Reforming the Medicaid Disproportionate Share Hospital Program - Brookings Institution

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As the Senate and House work to merge their respective health reform bills, reductions in future federal funding for the Medicaid Disproportionate Share Hospital (DSH) program are being considered as one means of financing coverage expansions. The Medicaid DSH program provides funding allotments to states to subsidize certain hospitals for the unreimbursed costs they incur treating uninsured and Medicaid patients. Under current law, the federal government is expected to spend more than $100 billion on the Medicaid DSH program over the next 10 years.

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