[Congressional Record Volume 171, Number 24 (Wednesday, February 5, 2025)]
[Senate]
[Page S796]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. BARRASSO (for himself, Mr. Schatz, Mr. Cramer, and Mr. 
        Welch):
  S. 474. A bill to amend title XIX of the Social Security Act to 
establish a minimum Medicaid disproportionate share hospital allotment 
for States; to the Committee on Finance.
  Mr. BARRASSO. Mr. President, I ask unanimous consent that the text of 
the bill be printed in the Record.
  There being no objection, the text of the bill was ordered to be 
printed in the Record, as follows:

                                 S. 474

       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 ``Fair Funding for Rural 
     Hospitals Act''.

     SEC. 2. MINIMUM MEDICAID DSH ALLOTMENT.

       Section 1923(f)(6) of the Social Security Act (42 U.S.C. 
     1396r-4(f)(6)) is amended by adding at the end the following 
     new subparagraph:
       ``(C) Minimum dsh allotment for fiscal years after 2024.--
       ``(i) In general.--Notwithstanding the table set forth in 
     paragraph (2) or the reductions required under paragraph (7), 
     for fiscal year 2025 and each succeeding fiscal year, the DSH 
     allotment for any State shall not be less than the minimum 
     DSH allotment amount established for the fiscal year under 
     clause (ii).
       ``(ii) Minimum dsh allotment amount.--The minimum DSH 
     allotment amount established under this clause--

       ``(I) for each of fiscal years 2025 through 2029, shall be 
     equal to $20,000,000; and
       ``(II) for fiscal year 2030 and each succeeding fiscal 
     year, shall be equal to the minimum DSH allotment amount 
     established under this clause for the preceding fiscal year, 
     subject to an increase for inflation as provided in paragraph 
     (3)(A).''.

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