# 119-hr-5064: Save our Safety-Net Hospitals Act of 2025

119-hr-5064, Save our Safety-Net Hospitals Act of 2025, is a 119th Congress bill sponsored by Rep. LaLota, Nick [R-NY-1] (R-NY); status introduced; PRIA reads it as touching household money (as of 2026-07-25).

- Canonical: https://policyrisk.com/legislation/119-hr-5064
- As of: 2026-07-25
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-5064
- Congress: 119
- Title: Save our Safety-Net Hospitals Act of 2025
- Status: introduced
- Introduced: 2025-08-29
- Sponsor: Rep. LaLota, Nick [R-NY-1] (R-NY)
- Cosponsors: 10
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-25

## Summary

**Counts Medicare and other applicable-plan payments in Medicaid Disproportionate Share Hospital (DSH) calculations to strengthen support for safety-net hospitals.** It would also let states use certain unspent federal DSH allotments retroactively while adding audit and reporting checks. - Safety-net hospitals: Could qualify for larger DSH adjustments because payments made under Medicare or other applicable plans can be counted when hospitals show their costs exceeded payments for those patients. - States: Would be allowed to redistribute unspent DSH allotments for rate years beginning on or after October 1, 2021 and before enactment to increase hospital payment adjustments, subject to a State's DSH allotment cap. - Oversight and limits: The bill bars recoupment when increases follow the pre-amendment (as of Oct 1, 2021) rules, requires independent audits and lets states retroactively amend plans, with the increased amounts reported in the next annual DSH report.

## Cosponsors (10)

- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-08-29T00:00:00.000Z
- Rep. Mrvan, Frank J. [D-IN-1] (D-IN), 2025-08-29T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-08-29T00:00:00.000Z
- Rep. Matsui, Doris O. [D-CA-7] (D-CA), 2025-10-08T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-10-17T00:00:00.000Z
- Rep. Garbarino, Andrew R. [R-NY-2] (R-NY), 2025-10-28T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2025-10-31T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2025-12-02T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-12-17T00:00:00.000Z
- Rep. Kim, Young [R-CA-40] (R-CA), 2026-01-13T00:00:00.000Z

## Provisions PRIA read

- Medicare payments count in Medicaid hospital funding: benefit, medium. If enacted, hospitals would be able to count some Medicare and certain other plan payments in their Medicaid safety‑net payment math. States could also count some patients whose care was paid first by Medicare or another plan, but only if the hospital’s total costs for those patients were higher th…
- Use unspent Medicaid hospital support funds: benefit, medium. If enacted, states could use unspent federal DSH funds to raise hospital adjustments for rate years that began on or after October 1, 2021 and before this bill becomes law. Any increase would need to follow the DSH rules and stay under the state’s yearly DSH cap. States could ask for retroactive pl…

## Related bills

- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-1065: Protect Our Letter Carriers Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-1661: SAFE Act of 2025
- 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act

## Sources
- [119-hr-5064 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5064)

## Related
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-1065: Protect Our Letter Carriers Act of 2025](https://policyrisk.com/legislation/119-hr-1065)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-1661: SAFE Act of 2025](https://policyrisk.com/legislation/119-hr-1661)
- [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5064 (as of 2026-07-25).