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S. 18 · 116th Congress

SAFE Hospitals Act of 2019

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IntroducedPassed one chamberPassed both chambersBecame law (gold)Resolution agreed to (full, dark)Failed or vetoed (gray)

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Never voted on. It didn't reach a floor vote before the 116th Congress ended, so it expired. A bill has to be introduced again to be considered in a new Congress.

MRR RubioSponsor

No cosponsors.

State Accountability, Flexibility, and Equity for Hospitals Act of 2019 or the SAFE Hospitals Act of 2019

What it does: CRS summary · Introduced in Senate · Jan 3, 2019

State Accountability, Flexibility, and Equity for Hospitals Act of 2019 or the SAFE Hospitals Act of 2019

This bill alters Medicaid requirements relating to payment for inpatient hospital services that are provided by disproportionate share hospitals (DSHs). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.)

Among other changes, the bill requires state Medicaid programs to adopt a payment methodology that meets certain criteria, including by prioritizing payments based on the DSH tier for which the hospital qualifies; tiers are determined based on factors such as the hospital's Medicaid inpatient utilization rate.

The bill also incorporates state poverty ratios (i.e., the number of qualifying low-income individuals in a state compared to all states) into the formula for determining state DSH allotments under Medicaid. The bill phases in application of the revised formula over the course of 10 to 15 years.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: SAFE Hospitals Act of 2019

Also known as: State Accountability, Flexibility, and Equity for Hospitals Act of 2019

Latest action (Jan 3, 2019): Read twice and referred to the Committee on Finance.

Policy area: Health · Origin: Senate · Introduced: Jan 3, 2019

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.