MACPAC calls for Congress to delay cuts to safety net hospitals

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In a 16-1 vote on Thursday, MACPAC opted to recommend that if Congress chooses to proceed with DHS allotment reductions in current law, it should change the schedule of reductions. (Pixabay)

Congress should phase in planned reductions to Medicaid Disproportionate Share payments to hospitals over a longer period of time and restructure the DSH allotment methodology based on the number of low-income individuals in a state, the Medicaid and CHIP Payment and Access Commission (MACPAC) said on Thursday.

In a 16-1 vote, MACPAC opted to recommend that if Congress chooses to proceed with DHS allotment reductions in current law, it should change the schedule of reductions to $2 billion in fiscal 2020, $4 billion in fiscal 2021, $6 billion in fiscal 2022 and $8 billion a year in the years fiscal 2023 through fiscal 2029 in order to phase in reductions more gradually without increasing federal spending. 

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