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HR 990 118th Congress House Health Health care coverage and access Hospital care Medicaid

SAFE Hospitals Act of 2023

Introduced: February 14, 2023 Introduced by: Bilirakis, Gus M. Republican · Florida See on congress.gov
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 Everywhere this bill has been 3 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Feb 24, 2023
Referred to the Subcommittee on Health.
Feb 14, 2023
Referred to the House Committee on Energy and Commerce.
Feb 14, 2023
Introduced in House
 Plain-English summary Congressional Research Service

State Accountability, Flexibility, and Equity for Hospitals Act of 2023 or the SAFE Hospitals Act of 2023

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.

What's happening now February 24, 2023

Referred to the Subcommittee on Health.

 Committees of jurisdiction 2