United States · Bill · HR
H.R. 3806 (117th)
SAFE Hospitals Act of 2021
Introduced
11 June 2021
Last action
14 June 2021 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Bilirakis, Gus M. [R-FL-12]
Subjects
Healthcare
Source updated
5 December 2025
Summary
State Accountability, Flexibility, and Equity for Hospitals Act of 2021 or the SAFE Hospitals Act of 2021 This bill alters Medicaid requirements relating to payment for inpatient hospital services that are provided by disproportionate share hospitals (DSHs). (DSHs are hospitals that receive additional payment under Medicaid for treating a large share of low-income patients.) Among other changes, the bill requires state Medicaid programs to adopt a payment methodology that meets certain criteria, including by prioritizing payments based on the DSH tier for which the hospital qualifies; tiers are determined based on factors such as the hospital's Medicaid inpatient utilization rate. The bill also incorporates state poverty ratios (i.e., the number of qualifying low-income individuals in a state compared to all states) into the formula for determining state DSH allotments under Medicaid. The bill phases in application of the revised formula over the course of 10 to 15 years.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
11 June 2021
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
11 June 2021
Introduced
Introduced in House
Source: IntroReferral
11 June 2021
Introduced
Introduced in House
Source: IntroReferral
14 June 2021
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 11 June 2021 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 11 June 2021
Introduced in House (PDF)
Introduced in House · EN · 11 June 2021
Introduced in House
summary · EN · 11 June 2021
Sponsors
- Rep. Bilirakis, Gus M. [R-FL-12] · R · Sponsor
- · hsif00 · Standing
Related records
- related to → SAFE Hospitals Act of 2023
- related to → SAFE Hospitals Act of 2021
- related to ← SAFE Hospitals Act of 2019
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/117th-congress/house-bill/3806
- Open data entity: https://api.congress.gov/v3/bill/117/hr/3806
- us · 117-hr-3806 · source updated 5 December 2025