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HHS/CMS RIN: 0938-AR31 Publication ID: Fall 2011 
Title: ●Disproportionate Share Hospital Payment Reduction (CMS-2367-P) 
Abstract: The Affordable Care Act amends the Social Security Act by requiring aggregate reductions to state Medicaid DSH allotments from FY 2014 through FY 2020. The annual reduction amounts are specified in statute and must be implemented using a DSH Health Reform methodology determined by the Secretary. This proposed rule will delineate the DSH Health Reform methodology required to implement the reductions. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: No 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
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).

Timetable:
Action Date FR Cite
NPRM  07/00/2012    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, State 
Small Entities Affected: Governmental Jurisdictions  Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Rory Howe
Director, Financial Management Group
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
Email: rory.howe@cms.hhs.gov