H.R. 6393

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6393 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 6393

To amend title XIX of the Social Security Act to provide a permanent 
disproportionate share hospital allotment to Tennessee for fiscal year 
2026 and succeeding fiscal years, and for other purposes.

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IN THE HOUSE OF REPRESENTATIVES

December 3, 2025

Mrs. Harshbarger (for herself, Mr. Fleischmann, Mr. DesJarlais, Mr. 
Kustoff, Mr. Burchett, Mr. Rose, and Mr. Cohen) introduced the 
following bill; which was referred to the Committee on Energy and 
Commerce

_______________________________________________________________________

A BILL

To amend title XIX of the Social Security Act to provide a permanent 
disproportionate share hospital allotment to Tennessee for fiscal year 
2026 and succeeding fiscal years, and for other purposes.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Delivering Support for Hospitals in 
Tennessee Act'' or the ``DSH in Tennessee Act''.

SEC. 2. PERMANENT TENNESSEE DSH ALLOTMENT FOR FISCAL YEAR 2026 AND 
SUCCEEDING FISCAL YEARS.

Section 1923(f)(3) of the Social Security Act (42 U.S.C. 1396r-
4(f)(3)) is amended--
(1) in subparagraph (A), by striking ``subparagraphs (E) 
and (F)'' and inserting ``subparagraphs (E), (F), and (G)''; 
and
(2) by adding at the end the following new subparagraph:
``(G) Tennessee dsh restoration.--
``(i) In general.--Notwithstanding any 
other provision of this subsection, the State 
of Tennessee shall receive a DSH allotment 
under this paragraph beginning with fiscal year 
2026 and for each succeeding fiscal year.
``(ii) Allotment for fiscal year 2026.--
Notwithstanding the table set forth in 
paragraph (2) or the terms of the TennCare 
Demonstration Project in effect for the State, 
the DSH allotment for Tennessee for fiscal year 
2026, shall be equal to the DSH allotment for 
Tennessee under paragraph (6)(A)(vi) for fiscal 
year 2015, increased in each succeeding fiscal 
year by the percentage change in the consumer 
price index for all urban consumers (all items; 
U.S. city average).
``(iii) Treatment as a low dsh state.--For 
any fiscal year after fiscal year 2026--
``(I) Tennessee shall be deemed to 
be a State described in paragraph 
(5)(B); and
``(II) the DSH allotment for 
Tennessee shall be the DSH allotment 
for the previous fiscal year increased 
in the same manner as DSH allotments 
for low DSH States are increased for 
such fiscal year under clause (iii) of 
such paragraph.''.
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