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 for a portion of fiscal year 2026 after 2025; and (2) by inserting, and the DSH allotment for Tennessee for the period beginning on October 1, 2025, and ending on October 31, 2025, shall be $4,509,863 before the period at the end. (b) Delaying Medicaid DSH 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 each of fiscal years 2026 through 2028 and inserting the period beginning November 1, 2025, and ending September 30, 2026, and for each of fiscal years 2027 and 2028; (ii) in subclause (I), by striking fiscal year. and inserting fiscal year or period.; and (iii) in subclause (II), by inserting or period after fiscal year the first place it appears; and (B) in clause (ii), by striking each of fiscal years 2026 through 2028 and inserting the period beginning November 1, 2025, 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.