Disproportionate share hospital adjustment payments offer federal financial aid to those hospitals in each state serving a disproportionate number of low-income patients. States receive an annual monetary allotment to cover costs at DSH hospitals that provide care to low-income patients not covered by other payers, such as Medicare, Medicaid, the Children’s Health Insurance Program or private payers.
Under the Affordable Care Act, DSH allotments were slated to be reduced beginning in fiscal year 2014, however the reductions have been delayed until FY 2017.
Below are 10 states that received the greatest DSH allotments in FY 2015.
- New York: $1.7 billion
- California: $1.2 billion
- Texas: $1 billion
- Louisiana: $743.7 million
- New Jersey: $697.5 million
- Pennsylvania: $608.1 million
- Missouri: $513.3 million
- Ohio: $440.2 million
- South Carolina: $354.8 million
- Alabama: $333.2 million
Below are the 10 states that received the smallest DSH allotments in FY 2015.
- Wyoming: $245,236
- Delaware: $9.8 million
- North Dakota: $10.3 million
- Hawaii: $10.6 million
- South Dakota: $11.9 million
- Montana: $ 12.3 million
- Idaho: $17.8 million
- Utah: $21.2 million
- New Mexico: $22 million
- Alaska: $22 million
- Vermont: $24.4 million
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