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Projections of Federal Disproportionate Share Hospital Allotments and Safety-Net Payments under Proposed Legislation

This publication provides state-by-state projections of Medicaid Disproportionate Share Hospital (DSH) payments under current law as well as breakdowns of projected DSH funding under the American Health Care Act (AHCA, H.R. 1628), as passed by the House of Representatives on May 4, 2017, and the Better Care Reconciliation Act (BCRA) discussion draft, as released in the Senate on July 13, 2017.

For background on Medicaid DSH and estimates of Medicaid DSH allotments under current law, the AHCA, and the July 13 BCRA discussion draft, please read the issue brief on Medicaid DSH Allotments: How Could Funding for Safety-Net Hospitals Change in 2018?