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HHS/CMS RIN: 0938-AR31 Publication ID: Fall 2013 
Title: Disproportionate Share Hospital Payment Reduction (CMS-2367-F) 
Abstract: This final rule implements the Affordable Care Act by requiring aggregate reductions to state Medicaid Disproportionate Share Hospital (DSH) allotments from FY 2014 through 2015. The annual reduction amounts must 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: Completed Actions 
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).

Timetable:
Action Date FR Cite
NPRM  05/15/2013  78 FR 28551   
NPRM Comment Period End  07/12/2013 
Final Action  09/18/2013  78 FR57293   
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, 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