Modifying certain disproportionate share hospital allotments

(a) Extending Tennessee DSH allotments Section 1923(f)(6)(A)(vi) of the Social Security Act (42 U.S.C. 1396r–4(f)(6)(A)(vi)) is amended— (1) in the heading, by inserting and a portion of fiscal year 2026 after 2025; and (2) by inserting, and the DSH allotment for Tennessee for the portion of fiscal year 2026 beginning October 1, 2025, and ending January 30, 2026, shall be $17,748,493, which may be claimed as fiscal year 2026 uncompensated care costs before the period. (b) Delaying DSH allotment reductions Section 1923(f) of the Social Security Act (42 U.S.C. 1396r–4(f)) is amended— (1) in paragraph (7)(A)— (A) in clause (i)— (i) in the matter preceding subclause (I), by striking For each of fiscal years 2026 through 2028 and inserting For the period beginning January 31, 2026, and ending September 30, 2026, and for each of fiscal years 2027 and 2028; (ii) in subclause (I), by inserting or period after the fiscal year; and (iii) in subclause (II), by inserting or period after in the fiscal year; and (B) in clause (ii), by striking for each of fiscal years 2026 through 2028 and inserting for the period beginning January 31, 2026, and ending September 30, 2026, and for each of fiscal years 2027 and 2028; and (2) in paragraph (8), by striking 2027 and inserting 2028.

(a) Extending Tennessee DSH allotments Section 1923(f)(6)(A)(vi) of the Social Security Act (42 U.S.C. 1396r–4(f)(6)(A)(vi)) is amended— (1) in the heading, by inserting and a portion of fiscal year 2026 after 2025; and (2) by inserting, and the DSH allotment for Tennessee for the portion of fiscal year 2026 beginning October 1, 2025, and ending January 30, 2026, shall be $17,748,493, which may be claimed as fiscal year 2026 uncompensated care costs before the period. (b) Delaying DSH allotment reductions Section 1923(f) of the Social Security Act (42 U.S.C. 1396r–4(f)) is amended— (1) in paragraph (7)(A)— (A) in clause (i)— (i) in the matter preceding subclause (I), by striking For each of fiscal years 2026 through 2028 and inserting For the period beginning January 31, 2026, and ending September 30, 2026, and for each of fiscal years 2027 and 2028; (ii) in subclause (I), by inserting or period after the fiscal year; and (iii) in subclause (II), by inserting or period after in the fiscal year; and (B) in clause (ii), by striking for each of fiscal years 2026 through 2028 and inserting for the period beginning January 31, 2026, and ending September 30, 2026, and for each of fiscal years 2027 and 2028; and (2) in paragraph (8), by striking 2027 and inserting 2028.