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AAMC Urges Support for DSH Legislation

October 11, 2013—The AAMC joined the American Hospital Association, Catholic Health Association of the United States, and the Federation of American Hospitals, in an Oct. 9 letter  urging senators to support and cosponsor the DSH Reduction Relief Act of 2013 (S.1555).  Introduced by Sen. Roger Wicker (R-Miss.), the legislation would delay scheduled reductions to Medicare and Medicaid Disproportionate Share Hospital (DSH) programs included in the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152) and allow states additional time to determine the level of health care coverage expansions [see Washington Highlights, Oct. 4].

The letter describes the importance of DSH funds to stakeholders, stating, “The DSH programs provide support for hospitals that serve Medicaid beneficiaries, low-income Medicare beneficiaries, the uninsured and the underinsured. With the expectation of expanded health care coverage, Congress determined that the level of supplemental payments -- such as those provided by the DSH program -- would change.”  

The letter explains that the Supreme Court’s 2012 ruling on the ACA’s Medicaid expansion decreased the projected number of newly insured to “25 million individuals, rather than the initial projection of 32 million.”  In the letter, the organizations contend the proposed DSH reductions and the uncertainty around the number of insured will have an adverse impact on patients and hospitals that continue to provide care to vulnerable populations.  


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