0938-AS63 201504 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Medicaid Disproportionate Share Hospital (DSH) Allotment Reductions (CMS-2394-P)

The Affordable Care Act amends the Social Security Act by requiring aggregate reductions to State Medicaid DSH allotments from FY 2014 through FY 2020. CMS published a final rule in October 2013, that delineated a methodology to implement the annual reductions only for FY 2014 and FY 2015. Subsequent legislation delayed the start of the reductions until FY 2018. Since the earlier final rule was only limited to FY 2014 and FY 2015, this rule proposes a methodology to reduce the allotments for FY 2018-2024.

]]> Economically Significant First Time Published in The Unified Agenda Long-Term Actions Yes No 42 CFR 447 Pub. L. 111-148, sec 1203 Statutory Final 10/01/2017 The Affordable Care Act followed by the Medicare Access and CHIP Reauthorization Act requires aggregate reductions to state Medicaid DSH allotments. The statutory deadline was originally October 1, 2014, but was delayed by subsequent legislation until October 1, 2017. No NPRM 10/00/2016 No No State No No No 0938-AR31 Related to Rory Howe Director, Financial Management Group 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