H.R.3581 - Protect DSH Act (119th Congress)
Summary
H.R. 3581, the "Protect DSH Act," proposes to amend Title XIX of the Social Security Act to delay certain disproportionate share hospital (DSH) payment reductions under the Medicaid program. Specifically, it delays the reductions scheduled for 2026-2028 to 2029-2031. The bill was introduced in the House of Representatives by Mr. Crenshaw and referred to the Committee on Energy and Commerce.
Expected Effects
The primary effect of this bill would be to postpone planned reductions in Medicaid DSH payments to hospitals that serve a large number of low-income patients. This would provide continued financial support to these hospitals for a longer period. The delay could impact state budgets and the overall federal Medicaid expenditure.
Potential Benefits
- Continued Support for Hospitals: Delays reductions in DSH payments, helping hospitals maintain services for low-income patients.
- Financial Stability: Provides hospitals with more time to adjust their budgets and find alternative funding sources.
- Access to Care: Helps ensure continued access to healthcare for vulnerable populations.
- Reduced Hospital Closures: May prevent hospital closures, especially in underserved areas.
- State Budget Relief: Could provide temporary relief to state Medicaid budgets.
Potential Disadvantages
- Increased Federal Spending: Delays in reductions mean continued higher federal Medicaid spending.
- Potential for Long-Term Fiscal Issues: Postponing reductions doesn't address the underlying issues driving the need for reductions.
- Delayed Reform: May delay necessary reforms in how DSH payments are allocated and used.
- Uncertainty: Creates uncertainty about the future of DSH payments beyond the delayed period.
- Potential for Inefficiency: May perpetuate inefficiencies in the Medicaid system.
Most Disadvantaged Areas:
Constitutional Alignment
The bill falls under the purview of Congress's power to legislate on matters related to healthcare and social welfare programs, as outlined in Article I, Section 8 of the Constitution, which grants Congress the power to provide for the general welfare. The bill amends the Social Security Act, a long-standing federal program. There are no apparent conflicts with specific constitutional rights or limitations.
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).