceremonies that recognized members of Congress and congressional staff for their commitment to essential hospitals.

House and Senate lawmakers also to discuss budget proposals, including president's

In a major victory for essential hospitals, a House committee late last night posted physician payment legislation that includes an additional year delay in Medicaid disproportionate share hospital (DSH) cuts and requires an annual DSH report sought by America’s Essential Hospitals. The changes come in a House Rules Committee bill to extend the current patch

Medicare GME and IME cuts, bad debt cuts, and Medicaid DSH rebasing are included in the proposal. The association will continue to follow these concerning issues closely.

The notice contains state-specific FY 2014 DSH allotments - without the ACA-mandated reductions. America's Essential Hospitals achieved a major legislative victory with a two-year delay of the Medicaid DSH cuts. The FY 2014 Joint Budget Resolution repealed the FY 2014 Medicaid DSH cuts, and delayed the FY 2015 Medicaid DSH cuts until FY 2016.