[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3288 Introduced in House (IH)]

114th CONGRESS
  1st Session
                                H. R. 3288

To amend title XVIII of the Social Security Act to change the method of 
 determining disproportionate share hospital (DSH) payments under the 
               Medicare program, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 29, 2015

 Mr. Marchant (for himself and Mr. Boustany) introduced the following 
      bill; which was referred to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
To amend title XVIII of the Social Security Act to change the method of 
 determining disproportionate share hospital (DSH) payments under the 
               Medicare program, and for other purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Strengthening DSH and Medicare 
Through Subsidy Recapture and Payment Reform Act of 2015''.

SEC. 2. CHANGE IN DETERMINATION OF MEDICARE DSH PAYMENTS.

    Paragraph (1) of section 1886(r) of the Social Security Act (42 
U.S.C. 1395ww(r)) is amended--
            (1) by striking so much of such paragraph as precedes 
        ``fiscal year 2014'' and inserting the following:
            ``(1) DSH payments.--
                    ``(A) In general.--Subject to subparagraph (B), 
                for'';
            (2) by striking ``(which represents'' and all that follows 
        through ``Report to the Congress)''; and
            (3) by adding at the end the following new subparagraph:
                    ``(B) Aggregate limitation beginning with fiscal 
                year 2017.--As part of the rulemaking to carry out 
                subsection (d) for fiscal year 2017 and each subsequent 
                fiscal year, the Secretary shall estimate the aggregate 
                amount of payments to be made for such fiscal year 
                under subparagraph (A) (determined without regard to 
                this subparagraph) and, if the amount so estimated 
                exceeds $3,300,000,000, then each amount paid under 
                subparagraph (A) for that fiscal year shall be 
                multiplied by the ratio of $3,300,000,000 to the amount 
                so estimated.''.

SEC. 3. ADDITIONAL DSH PAYMENT FOR CERTAIN QUALIFYING HOSPITALS.

    Section 1886(r) of the Social Security Act (42 U.S.C. 1395ww(r)) is 
amended--
            (1) by redesignating paragraph (3) as paragraph (4); and
            (2) by inserting after paragraph (2) the following new 
        paragraph:
            ``(3) Additional payment for certain qualifying 
        hospitals.--
                    ``(A) In general.--For fiscal year 2017 and each 
                subsequent fiscal year, in addition to the payments 
                made to a qualifying hospital under paragraphs (1) and 
                (2), the Secretary shall pay to each qualifying 
                hospital an amount equal to $1,000,000,000 multiplied 
                by the factor that would be calculated under paragraph 
                (2)(C) for such qualifying hospital if each reference 
                in such paragraph to a subsection (d) hospital were 
                treated as a reference to a qualifying hospital.
                    ``(B) Qualifying hospital defined.--In this 
                paragraph, `qualifying hospital' means a subsection (d) 
                hospital that is located in Alabama, Florida, Georgia, 
                Idaho, Kansas, Louisiana, Maine, Mississippi, Missouri, 
                Nebraska, North Carolina, Oklahoma, South Carolina, 
                South Dakota, Tennessee, Texas, Utah, Virginia, 
                Wisconsin, or Wyoming.''.

SEC. 4. RECAPTURE OF OVERPAYMENTS RESULTING FROM CERTAIN FEDERALLY 
              SUBSIDIZED HEALTH INSURANCE.

    (a) In General.--Paragraph (2) of section 36B(f) of the Internal 
Revenue Code of 1986 is amended by striking subparagraph (B).
    (b) Conforming Amendment.--So much of paragraph (2) of section 
36B(f) of such Code, as amended by subsection (a), as precedes 
``advance payments'' is amended to read as follows:
            ``(2) Excess advance payments.--If the''.
    (c) Effective Date.--The amendments made by this section shall 
apply to taxable years ending after December 31, 2015.
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