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    <number>990</number>
    <updateDate>2025-12-05T08:43:38Z</updateDate>
    <updateDateIncludingText>2025-12-05T08:43:38Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2023-02-14</introducedDate>
    <congress>118</congress>
    <legislationUrl>https://www.congress.gov/bill/118th-congress/house-bill/990</legislationUrl>
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      <constitutionalAuthorityStatementText>&lt;pre&gt;[Congressional Record Volume 169, Number 30 (Tuesday, February 14, 2023)][House]From the Congressional Record Online through the Government Publishing Office [&lt;a href="https://www.gpo.gov"&gt;www.gpo.gov&lt;/a&gt;]By Mr. BILIRAKIS:H.R. 990.Congress has the power to enact this legislation pursuantto the following:This bill is enacted pursuant to Article 1, Section 8,Clause 18 of the Constitution of the United States.The single subject of this legislation is:To update Medicaid DSH formula rates to prioritize fundingfor hospitals that provide most care to low-income patients.[Page H840]&lt;/pre&gt;</constitutionalAuthorityStatementText>
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        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
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            <systemCode>hsif14</systemCode>
            <name>Health Subcommittee</name>
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              <item>
                <name>Referred to</name>
                <date>2023-02-24T16:06:52Z</date>
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            <name>Referred To</name>
            <date>2023-02-14T15:04:05Z</date>
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    <relatedBills>
      <item>
        <title>SAFE Hospitals Act of 2023</title>
        <congress>118</congress>
        <number>407</number>
        <type>S</type>
        <latestAction>
          <actionDate>2023-02-14</actionDate>
          <text>Read twice and referred to the Committee on Finance.</text>
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        <actionDate>2023-02-24</actionDate>
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            <name>Health Subcommittee</name>
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        <text>Referred to the Subcommittee on Health.</text>
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      <item>
        <actionDate>2023-02-14</actionDate>
        <text>Referred to the House Committee on Energy and Commerce.</text>
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        <actionCode>H11100</actionCode>
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          <name>House floor actions</name>
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            <name>Energy and Commerce Committee</name>
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        <actionDate>2023-02-14</actionDate>
        <text>Introduced in House</text>
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        <text>Introduced in House</text>
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    <sponsors>
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        <bioguideId>B001257</bioguideId>
        <fullName>Rep. Bilirakis, Gus M. [R-FL-12]</fullName>
        <firstName>Gus</firstName>
        <lastName>Bilirakis</lastName>
        <party>R</party>
        <state>FL</state>
        <middleName>M.</middleName>
        <district>12</district>
        <isByRequest>N</isByRequest>
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    </sponsors>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Health care coverage and access</name>
          <updateDate>2023-05-04T15:45:16Z</updateDate>
        </item>
        <item>
          <name>Hospital care</name>
          <updateDate>2023-05-04T15:45:16Z</updateDate>
        </item>
        <item>
          <name>Medicaid</name>
          <updateDate>2023-05-04T15:45:16Z</updateDate>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
        <updateDate>2023-03-14T13:30:24Z</updateDate>
      </policyArea>
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    <summaries>
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        <actionDate>2023-02-14</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2023-03-24T12:33:19Z</updateDate>
        <cdata>
          <text>&lt;p&gt;&lt;b&gt;State Accountability, Flexibility, and Equity for Hospitals Act of 2023 or the SAFE Hospitals Act of &lt;/b&gt;&lt;b&gt;2023&lt;/b&gt;&lt;/p&gt; &lt;p&gt;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.)&lt;/p&gt; &lt;p&gt;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. &lt;/p&gt; &lt;p&gt;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. &lt;/p&gt;</text>
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      </summary>
    </summaries>
    <title>SAFE Hospitals Act of 2023</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>SAFE Hospitals Act of 2023</title>
        <updateDate>2024-07-24T15:23:41Z</updateDate>
      </item>
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        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>SAFE Hospitals Act of 2023</title>
        <updateDate>2024-05-24T13:42:19Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
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      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>State Accountability, Flexibility, and Equity for Hospitals Act of 2023</title>
        <updateDate>2024-05-24T13:42:19Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
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      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <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.</title>
        <updateDate>2024-03-18T20:20:32Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
      </item>
    </titles>
    <textVersions>
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        <type>Introduced in House</type>
        <date>2023-02-14T05:00:00Z</date>
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          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-118hr990ih/xml/BILLS-118hr990ih.xml</url>
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    <latestAction>
      <actionDate>2023-02-24</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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