While some federal offices are closed due to the government shutdown, several requirements and spending cuts mandated by the Affordable Care Act are rolling out as planned today, HealthLeaders Media reports. Among those provisions: The Centers for Medicare & Medicaid Services begins cutting Medicaid and Medicare disproportionate share hospital (DSH) payments, which by 2020 will mean a loss of $18.1 million for the program. The cuts are being made in a discriminating manner; hospitals in areas with large numbers of uninsured would experience smaller cuts than other facilities. But the American Hospital Association has sponsored a bill that would delay the enactment of DSH payment cuts by two years. Article