[20210209]IF10422_Medicaid不成比例的共享医院（DSH）减少.pdf

https:/crsreports.congress.gov Updated February 9, 2021Medicaid Disproportionate Share Hospital (DSH) ReductionsThe Medicaid statute requires states to make disproportionate share hospital (DSH) payments to hospitals treating large numbers of low-income patients. This provision is intended to recognize the disadvantaged financial situation of those hospitals because low-income patients are more likely to be uninsured or Medicaid enrollees. Hospitals often do not receive payment for services rendered to uninsured patients, and Medicaid provider payment rates are generally lower than the rates paid by Medicare and private insurance. (See CRS Report R42865, Medicaid Disproportionate Share Hospital Payments.) Whereas most federal Medicaid funding is provided on an open-ended basis, federal Medicaid DSH funding is capped. Each state receives an annual DSH allotment, which is the maximum amount of federal matching funds that each state is permitted to claim for Medicaid DSH payments. In FY2019, federal DSH allotments totaled $12.6 billion. DSH Allotment Reduction Amounts The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) has reduced the number of uninsured in