Issue Brief 14-10
March 18, 2014

On February 28, 2014, the Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register that provides preliminary fiscal year (FY) 2014 disproportionate share hospital (DSH) allotments. The release includes separate limits for DSH payments to institutions for mental disease (IMDs) and other mental health facilities.

Overall, the preliminary FY 2014 DSH allotments are $108 million (0.9%) more than FY 2013. Initially, states were expected to see significant reductions in DSH payments beginning in FY 2014. However, the Bipartisan Budget Act (P.L. 113-67) delayed the DSH reductions included in the Affordable Care Act (ACA) for two years.