United States · Bill · HR
H.R. 4250 (111th)
Medicaid DSH Integrity Act
Introduced
9 December 2009
Last action
10 December 2009 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Melancon, Charlie [D-LA-3], Rep. Alexander, Rodney [R-LA-5], Rep. Cao, Anh "Joseph" [R-LA-2], Bill Cassidy, Rep. Boustany, Charles W., Jr. [R-LA-3], Rep. Fleming, John [R-LA-4]
Subjects
Healthcare
Source updated
14 August 2025
Summary
Medicaid DSH Integrity Act - Directs the Secretary of Health and Human Services (HHS) to indicate, in appropriate guidance, that the Centers for Medicare & Medicaid Services (CMS) do not intend to enforce any changes in policy related to calculating the limits on the adjustment in payment under title XIX (Medicaid) of the Social Security Act for inpatient hospital services furnished by disproportionate share hospitals (DSH) that were contained in the Medicaid DSH auditing and reporting regulations the CMS issued pursuant to the Medicare Prescription Drug Improvement and Modernization Act of 2003. Requires the Secretary to publish an interim final rule to revise such regulations as necessary to: (1) correct such policy changes; (2) provide appropriate guidance for otherwise implementing those auditing and reporting regulations; and (3) provide for specified regulatory changes to be included in the new interim rule. Requires the CMS, in defining the costs of furnishing services to individuals with no health insurance (or other source of third-party coverage), to permit inclusion of all costs related to services provided to patients with no insurance for the service rendered, even if the patient has insurance that covers other services. Declares that the receipt by a hospital of nominal payments related to a service shall not constitute health insurance or a source of third-party coverage.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
9 December 2009
Introduced
Referred to the House Committee on Energy and Commerce.
Source: IntroReferral
9 December 2009
Introduced
Introduced in House
Source: IntroReferral
9 December 2009
Introduced
Introduced in House
Source: IntroReferral
10 December 2009
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 9 December 2009 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 9 December 2009
Introduced in House (PDF)
Introduced in House · EN · 9 December 2009
Introduced in House
summary · EN · 9 December 2009
Sponsors
- Rep. Melancon, Charlie [D-LA-3] · D · Sponsor
- Rep. Alexander, Rodney [R-LA-5] · R · Sponsor
- Rep. Cao, Anh "Joseph" [R-LA-2] · R · Sponsor
- Bill Cassidy · R · Sponsor
- Rep. Boustany, Charles W., Jr. [R-LA-3] · R · Sponsor
- Rep. Fleming, John [R-LA-4] · R · Sponsor
- · hsif00 · Standing
Related records
- related to ← Medicaid DSH Integrity Act
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/111th-congress/house-bill/4250
- Open data entity: https://api.congress.gov/v3/bill/111/hr/4250
- us · 111-hr-4250 · source updated 14 August 2025