US Federal 2025-2026 Regular Session

US Federal House Bill HB6393

Introduced
12/3/25  

Caption

DSH in Tennessee Act Delivering Support for Hospitals in Tennessee Act

Impact

The bill stipulates that Tennessee will receive a DSH allotment equivalent to fiscal year 2015 levels, indexed for inflation going forward based on the consumer price index. This funding is vital for maintaining essential health services in underserved communities, particularly for hospitals that serve a disproportionate number of low-income individuals and families. The act reinforces the state's approach to managing healthcare provisions for its residents, balancing both federal and state interests in hospital funding.

Summary

House Bill 6393, titled the 'Delivering Support for Hospitals in Tennessee Act' (DSH in Tennessee Act), aims to amend Title XIX of the Social Security Act to provide permanent disproportionate share hospital (DSH) allotments to Tennessee starting in fiscal year 2026 and for all succeeding fiscal years. This legislation is designed to support hospitals significantly reliant on Medicaid by ensuring that they receive a stable and predictable funding source from the federal government, particularly in a landscape marked by fluctuating state budgets and healthcare demands.

Conclusion

Overall, HB6393 stands as a pivotal piece of legislation for Tennessee's healthcare infrastructure, indicating the state's commitment to resource allocation for hospitals that play critical roles in community health. The implications of permanent DSH allotments extend beyond mere financial support; they resonate deeply with issues of health equity and access for all residents in the state.

Contention

Supporters of the bill argue that regular DSH funding will stabilize hospital budgets, ensuring that they can continue to serve vulnerable populations. However, critics may express concerns regarding the sustainability of such funding and the potential implications for other statewide funding priorities in healthcare, education, and community services. The ongoing debates around Medicaid expansion in Tennessee also introduce a layer of complexity to the discussions surrounding this bill, presenting arguments on equity in healthcare access.

Companion Bills

US SB3299

Same As DSH in Tennessee Act Delivering Support for Hospitals in Tennessee Act

Previously Filed As

US SB3299

DSH in Tennessee Act Delivering Support for Hospitals in Tennessee Act

US SB474

Fair Funding for Rural Hospitals Act

US HB1191

Supporting Access to Rural Community Hospitals Act of 2025

US SB521

Supporting Access to Rural Community Hospitals Act of 2025

US HB5064

Save our Safety-Net Hospitals Act of 2025

US SB2743

Save Our Safety-Net Hospitals Act of 2025

US SB335

Rural Hospital Support Act

US HB1554

Medicaid; exempt Medicare-certified long-term acute hospitals from hospital assessment.

US HB1538

Delivering for Rural Seniors Act of 2025

US HB0843

AN ACT to amend Tennessee Code Annotated, Title 68, relative to designation as a critical access hospital.

Similar Bills

No similar bills found.