Issue Brief 18-28
July 17, 2018

The Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register that provides preliminary fiscal year (FY) 2018 disproportionate share hospital (DSH) allotments, and final FY 2016 allotments. (Preliminary FY 2017 allotments were released in November 2017.)

The preliminary FY 2018 DSH allotments are $288 million (2.4%) more than FY 2017. Initially, states had expected to see significant reductions in DSH payments under the Affordable Care Act (ACA) beginning in FY 2014. These cuts have been delayed multiple times, most recently until FY 2020.