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HR 4250 111th Congress House Health Accounting and auditing Administrative law and regulatory procedures Department of Health and Human Services Health care costs and insurance Hospital care Medicaid

Medicaid DSH Integrity Act

Introduced: December 9, 2009 See on congress.gov
This bill died when the 111th Congress ended
It never became law before the 111th Congress (2009–2010) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 10, 2009
Referred to the Subcommittee on Health.
Dec 9, 2009
Referred to the House Committee on Energy and Commerce.
Dec 9, 2009
Introduced in House
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 Plain-English summary Congressional Research Service

Medicaid DSH Integrity Act - Directs the Secretary of Health and Human Services (HHS) to indicate, in appropriate guidance, that the Centers for Medicare & Medicaid Services (CMS) do not intend to enforce any changes in policy related to calculating the limits on the adjustment in payment under title XIX (Medicaid) of the Social Security Act for inpatient hospital services furnished by disproportionate share hospitals (DSH) that were contained in the Medicaid DSH auditing and reporting regulations the CMS issued pursuant to the Medicare Prescription Drug Improvement and Modernization Act of 2003.

Requires the Secretary to publish an interim final rule to revise such regulations as necessary to: (1) correct such policy changes; (2) provide appropriate guidance for otherwise implementing those auditing and reporting regulations; and (3) provide for specified regulatory changes to be included in the new interim rule.

Requires the CMS, in defining the costs of furnishing services to individuals with no health insurance (or other source of third-party coverage), to permit inclusion of all costs related to services provided to patients with no insurance for the service rendered, even if the patient has insurance that covers other services. Declares that the receipt by a hospital of nominal payments related to a service shall not constitute health insurance or a source of third-party coverage.

What's happening now December 10, 2009

Referred to the Subcommittee on Health.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 2
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4250: Medicaid DSH Integrity Act. 111th Congress. Open America. https://openamerica.io/bill/111-HR-4250/
MLA
"H.R. 4250: Medicaid DSH Integrity Act." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-HR-4250/.
Bluebook (legal)
H.R. 4250, 111th Cong. (2026), https://openamerica.io/bill/111-HR-4250/.
Markdown link
[H.R. 4250: Medicaid DSH Integrity Act](https://openamerica.io/bill/111-HR-4250/)
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