Save Our Safety-Net Hospitals Act of 2025
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To President
- Became Law
Overview
The Save Our Safety-Net Hospitals Act of 2025 aims to increase funding for hospitals that serve a disproportionately high number of low-income and uninsured patients under the Medicaid program. It modifies existing rules about how these hospitals receive payments, allowing them to potentially receive more funding if they’ve underspent their allocated amounts from previous years. The bill also provides states with the authority to retroactively adjust their Medicaid plans to increase payments to eligible hospitals, subject to certain limitations.
Key provisions
- Increases the criteria for hospitals to qualify for disproportionate share hospital payment adjustments.
- Allows states to use unspent DSH allotments from prior years to increase hospital payments.
- Grants states the authority to retroactively modify Medicaid plans to increase payments to eligible hospitals.
- Establishes a deadline for states to request approval of retroactive plan modifications.
- Requires states to report information on increased payment adjustments in annual reports.
- Clarifies that payments made under title XVIII or by an applicable plan are considered when determining eligibility for DSH payments.
- Specifies that payments to hospitals must exceed payments under the State plan or waiver for individuals eligible for medical assistance.
- Prohibits states from recouping payment adjustments made to hospitals that are consistent with prior law.
Who is affected
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