Fair Funding for Rural Hospitals Act

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Latest Action

Feb 6, 2025

Read twice and referred to the Committee on Finance. (text: CR S796)

Summaries (1)

Introduced in Senate - Feb 6, 2025 00

Fair Funding for Rural Hospitals ActThis bill establishes a minimum funding allotment for Medicaid disproportionate-share hospitals (DSHs). (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.)Specifically, the bill establishes a minimum allotment of $20 million per state for FY2025-FY2029, increased for inflation in subsequent years, despite any required reductions or other applicable funding calculations.

Actions (2)

Read twice and referred to the Committee on Finance. (text: CR S796)

Type: IntroReferral | Source: Senate

Feb 6, 2025

Introduced in Senate

Type: IntroReferral | Source: Library of Congress | Code: 10000

Feb 6, 2025

Subjects (5)

Health (Policy Area) Health care coverage and access Health facilities and institutions Medicaid Rural conditions and development

Cosponsors (3)

Sen. Cramer, Kevin [R-ND]

(R-ND)
Feb 6, 2025

Sen. Schatz, Brian [D-HI]

(D-HI)
Feb 6, 2025

Sen. Welch, Peter [D-VT]

(D-VT)
Feb 6, 2025

Text Versions (1)

Introduced in Senate

Feb 6, 2025

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Full Bill Text

Length: 2,221 characters Version: Introduced in Senate Version Date: Feb 6, 2025 Last Updated: Nov 15, 2025 6:21 AM

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 474 Introduced in Senate

(IS) ]

<DOC>

119th CONGRESS
1st Session
S. 474

To amend title XIX of the Social Security Act to establish a minimum
Medicaid disproportionate share hospital allotment for States.

_______________________________________________________________________

IN THE SENATE OF THE UNITED STATES

February 6 (legislative day, February 5), 2025

Mr. Barrasso (for himself, Mr. Schatz, Mr. Cramer, and Mr. Welch)
introduced the following bill; which was read twice and referred to the
Committee on Finance

_______________________________________________________________________

A BILL

To amend title XIX of the Social Security Act to establish a minimum
Medicaid disproportionate share hospital allotment for States.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1.

This Act may be cited as the ``Fair Funding for Rural Hospitals
Act''.

SEC. 2.

Section 1923 (f) (6) of the Social Security Act (42 U.

(f)

(6) of the Social Security Act (42 U.S.C. 1396r-
4

(f)

(6) ) is amended by adding at the end the following new
subparagraph:
``
(C) Minimum dsh allotment for fiscal years after
2024.--
``
(i) In general.--Notwithstanding the
table set forth in paragraph

(2) or the
reductions required under paragraph

(7) , for
fiscal year 2025 and each succeeding fiscal
year, the DSH allotment for any State shall not
be less than the minimum DSH allotment amount
established for the fiscal year under clause
(ii) .
``
(ii) Minimum dsh allotment amount.--The
minimum DSH allotment amount established under
this clause--
``
(I) for each of fiscal years 2025
through 2029, shall be equal to
$20,000,000; and
``
(II) for fiscal year 2030 and
each succeeding fiscal year, shall be
equal to the minimum DSH allotment
amount established under this clause
for the preceding fiscal year, subject
to an increase for inflation as
provided in paragraph

(3)
(A) .''.
<all>

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 474 Introduced in Senate

    (IS) ]

<DOC>

119th CONGRESS
 1st Session
 S. 474

 To amend title XIX of the Social Security Act to establish a minimum 
 Medicaid disproportionate share hospital allotment for States.

_______________________________________________________________________

 IN THE SENATE OF THE UNITED STATES

 February 6 (legislative day, February 5), 2025

 Mr. Barrasso (for himself, Mr. Schatz, Mr. Cramer, and Mr. Welch) 
introduced the following bill; which was read twice and referred to the 
 Committee on Finance

_______________________________________________________________________

 A BILL

 To amend title XIX of the Social Security Act to establish a minimum 
 Medicaid disproportionate share hospital allotment for States.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Fair Funding for Rural Hospitals 
Act''.

SEC. 2. MINIMUM MEDICAID DSH ALLOTMENT.

 

Section 1923

    (f)

    (6) of the Social Security Act (42 U.S.C. 1396r-
4

    (f)

    (6) ) is amended by adding at the end the following new 
subparagraph:
 ``
            (C) Minimum dsh allotment for fiscal years after 
 2024.--
 ``
            (i) In general.--Notwithstanding the 
 table set forth in paragraph

    (2) or the 
 reductions required under paragraph

    (7) , for 
 fiscal year 2025 and each succeeding fiscal 
 year, the DSH allotment for any State shall not 
 be less than the minimum DSH allotment amount 
 established for the fiscal year under clause
            (ii) .
 ``
            (ii) Minimum dsh allotment amount.--The 
 minimum DSH allotment amount established under 
 this clause--
 ``
            (I) for each of fiscal years 2025 
 through 2029, shall be equal to 
 $20,000,000; and
 ``
            (II) for fiscal year 2030 and 
 each succeeding fiscal year, shall be 
 equal to the minimum DSH allotment 
 amount established under this clause 
 for the preceding fiscal year, subject 
 to an increase for inflation as 
 provided in paragraph

    (3)
        (A) .''.
 <all>

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119-s474