MACPAC continues to find that disproportionate share hospital (DSH) allotments share no meaningful relationship with the measures of need that Congress asked us to consider. These include:
- changes in the number of uninsured individuals;
- amounts and sources of hospital uncompensated care; and,
- hospitals with high levels of uncompensated care that also provide access to essential community services.
MACPAC estimates that FY 2024 DSH allotments will be reduced by 51 percent ($8 billion) on January 20, 2024 due to scheduled reductions that were implemented as part of the Further Continuing Appropriations and Other Extensions Act, 2024 (P.L. 118-22). MACPAC will continue to monitor congressional action on DSH allotments.