0938-AR31 201210 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Disproportionate Share Hospital Payment Reduction (CMS-2367-P) Other Significant Previously Published in The Unified Agenda Proposed Rule Stage Undetermined No Not Yet Determined PL 111-148, sec 1203 Statutory Final 10/01/2013 The Affordable Care Act requires aggregate reductions to State Medicaid DSH allotments beginning in FY 2014 (October 1, 2013). No NPRM 03/00/2013 Undetermined Governmental Jurisdictions Federal State Undetermined No No Rory Howe 0938 Centers for Medicare & Medicaid Services CMS 410 786-4878 rory.howe@cms.hhs.gov Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard, Baltimore MD 21244