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HHS/CMS RIN: 0938-AR31 Publication ID: Spring 2013 
Title: Disproportionate Share Hospital Payment Reduction (CMS-2367-F) 
Abstract: This final rule would delineate the statutory aggregate reductions to State Medicaid Disproportionate Share Hospital (DSH) allotments from FYs 2014 through 2015. The annual reduction amounts will be implemented using a DSH Health Reform methodology determined by the Secretary. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 447   
Legal Authority: PL 111-148, sec 1203   
Legal Deadline:
Action Source Description Date
Final  Statutory    10/01/2013 

Overall Description of Deadline: The Affordable Care Act requires aggregate reductions to State Medicaid DSH allotments beginning in FY 2014 (October 1, 2013).

Action Date FR Cite
NPRM  05/15/2013  78 FR 28551   
NPRM Comment Period End  07/12/2013 
Final Action  10/00/2013 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State, Tribal 
Small Entities Affected: Governmental Jurisdictions  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Rory Howe
Director, Division of Financial Operations
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4878

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