[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 148 Introduced in House (IH)]







105th CONGRESS
  1st Session
                                H. R. 148

 To amend title XIX of the Social Security Act to assure that Medicaid 
   disproportionate share hospital payments go directly to Medicaid 
                   disproportionate share hospitals.


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                    IN THE HOUSE OF REPRESENTATIVES

                            January 7, 1997

  Mr. Engel introduced the following bill; which was referred to the 
                         Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend title XIX of the Social Security Act to assure that Medicaid 
   disproportionate share hospital payments go directly to Medicaid 
                   disproportionate share hospitals.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. ASSURING MEDICAID DSH PAYMENTS GO DIRECTLY TO 
              DISPROPORTIONATE SHARE HOSPITALS.

    (a) In General.--Section 1923 of the Social Security Act (42 U.S.C. 
1396r-4) is amended by adding at the end the following new subsection:
    ``(h) Requiring Payments To Be Made Directly to Disproportionate 
Share Hospitals.--Payment under section 1903(a) shall not be made with 
respect to any payment adjustment made under this section for hospitals 
in a State (as defined in subsection (f)(4)(B)) unless such payment 
adjustment is made in amounts paid directly to a disproportionate share 
hospital. For purposes of this subsection, any amount paid to a health 
maintenance organization, a health insuring organization, or other 
entity receiving payments on a prepaid basis (whether or not on a risk 
basis) under contract with a State agency shall not be considered to be 
an amount paid directly to a disproportionate share hospital, 
notwithstanding that the hospital has a contract or other agreement 
with such an organization or entity.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to payments made for calendar quarters beginning on or after the 
date of the enactment of this Act.
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