II 110th CONGRESS 1st Session S. 2253 IN THE SENATE OF THE UNITED STATES October 29, 2007 Mr. Bayh (for himself and Mr. Lugar) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To provide adjustments in payment to certain hospitals under the Medicaid program.

1.

Short title

This Act may be cited as the Urban Health Care Delivery Act of 2007.

2.

Urban health provider adjustment

(a)

In general

Beginning with fiscal year 2008, notwithstanding section 1923(f) of the Social Security Act (42 U.S.C. 1396r–4(f)) and subject to subsection (c), DSH payment adjustments made by a State under section 1923 of such Act (42 U.S.C. 1396r–4) to a hospital described in subsection (b) shall be made without regard and in addition to the DSH allotment limitation for the State determined under section 1923(f) of such Act (42 U.S.C. 1396r–4(f)). (b)

Hospital described

A hospital is described in this subsection if, as of December 31, 2006, the hospital— (1)is owned or operated by a State (as defined for purposes of title XIX of the Social Security Act), or by an instrumentality or a municipal governmental unit within a State (as so defined); (2)owns and operates a community mental health center; (3)operates— (A)a burn center with the joint Burn Center Verification of the American Burn Association and the American College of Surgeons which serves the entire State; and (B)a Level I trauma center verified by the American College of Surgeons which has not less than 100,000 encounters per year; (4)owns not less than 5 community health centers in the county the hospital is located in; and (5)provides not more than 450 inpatient beds. (c)

Limitation

The DSH payment adjustments described in subsection (a) for fiscal year 2008 and each fiscal year thereafter shall not exceed 175 percent of the costs of furnishing hospital services described in section 1923(g)(1)(A) of the Social Security Act (42 U.S.C. 1396r–4(g)(1)(A)).