Save Our Safety-Net Hospitals Act of 2025

More Medicaid money for hospitals

This bill would change how Medicaid disproportionate share hospital (DSH) payments are calculated. It would require counting Medicare and certain other plan payments when computing a hospital's DSH adjustment for each hospital and year. It would create a new route for hospitals to get DSH money for patients who are Medicaid-eligible but whose Medicaid pays only after Medicare or an applicable plan, if the hospital's costs for those patients exceed payments for the year. States could also choose to use unspent DSH allotments from rate years that began on or after October 1, 2021 and before the bill's enactment to increase payments, but total increases could not exceed the State's DSH allotment and must follow the amended rules. States could not recoup payments that were consistent with the rules as of October 1, 2021. The changes would apply to Medicaid rate years starting on or after the date of enactment, with the unspent-allotment option applying to the earlier rate years described above.