Save Our Safety-Net Hospitals Act of 2025

This bill changes the federal Medicaid rules that cap extra payments to hospitals serving many low-income patients, known as disproportionate share hospital (DSH) payments. Under the bill, a hospital's cap would also count costs of caring for patients who have Medicaid along with Medicare or private insurance, after subtracting those other payments, if the hospital's costs for these patients exceeded what it was paid. The bill removes a separate section of the current cap rules. For rate years from October 1, 2021, until the bill becomes law, states could use unspent DSH funds to raise past payments to hospitals, within the new cap and the state's total DSH allotment. States could not take back past payments that met the 2021 rules, could change past Medicaid plans retroactively by a deadline with federal approval, and would have to report any increased payments.

Full text and official record on Congress.gov

Sponsors

• Jim Banks Republican sponsor
• 1 cosponsors