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HR 3806 117th Congress House

SAFE Hospitals Act of 2021

Official title: To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments… Show full official titleShow less

Official title: To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments that is based on State poverty levels, to require States to prioritize disproportionate share hospital payments on the basis of Medicaid inpatient utilization and low-income utilization rates, and for other purposes.

Introduced: June 11, 2021 Introduced by: Bilirakis, Gus M. Republican · Florida See on congress.gov
Health Health care coverage and accessHospital careMedicaid
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This bill died when the 117th Congress ended
It never became law before the 117th Congress (2021–2022) 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
Jun 14, 2021
Referred to the Subcommittee on Health.
Jun 11, 2021
Referred to the House Committee on Energy and Commerce.
Jun 11, 2021
Introduced in House
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 Latest action June 14, 2021

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

State Accountability, Flexibility, and Equity for Hospitals Act of 2021 or the SAFE Hospitals Act of 2021

This bill alters Medicaid requirements relating to payment for inpatient hospital services that are provided by disproportionate share hospitals (DSHs). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)

Among other changes, the bill requires state Medicaid programs to adopt a payment methodology that meets certain criteria, including by prioritizing payments based on the DSH tier for which the hospital qualifies; tiers are determined based on factors such as the hospital's Medicaid inpatient utilization rate.

The bill also incorporates state poverty ratios (i.e., the number of qualifying low-income individuals in a state compared to all states) into the formula for determining state DSH allotments under Medicaid. The bill phases in application of the revised formula over the course of 10 to 15 years.

 Related & companion bills 1
  • S 2021 Identical bill SAFE Hospitals Act of 2021
 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. 3806: SAFE Hospitals Act of 2021. 117th Congress. Open America. https://openamerica.io/bill/117-HR-3806/
MLA
"H.R. 3806: SAFE Hospitals Act of 2021." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-3806/.
Bluebook (legal)
H.R. 3806, 117th Cong. (2026), https://openamerica.io/bill/117-HR-3806/.
Markdown link
[H.R. 3806: SAFE Hospitals Act of 2021](https://openamerica.io/bill/117-HR-3806/)
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