The Save our Safety-Net Hospitals Act of 2024 modifies how states can distribute additional Medicaid payments to hospitals that serve large numbers of low-income and uninsured patients, commonly known as safety-net hospitals. Specifically, the bill expands the types of patients and costs that can be counted when determining how much extra Medicaid funding these hospitals receive, including patients who have Medicare or private insurance as their primary coverage but whose hospital bills exceed what those programs pay. The changes apply retroactively to fiscal years starting October 1, 2021, and the bill protects states from having to repay funds for payment adjustments they made before this law was enacted if those adjustments followed their existing procedures. By broadening the eligibility criteria for additional payments, this legislation aims to ensure safety-net hospitals have better financial support to continue serving vulnerable populations.
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