PROTECT ESSENTIAL SERVICES STOP MEDICAID DSH CUTS SET TO START OCTOBER 1

We, the leaders of the more than 280 undersigned and health systems, urge you to stop cuts to Medicaid disproportionate share hospital (DSH) payments.

The Medicaid DSH program was created in 1981 as a safety net to help essential hospitals provide care to patients who are uninsured, low-income, disadvantaged, or Medicaid beneficiaries. Nationwide, hospitals provide more than $35 billion in uncompensated care each year; Medicaid DSH is a vital source of funding that offsets a portion of that cost. Not only does Medicaid DSH ensure access to care for millions of people, it enables our hospitals to provide essential services to our communities, including top-level trauma, burn, and neonatal intensive care.

Medicaid DSH reductions called for under the Affordable Care Act (ACA) are slated to take effect on October 1. These cuts would be detrimental to America’s health care safety net and would significantly reduce our hospitals’ ability to provide essential services to the communities you represent. The far-reaching effects would limit your constituents’ access to care and hurt our local economies, including eliminating jobs. We urge you to collaborate and work swiftly to stop the cuts scheduled to begin on October 1 and delay the onset of such reductions by at least two years.

ALABAMA Halifax Health Hospital Child Mental Health University Health Conway Carolinas HealthCare Mercy Regional One Health East Alabama Medical Center Halifax Health Hospital Daytona University Health Shreveport Carolinas HealthCare System Anson University of Tennessee Medical Center East Alabama Medical Center-Lanier Halifax Health Hospital Port Orange University Medical Center New Orleans Carolinas HealthCare System Kings Mountain UAB Health System Jackson Health System Carolinas HealthCare System Lincoln TEXAS Baptist Health South Johns Hopkins All Children’s Hospital MASSACHUSETTS Carolinas HealthCare System Northeast Central Health Baptist Health East Lee Health Baystate Health Carolinas HealthCare System Pineville Doctors Hospital at Renaissance Baptist Health Prattville Cape Coral Hospital Baystate Medical Center Carolinas HealthCare System Union Health System Callahan Eye Hospital Golisano Children’s Hospital of Baystate Franklin Medical Center Carolinas HealthCare System University Behavioral Hospital at Renaissance Medical West Southwest Florida Baystate Wing Hospital Carolinas Rehabilitation Doctors Hospital at Renaissance UAB Hospital Gulf Coast Medical Center Boston Medical Center Carolinas Rehabilitation, Mount Holly The Rehabilitation Hospital at Renaissance HealthPark Medical Center Cambridge Health Alliance Carolinas Rehabilitation, Northeast Women’s Hospital at Renaissance ARIZONA Lee Memorial Hospital UMass Memorial Health Care Levine Children’s Hospital Harris Health System Maricopa Integrated Health System The Rehabilitation Hospital Clinton Hospital Stanly Regional Medical Center Ben Taub Hospital Northern Arizona Healthcare Orlando Health HealthAlliance Hospital Vidant Health Lyndon B. Johnson Hospital Flagstaff Medical Center Arnold Palmer Hospital for Children Marlborough Hospital James and Connie Maynard Quentin Mease Hospital Verde Valley Medical Center Dr. P. Phillips Hospital UMass Memorial Medical Center Children’s Hospital Medical Center Health System Health Central Hospital The Outer Banks Hospital Midland Memorial Hospital ARKANSAS MICHIGAN Parkland Health & Hospital System White River Health System Orlando Regional Medical Center Henry Ford Health System Vidant Beaufort Hospital South Lake Hospital Vidant Bertie Hospital University Health System Stone County Medical Center Henry Ford Allegiance University Medical Center White River Medical Center South Seminole Hospital Henry Ford Hospital Vidant Chowan Hospital Winnie Palmer Hospital for Women & Babies Vidant Duplin Hospital UTMB Health University of Arkansas for Medical Sciences Henry Ford Macomb Hospital UTMB Health, Galveston Campus Sacred Heart Health System Henry Ford West Bloomfield Hospital Vidant Edgecombe Hospital Sacred Heart Pensacola Vidant Medical Center UTMB Health, Angleton Danbury Campus Henry Ford Wyandotte Hospital UTMB Health, League City Campus Alameda Health System Sacred Heart Emerald Coast Hurley Medical Center Vidant Roanoke-Chowan Alameda Hospital Sacred Heart Gulf Coast WakeMed Health & Hospitals UTMB Health, Jennie Sealy Hospital Fairmont Hospital Tampa General Hospital MINNESOTA UTMB Health, John Sealy Hospital OHIO Highland Hospital UF Health Jacksonville Hennepin Healthcare System, Inc. UTAH John George Psychiatric Hospital Regions Hospital The MetroHealth System GEORGIA The Ohio State University Wexner University of Utah Health San Leandro Hospital Huntsman Cancer Hospital Columbus Regional Health MISSISSIPPI Medical Center Contra Costa Regional Medical Center University Neuropsychiatric Institute Midtown Medical Center The University of Mississippi Health System UC Health and Health Centers University Orthopaedic Center Kern County Hospital Authority Northside Medical Center The University of Mississippi Medical Center Grady Health System OREGON University of Utah Hospital Los Angeles County Health Agency Oregon Health & Science University Harbor-UCLA Medical Center Navicent Health MISSOURI VIRGINIA LAC+USC Medical Center The Medical Center Truman Medical Centers PENNSYLVANIA Riverside Health System Olive View-UCLA Medical Center Medical Center of Peach County Truman Medical Centers, Hospital Hill Einstein Medical Center Riverside Doctors Hospital Rancho Los Amigos National Rehabilitation Hospital Truman Medical Centers, Lakewood Einstein Medical Center Montgomery Riverside Regional Medical Center Northeast Georgia Health System Rehabilitation Center NEBRASKA Einstein Medical Center Elkins Park Riverside Shore Memorial Hospital Northeast Georgia Medical Center Barrow Nebraska Moss Rehab Riverside Tappahannock Hospital Priscilla Chan and Mark Zuckerberg Northeast Georgia Medical Center Braselton Riverside Walter Reed Hospital Bellevue Medical Center RHODE ISLAND San Francisco General Hospital and Northeast Georgia Medical Center Gainesville University of Virginia Medical Center Nebraska Medical Center Care New England Phoebe Putney Health System Virginia Commonwealth University Butler Hospital San Joaquin General Hospital Phoebe Putney Memorial Hospital NEW JERSEY Health System Kent Hospital San Mateo Medical Center Phoebe Sumter Medical Center University Hospital Children’s Hospital of Richmond at VCU Memorial Hospital of Rhode Island Santa Clara Valley Medical Center Phoebe Worth Medical Center VCU Community Memorial Hospital NEW MEXICO Women & Infants Hospital UC Health System VCU Medical Center ILLINOIS University of New Mexico Hospital UC Davis Health Lifespan Cook County Health & Hospitals System Bradley Hospital VERMONT UC Irvine Health NEW YORK John H. Stroger, Jr. Hospital Gateway Healthcare University of Vermont Health Network UCLA Health New York City Health + Hospitals Provident Hospital Newport Hospital Central Vermont Medical Center UCSF Health Bellevue Hospital Center University of Illinois Hospital & Health Rhode Island Hospital Porter Medical Center UC Health Coney Island Hospital Sciences System Hasbro Children’s Hospital University of Vermont Medical Center Elmhurst Hospital Center The Miriam Hospital Sulpizio Cardiovascular Center INDIANA Harlem Hospital Center WASHINGTON UC San Diego Medical Center The Methodist Hospitals Jacobi Medical Center SOUTH CAROLINA UW Medicine The Methodist Hospitals at Gary Kings County Medical Center COLORADO Medical University of South Carolina Harborview Medical Center The Methodist Hospitals at Merrillville Lincoln Medical and Mental Health Center Denver Health and Hospital Authority (MUSC) Health Northwest Hospital & Medical Center Metropolitan Hospital Center MUSC Children’s Hospital UCHealth KANSAS University of Washington Medical Center North Central Bronx Hospital Longs Peak Hospital The University of Kansas Health System MUSC Institute of Psychiatry Valley Medical Center Queens Hospital Center Medical Center of the Rockies MUSC Medical Center Woodhull Medical and Mental Health Care WEST VIRGINIA Poudre Valley Hospital KENTUCKY Erie County Medical Center TENNESSEE WVU Medicine University of Colorado Hospital Breckinridge Health, Inc. The State University of New York Erlanger Health System Berkeley Medical Center Memorial Hospital, Colorado Springs Twin Lakes Regional Medical Center Stony Brook University Hospital Erlanger Behavioral Hospital Camden Clark Medical Center Yampa Valley Medical Center UK HealthCare SUNY Downstate Medical Center Erlanger Bledsoe Hospital Jefferson Medical Center FLORIDA LOUISIANA SUNY Upstate Medical University Erlanger Children’s Hospital J.W. Ruby Memorial Hospital Halifax Health North Oaks Health System Erlanger Sequatchie Valley Potomac Valley Hospital NORTH CAROLINA Halifax Health Center for Rehabilitation North Oaks Medical Center Erlanger East Hospital Reynolds Memorial Hospital Carolinas HealthCare System Halifax Health FSED Deltona North Oaks Rehabilitation Hospital Erlanger North Hospital St. Joseph’s Hospital Carolinas Medical Center Halifax Health Hospital Adult Mental Health University Health System Erlanger University Hospital United Hospital Center Carolinas HealthCare Cleveland Nashville General Hospital

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