# 119-hr-3581: Protect DSH Act

119-hr-3581, Protect DSH Act, is a 119th Congress bill sponsored by Rep. Crenshaw, Dan [R-TX-2] (R-TX); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-3581
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-3581
- Congress: 119
- Title: Protect DSH Act
- Status: introduced
- Introduced: 2025-05-23
- Sponsor: Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Delays Medicaid Disproportionate Share Hospital (DSH) payment reductions.** This bill would amend section 1923(f) of the Social Security Act to shift the timing of scheduled DSH cuts. It replaces the references to "2026 through 2028" with "2029 through 2031" in two clauses and changes "2027" to "2031" in another clause. The net effect is to postpone the planned Medicaid DSH payment reductions by moving the applicable years later.

## Provisions PRIA read

- Delay Medicaid hospital payment cuts: benefit, high. If enacted, this would delay scheduled Medicaid hospital payment cuts. Reductions planned for 2026–2028 would move to 2029–2031, and a 2027 date would shift to 2031. Hospitals that serve many low-income, uninsured, and Medicaid patients would keep more federal support during those years. This could…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-137: TCJA Permanency Act
- 119-hr-2570: Maximum Pressure Act
- 119-hr-4895: Afghan Adjustment Act
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-3132: CHOICE for Veterans Act of 2025

## Sources
- [119-hr-3581 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/3581)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-2570: Maximum Pressure Act](https://policyrisk.com/legislation/119-hr-2570)
- [119-hr-4895: Afghan Adjustment Act](https://policyrisk.com/legislation/119-hr-4895)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-3132: CHOICE for Veterans Act of 2025](https://policyrisk.com/legislation/119-hr-3132)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-3581 (as of 2025-12-21).