HR7397-118

1. Establishing a definition of essential health system in statute Section 1861 of the Social Security Act (42 U.S.C. 1395x) is amended by adding at the end the following new subsection: The term essential health system means a hospital— that is a subsection (d) hospital (as defined in section 1886(d)(1)(B)); that is a non-Federal governmental or private nonprofit hospital; and that— meets the requirements of a Medicaid deemed disproportionate share hospital (as described in section 1923(b)(1)); has a Medicare disproportionate patient percentage of at least 35 percent (as defined in section 1886(d)(5)(F)(vi)); or has a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more, (as defined in section 1886(r)(2)(C)). (nnn)Essential health systemThe term essential health system means a hospital— (1)that is a subsection (d) hospital (as defined in section 1886(d)(1)(B)); (2)that is a non-Federal governmental or private nonprofit hospital; and (3)that— (A)meets the requirements of a Medicaid deemed disproportionate share hospital (as described in section 1923(b)(1)); (B)has a Medicare disproportionate patient percentage of at least 35 percent (as defined in section 1886(d)(5)(F)(vi)); or (C)has a Medicare disproportionate share hospital uncompensated care payment factor of 0.0005 or more, (as defined in section 1886(r)(2)(C))..