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Washington Highlights

Sen. Wicker Introduces Legislation to Delay DSH Cuts

October 4, 2013—Sen. Roger Wicker (R-Miss.) Sept. 26 introduced the DSH Reduction Relief Act of 2013 (S.1555).  The legislation would delay scheduled cuts to Medicare and Medicaid Disproportionate Share Hospital (DSH) payments enacted under the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152).  Rep. John Lewis (D-Ga.) introduced similar, bipartisan legislation (H.R. 1920) in May.

Due to the expectation of increased health insurance coverage and fewer uninsured, the ACA reduced Medicare DSH payments by $22.1 billion and Medicaid DSH payments by $14.1 billion between 2014 and 2019.  However, the projected coverage levels were put in question when the Supreme Court ruled in 2012 that the federal government could not force states to expand their Medicaid programs.  The DSH Reduction Relief Act would delay the scheduled cuts for two years until 2016 to allow health care stakeholders to assess the level of health care insurance coverage.


Len Marquez
Director, Government Relations
Telephone: 202-862-6281

Courtney Summers
Senior Legislative Analyst
Telephone: 202-862-6042


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Washington Highlights, a weekly electronic newsletter, features brief updates on the latest legislative and regulatory activities affecting medical schools and teaching hospitals.

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Jason Kleinman
Sr. Legislative Analyst, Govt. Relations
Telephone: 202-903-0806