0938-AS63 201804 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-F)

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.  The reductions were delayed further for two additional years with larger cuts beginning in 2020 under the 2018 Bipartisan Budget Act. Since the earlier final rule was only limited to FY 2014 and FY 2015, this rule finalizes a methodology to reduce the allotments for FY 2020-2025.

]]> Economically Significant Previously Published in The Unified Agenda Final Rule Stage Yes No Fully or Partially Exempt 42 CFR 447 Pub. L. 111-148, sec. 1203 Pub. L. 114-10, sec. 412 Pub. L. 115-123, sec. 53101 Statutory Final 10/01/2017 Bipartisan Budget Act, sec. 53101. The statutory deadline was originally October 1, 2014, but was delayed by subsequent legislation until October 1, 2019. No NPRM 07/28/2017 82 FR 35155 NPRM Comment Period End 08/28/2017 Final Action 11/00/2018 No No State No No No 0938-AR31 Related to Stuart Goldstein Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-0694 stuart.goldstein@cms.hhs.gov Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard, Baltimore MD 21244