Bills of Congress by U.S. Congress

Delivering Support for Hospitals in Tennessee Act; DSH in Tennessee Act

Summary

The "Delivering Support for Hospitals in Tennessee Act" aims to amend Title XIX of the Social Security Act. It seeks to provide a permanent disproportionate share hospital (DSH) allotment to Tennessee beginning in fiscal year 2026. This allotment would be calculated based on the state's 2015 DSH allotment, adjusted annually for inflation using the Consumer Price Index.

Expected Effects

If enacted, this bill would ensure Tennessee receives a consistent stream of federal funds to support hospitals serving a large number of low-income patients. It would also classify Tennessee as a low DSH state for future allotment calculations. This could lead to more predictable healthcare funding for the state.

Potential Benefits

  • Provides stable funding for Tennessee hospitals that serve a disproportionate share of low-income patients.
  • Ensures continued access to healthcare services for vulnerable populations in Tennessee.
  • Offers predictability in healthcare budgeting for the state government.
  • Potentially reduces the financial strain on Tennessee's healthcare system.
  • May improve the overall quality of healthcare services provided in the state.

Potential Disadvantages

  • Could create a precedent for other states to seek similar permanent DSH allotments, potentially straining federal resources.
  • The fixed allotment based on 2015 levels, adjusted for inflation, might not adequately address future healthcare needs or population changes in Tennessee.
  • May not incentivize Tennessee to improve its healthcare efficiency or reduce its reliance on federal DSH funds.
  • Potential for political challenges if other states feel unfairly treated.
  • The bill does not address broader healthcare system issues, focusing solely on DSH allotments.

Constitutional Alignment

The bill falls under the purview of Congress's power to tax and spend for the general welfare, as outlined in Article I, Section 8 of the Constitution. Specifically, it relates to providing for healthcare, which can be argued as promoting the general welfare. The amendment to the Social Security Act is within the scope of Congress's legislative authority.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).