[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[S. 3299 Introduced in Senate (IS)]
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119th CONGRESS
1st Session
S. 3299
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 SENATE OF THE UNITED STATES
December 2, 2025
Mrs. Blackburn (for herself and Mr. Hagerty) introduced the following
bill; which was read twice and referred to the Committee on Finance
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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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