Issue Brief 19-08
February 13, 2019

The Centers for Medicare & Medicaid Services (CMS) have published a notice in the Federal Register that provides preliminary fiscal year (FY) 2019 and final FY 2017 disproportionate share hospital (DSH) allotments. (Preliminary FY 2018 allotments were released in July 2018.)

Preliminary FY 2019 allotments total $12.6 billion, $295 million (2.4%) more than FY 2018. Initially, states 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.