Senate removes DSH cuts from “Better Rebuild Act” after hospital postponement

Senate removes DSH cuts from “Better Rebuild Act” after hospital postponement


After the hospital’s fierce boycott, the Senate version of President Joe Biden’s $1.7 trillion in social spending pack Not including the House of Representatives reduce Medical assistance disproportionately apportions hospital payments.

The “Rebuild Better Bill” passed by the House of Representatives will cut Medicaid DSH is paid to hospitals operating in 12 states that did not expand the scope of Medicaid under the Affordable Care Act. House Democrats believe these cuts are reasonable because the bill will also provide subsidized private health insurance from the exchange to those eligible for Medicaid because their hometown expands program eligibility, thereby reducing funding for DSH Needs to pay for uncompensated care costs.

The hospital protested that they had been unfairly attacked because political leaders in these states did not extend coverage to low-income adults.

This argument seemed to resonate with Senate Democrats, who abandoned the cuts to the version of the plan released last weekend.However, Senate legislation preserves the language of the House of Representatives, restricting federal payments in non-expanding states Free nursing pool.

Beth Feldpusch, Senior Vice President of Policy and Advocacy for Basic Hospitals of the United States, said in a statement: “We are very pleased that the leaders of the House and Senate see the harm that the Medicaid DSH cuts will cause and remove them from the package. “But the reduction of the unpaid care pool still poses a threat to hospitals, patients and communities, and we urge lawmakers to also reject these.”

Rebuild Better Act will supply ACA provides 2.2 million people with four-year subsidies, and if their state expands, they will be eligible for Medicaid. ACA only allows those whose income is at least the federal poverty level to provide subsidies, which is $12,880 per person. The law was designed to allow Medicaid to cover this population, but a Supreme Court ruling in 2012 allowed states to opt out of expansion, preventing millions of people from receiving Medicaid.

The House of Representatives included DSH cuts to push states to expand Medicaid and partially offset the cost of expanding subsidy eligibility. The Democratic leader of the House of Representatives also believes that states should reduce funding for unpaid medical care, because more people in these states are eligible for affordable medical insurance.

expert estimate According to legislation in the House of Representatives, even if the DSH is cut, the hospital will eventually be among the best because more people will be protected and fewer bills will be owed.

But the hospital warned that few newly eligible people might register for subsidized medical insurance, which has led to a large number of uninsured patients for medical service providers, and federal support makes up for the shortfall. In addition, the subsidy will expire in four years, and the DSH reduction will be permanent.

The leaders of Georgia Democratic Senators Jon Ossoff and Raphael Warnock called for the cancellation of the DSH reduction plan, which they believed would harm the safety net hospital.

The Democratic Congressman of Georgia wrote in a statement: “Reducing federal funding for hospitals and providers may not be conducive to their survival. During the global pandemic, we should not impose additional financial restrictions.” letter Leaders of the House of Representatives and Senate last month.

Senate Majority Leader Charles Schumer (DN.Y.) said that the Senate will vote on the plan before the end of the year. The House of Representatives passed a version of the bill last month.

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