Is It Time for a Mid-Course Correction for Medicaid DSH?

Wednesday, February 27, 2019 | by Joan DaVanzo

Tags: ACA, DSH, Hospitals, Medicaid, Uninsured

The Patient Protection and Affordable Care Act (P.L. 111-148 as amended) required significant reductions to Medicaid payments to hospitals that serve a disproportionate share (DSH) of low-income and vulnerable patients starting in 2014. However, the start of Medicaid DSH payment cuts was delayed several times by policymakers. In 2013, Congress postponed the beginning of payment reductions to 2018, and budget bills in later years continued to postpone the cuts.