Representatives from the U.S. Department of Health & Human Services argued last week before the Third Circuit Court of Appeals that lawmakers did not intend for charity care to count in calculating disproportionate share hospital (DSH) payments, according to Becker's Hospital Review. Earlier this year a district court ruled that HHS Secretary Kathleen Sebelius made an arbitrary decision to include patients in Medicaid pilots programs but not patients covered by Pennsylvania's General Assistance Program in DSH payment calculations. HHS is appealing the decision, stating the law allows both Medicaid patients and patients in pilot programs to be included in the calculations. Article