S 474 United States Senate · 119th Congress

Fair Funding for Rural Hospitals Act

This bill establishes minimum annual funding levels for Medicaid Disproportionate Share Hospital (DSH) payments to states, directly affecting rural hospitals and state Medicaid programs. For fiscal years 2025 through 2029, it sets a minimum $20 million DSH allotment per state, and for 2030 onward, it requires states to maintain the prior year's minimum amount adjusted for inflation. The provision prevents states from reducing DSH funding below these specified floors, ensuring consistent support for hospitals serving high numbers of low-income patients. It applies to all states receiving Medicaid DSH payments under federal law.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
President
Introduced Feb 6, 2025 Last action Feb 6, 2025
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2
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0
Committee
1
Feb 6, 2025
Committee
Read twice and referred to the Committee on Finance. (text: CR S796)
upper
Feb 6, 2025
Introduced
Introduced in Senate
upper
1 primary · 3 co-sponsors

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