HR990-118

Introduced

To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments that is based on State poverty levels, to require States to prioritize disproportionate share hospital payments on the basis of Medicaid inpatient utilization and low-income utilization rates, and for other purposes.

118th Congress Introduced Feb 14, 2023

Summary

What This Bill Does

The bill requires determination of State DSH allotments based on State poverty levels Section 1923(f) of the Social Security Act (42 U.S.C and requires prioritizing disproportionate share hospital payments based on Medicaid inpatient utilization and low-income utilization rates Section 1923 of the Social Security Act (42 U.S.C. It relies on definition changes, compliance mandates, product standards, and exemptions. The main policy areas are Healthcare Consumers, Healthcare, Criminal Justice, and Finance.

Who Benefits and How

Patients and health care consumers affected by the bill could face lower compliance burdens, Homeowners, tenants, or housing market participants affected by the bill could face lower compliance burdens, and Financial services firms and customers affected by the bill could face lower compliance burdens.

Who Bears the Burden and How

Federal, state, or local agencies responsible for implementing the clause would take on compliance duties and Public beneficiaries or protected communities affected by the clause could face increased risk.

Key Provisions

  • Requires determination of State DSH allotments based on State poverty levels Section 1923(f) of the Social Security Act (42 U.S.C.
  • Requires prioritizing disproportionate share hospital payments based on Medicaid inpatient utilization and low-income utilization rates Section 1923 of the Social Security Act (42 U.S.C.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires determination of State DSH allotments based on State poverty levels Section 1923(f) of the Social Security Act (42 U.S.C and requires prioritizing disproportionate share hospital payments based on Medicaid inpatient utilization and low-income utilization rates Section 1923 of the Social Security Act (42 U.S.C.

Key Policy Areas

Healthcare Consumers, Healthcare, Criminal Justice, Finance

Primary Purpose

The bill requires determination of State DSH allotments based on State poverty levels Section 1923(f) of the Social Security Act (42 U.S.C and requires prioritizing disproportionate share hospital payments based on Medicaid inpatient utilization and low-income utilization rates Section 1923 of the Social Security Act (42 U.S.C.

Policy Domains

Healthcare Consumers Healthcare Criminal Justice Finance

Whole bill

Identified Gains
  • Patients and health care consumers affected by the bill
  • Homeowners, tenants, or housing market participants affected by the bill
  • Financial services firms and customers affected by the bill
  • Disaster response agencies and disaster-affected communities
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Patients and health care consumers affected by the bill: ,
Financial services firms and customers affected by the bill:
Disaster response agencies and disaster-affected communities:
Homeowners, tenants, or housing market participants affected by the bill:
Identified Costs
  • Federal, state, or local agencies responsible for implementing the clause
  • Public beneficiaries or protected communities affected by the clause
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Public beneficiaries or protected communities affected by the clause:
Federal, state, or local agencies responsible for implementing the clause: ,

Legislative Progress

Introduced
Introduced Committee Passed
Feb 14, 2023

Mr. Bilirakis introduced the following bill; which was referred to …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Consumers Healthcare Criminal Justice Finance

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology