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GAO-13-876R 1 (2013-09-27)

handle is hein.gao/gaobadpuk0001 and id is 1 raw text is: G A O U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-325194 September 27, 2013 The Honorable Max Baucus Chairman The Honorable Orrin G. Hatch Ranking Member Committee on Finance United States Senate The Honorable Fred Upton Chairman The Honorable Henry Waxman Ranking Member Committee on Energy and Commerce House of Representatives The Honorable Dave Camp Chairman The Honorable Sander Levin Ranking Member Committee on Ways and Means House of Representatives Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicaid Program; State Disproportionate Share Hospital Allotment Reductions Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Health and Human Services, Centers for Medicare & Medicaid Services (CMS) entitled Medicaid Program; State Disproportionate Share Hospital Allotment Reductions (RIN: 0938-AR31). We received the rule on September 18, 2013. It was published in the Federal Register as a final rule on September 18, 2013, with an effective date of November 18, 2013. 78 Fed. Reg. 57,293. The final rule delineates a methodology to implement the annual reductions to state Medicaid Disproportionate Share Hospital (DSH) allotments for fiscal year (FY) 2014 and FY 2015. The rule also includes additional DSH reporting requirements for use in implementing the DSH health reform methodology. The Social Security Act (the Act), as amended by the Affordable Care Act, requires aggregate reductions to state Medicaid DSH allotments annually from FY 2014 through FY 2020. Enclosed is our assessment of CMS's compliance with the procedural steps required by section 801 (a)(1)(B)(i) through (iv) of title 5 with respect to the rule. Our review of the procedural steps taken indicates that CMS complied with the applicable requirements. GAO-13-876R

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