In its March report to Congress, the Medicaid and CHIP Payment and Access Commission examines the relationship between Medicaid disproportionate share hospital (DSH) allotments, uncompensated care costs, and services for low-income, uninsured populations.

Ensuring a reliable safety net, one ready to meet the moment in any crisis, means robustly protecting and bolstering the mechanisms and ideals that make the safety net function.

The association seeks hospital feedback on unintended cuts to disproportionate share hospital payments that resulted from Section 203 of the Consolidated Appropriations Act of 2021. President Joe Biden nominated Judge Ketanji Brown Jackson as the 116th associate justice of the Supreme Court.

A letter to state Medicaid directors defines supplemental payments and designates a system to submit required supplemental payment reports. CMS also notes a lack of data to determine the application of an exception to new rules on Medicaid disproportionate share hospital uncompensated care limits.

A Centers for Medicare & Medicaid Services letter to state Medicaid directors outlines new supplemental payment reporting and Medicaid disproportionate share hospital requirements under the Consolidated Appropriations Act.

Cutting the DSH program — especially with hospitals still on the front lines of COVID-19 — is misguided. Our latest Our View dispels common misconceptions about these proposed DSH cuts.

The Build Back Better Act, now under consideration in the Senate, contains damaging cuts to Medicaid disproportionate share hospital and uncompensated care pool payments and lacks critical infrastructure funding for essential hospitals.

The House voted 220–213 to pass the $1.75 trillion Build Back Better Act. It contains essential hospital priorities related to Medicaid, maternal health, and the health care workforce but also includes harmful cuts to Medicaid disproportionate share hospital and uncompensated care pool payments.

The House passed the $1 trillion bipartisan physical infrastructure bill after agreeing on a path forward for the $1.75 trillion "human infrastructure" bill. New language in the human infrastructure measure calls for Medicare to negotiate certain drug prices and retains Medicaid DSH cuts.

In an annual report to Congress, the Medicaid and CHIP Payment and Access Commission finds an increase from 2018 to 2019 in the number of uninsured and in charity care and bad debt. The report includes state-specific projections of the Medicaid disproportionate share hospital allotment.

Essential hospitals lead the nation in the battle against COVID-19 but new challenges—including COVID variants, vaccination distribution management, and long-term hospitalizations—show more help is needed to ensure providers on the front lines can maintain access to care.

The $1.9 trillion package temporarily increases Medicaid disproportionate share hospital allotments to ensure essential hospitals receive the same level of payments as they would have expected absent the pandemic. The package returns to the House for a final vote, expected as early as Tuesday.

The $2.3 trillion package to fund the government, provide new COVID-19 relief, and stimulate the economy would eliminate a $4 billion cut to Medicaid disproportionate share hospital payments and add $3 billion to the Provider Relief Fund, among numerous other changes.

The continuing resolution delays until Dec. 19 a scheduled $4 billion cut to Medicaid disproportionate share hospital payments. Meanwhile, lawmakers introduce a new, two-part $908 billion legislative proposal for COVID-19 relief, as well as a deal on legislation regarding surprise medical bills.

Unless Congress acts by December 11, Medicaid DSH funding will be cut by $4 billion—a third of all program funding—while COVID-19 continues to spread and impact patients and communities served by essential hospitals.

Without congressional action, the government on Dec. 12 will enter a shutdown and $4 billion will be cut from Medicaid disproportionate share hospital payments. Meanwhile, negotiations are deadlocked on additional COVID-19 relief.

Lawmakers will prioritize funding for the federal government and additional COVID-19 relief. Join America's Essential Hospitals for a Nov. 18 webinar analyzing the impact of the elections on essential hospitals and health care policy. Registration open for our postelection Policy Assembly, Dec. 8–9.

Following the Supreme Court's denial of hospitals’ appeal petition, the D.C. Circuit’s decision upholding CMS' third-party payer final rule will stand. This allows CMS to require the offset of third-party payments in calculating the hospital-specific disproportionate share hospital payment limit.

The House-passed $2.2 trillion COVID-19 relief package would increase Medicaid disproportionate share hospital allotments and the Provider Relief Fund. Meanwhile, Congress now has until Dec. 11 to pass its annual spending bills or agree to another short-term CR.

House Democrats released a continuing resolution to maintain government funding through Dec. 11. The legislation would delay a $4 billion cut to Medicaid disproportionate share hospital funding and change the recoupment and repayment terms for the Medicare Accelerated and Advance Payment Program.

CMS issued an information bulletin outlining two approaches for states to reflect third-party payer payments in calculations of uncompensated care costs used to determine hospital-specific Medicaid disproportionate share hospital limits.

Republicans and Democrats have yet to make progress in negotiations on the next COVID-19 bill; the association shared essential hospital priorities with congressional leadership. A new House bill would ensure hospitals in the 340B Drug Pricing Program will not lose eligibility during the pandemic.

Republican and Democratic leaders now are negotiating what policies to include in a final version of the fourth COVID-19 legislative package. Now is the time to contact your Senators and Representatives and push for additional COVID-19 relief for essential hospitals.

The highly anticipated bill would add $25 billion to the Provider Relief Fund and extend Medicare telehealth flexibility. It would not block the Medicaid Fiscal Accountability Regulation or delay the Medicaid disproportionate share hospital payment cut scheduled for Dec. 1.

Senate leaders have indicated they will develop and try to pass a “phase four” COVID-19 bill by the end of this month. Members should contact their senators now and urge them to support key essential hospital priorities in the next COVID-19 relief package.

The rule requiring hospital-specific Medicaid DSH limit calculations to include payments from Medicare and commercial payers now is valid nationwide, with lower courts determining the effective date. Plaintiff hospitals filed a petition to appeal the decision to the United States Supreme Court.

This targeted allocation distributes $12 billion to 395 hospitals that provided inpatient care for 100 or more COVID-19 patients through April 10. Of that total, $2 billion is allocated to hospitals based on Medicare and Medicaid disproportionate share hospital (DSH) and uncompensated care payments.

President Trump has signed a $2 trillion package of COVID-19 aid that provides $100 billion to hospitals and other providers, averts cuts to Medicaid disproportionate share hospital (DSH) payments, suspends Medicare sequester cuts, and includes numerous other relief measures.

CMS issued a frequently asked questions document on how the agency will implement enhanced Medicaid funding to states to support COVID-19 response. The 6.2 percent increase in the Federal Medical Assistance Percentage was included in the Families First Coronavirus Response Act, made law on March 19.

After two failed votes, senators continue negotiations on a $1.6 trillion funding package to boost the economy and improve access to care during the COVID-19 pandemic. Meanwhile, House Democratic leadership unveiled competing legislation to provide relief.

In its March report to Congress, the Medicaid and CHIP Payment and Access Commission included chapters analyzing Medicaid disproportionate share hospital payments, state readiness to report on core quality measure sets, and Section 1115 waiver evaluations.

The proposed Medicaid Fiscal Accountability Regulation would sharply curtail flexibility states now have to finance and structure Medicaid to serve vulnerable people. Congress must step in immediately and demand that CMS withdraw this damaging rule in its entirety.

America's Essential Hospitals this week is closely following congressional health care committee efforts to develop a robust legislative package to stop impending cuts to Medicaid disproportionate share hospital funding and extend funding for several expiring health care programs.

After delaying Medicaid DSH cuts and extending funding for other health care programs by five additional months, congressional leaders are expected to leverage the new May 22 expiration date to advance bills to lower drug prices and protect patients from surprise medical bills.

Congress approved and the president signed a fiscal year 2020 spending package that delays through May 22, 2020, a $4 billion cut to Medicaid disproportionate share hospital payments.

Congressional leaders have delayed for five months a $4 billion cut to Medicaid disproportionate share hospital payments under comprehensive legislation to fund federal operations for the remainder of fiscal year 2020, which started Oct. 1.

The package, expected to become law, would delay a $4 billion cut to Medicaid disproportionate share hospital payments through May 22, 2020. It does not include proposals to reduce surprise medical bills or prescription drug prices.

Bipartisan Senate committee leaders released drug pricing legislation that includes a provision to eliminate $12 billion of Medicaid disproportionate share hospital cuts over two years. House and Senate committees announced bipartisan legislation to end surprise billing.

Lawmakers have three weeks to agree on funding for the federal government and various health care programs, including Medicaid disproportionate share hospital payments. The House resumes its impeachment investigation with a Judiciary Committee hearing.

The Centers for Medicare & Medicaid Services issued a Nov. 18 proposed rule, the Medicaid Fiscal Accountability Regulation, that would make sweeping changes to how states finance the nonfederal share of their Medicaid programs.

The latest continuing resolution, which funds the government through Dec. 20, will give Congress more time to negotiate a longer-term agreement on government spending and relief from impending cuts to Medicaid disproportionate share hospital payments.

The House is scheduled to vote on a continuing resolution that would extend federal funding through Dec. 20 and further delay a scheduled $4 billion cut to Medicaid disproportionate share hospital (DSH) payments; House impeachment hearings continue.

The agency proposes to increase transparency in Medicaid supplemental payments and impose more stringent requirements on those payments and their financing for states and providers.

Twelve spending bills must advance through Congress and be signed by the president by Nov. 21 to fully fund the federal government for fiscal year 2020.

Essential hospital leaders will meet with lawmakers this week at our fall Policy Assembly amid government funding talks and drug pricing negotiations.

Essential hospitals tackle social determinants of health while operating with limited means. Congress must act to preserve the federal support essential hospitals rely on to fulfill their mission of care for all and keep communities healthy.

Negotiations continue on funding the federal government — and averting Medicaid DSH cuts — while House committees hold hearings and markups on the Lower Drug Costs Now Act.

Plaintiffs in the court case that resulted in the reinstatement of the third-party payer rule have filed a petition for rehearing.

The final rule, implementing disproportionate share hospital payment cuts for fiscal years 2020–2025 should they take effect, includes revisions to the methodology for determining each state's allotment reduction for each fiscal year.

A continuing resolution to fund the federal government, including the disproportionate share hospital program, through Nov. 21 heads to the Senate; House Speaker Pelosi introduces a drug pricing bill.

The methodology outlines how the agency will calculate states’ Medicaid disproportionate share hospital payment reductions and encourages states to target remaining payments to hospitals caring for the most low-income patients.

DSH cuts will start Oct. 1 without congressional action; House Speaker Nancy Pelosi (D-CA) is expected to introduce a drug pricing proposal; the House considers a stopgap government funding measure.

Lawmakers must act before Oct. 1 to stop the $4 billion cut to Medicaid disproportionate share hospital payments, extend expiring health care programs, and fund government operations for fiscal year 2020.

The agreement would stop a $125 billion budget cut and increase defense and nondefense discretionary spending while raising the debt limit for two years.

A House panel marked up legislation to eliminate $16 billion in Medicaid disproportionate share hospital cuts, mitigate surprise bills, and fund expiring health care programs.

The commission's June report to Congress includes recommendations on the use of third-party payments in calculating Medicaid disproportionate share hospital payments and on Medicaid prescription drug policy.

A House subcommittee hearing features testimony from an essential hospital on the importance of Medicaid disproportionate share hospital funding. The House is expected to approve a bill providing $385 million in annual funding for the Hospital Preparedness Program.

A bipartisan group of 300 House lawmakers sent a letter to leadership calling for a two-year delay of Medicaid disproportionate share hospital cuts. The House will vote on a legislative package to expedite the availability of generic drugs and protect parts of the Affordable Care Act.

The House this week will take up legislation to protect people with pre-existing conditions and help generic drug and biosimilar manufacturers bring their products to market. A House letter calling for a delay of Medicaid DSH payment cuts has 286 bipartisan signatures; the deadline to sign is May 8.

A House letter calling for a delay of Medicaid disproportionate share hospital payment cuts has 178 bipartisan signatures; the deadline to sign is May 3. A House committee holds the first congressional hearing on the Medicare for All Act.

A letter circulating in Congress calling for a delay of Medicaid disproportionate share hospital payment cuts has gained more than 110 bipartisan signatures. The president signed a Medicaid extenders package, which includes a provision identical to the Advancing Care for Exceptional (ACE) Kids Act.

Hearings focused on rising drug costs and pricing transparency. Sen. Elizabeth Warren (D-MA) reintroduced a measure to bolster consumer protections under the Affordable Care Act. Both chambers will return to legislative business on April 29.

Reps. Eliot Engel (D-NY) and Pete Olson (R-TX) are circulating a bipartisan letter to their colleagues calling for a two-year delay of an impending $4 billion cut to Medicaid disproportionate share hospital (DSH) funding.

The report proposes three recommendations responding to Medicaid disproportionate share hospital allotment reductions and responds to concerns about the accuracy and completeness of available upper payment limit data.

The president's fiscal year 2020 budget plan calls on Congress to significantly reform the two programs, including ending Medicaid expansion and changing Medicare uncompensated care payments.

Medicaid DSH funding will suffer a $4 billion cut October 1 to help pay for a coverage expansion that has yet to occur. We urge Congress to act now and stop this devastating cut.

Medicaid and CHIP Payment and Access Commission members unanimously approved three recommendations to mitigate the impending Affordable Care Act–mandated Medicaid disproportionate share hospital allotment reductions.

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.

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.

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 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.

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.

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.

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.

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.

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.

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.