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Chapter 3: APPENDIX 3A

TABLE 3A-2. FY 2020 DSH Allotment Reductions, by State (millions)

Unreduced allotment Allotment reduction


Percent
reduction in
Total (state and Total (state and federal DSH
State federal) Federal federal) Federal allotments
Total $22,824.3 $12,935.3 $7,086.3 $4,000.0 30.9%
Alabama 504.4 362.6 207.8 149.4 41.2
Alaska 48.0 24.0 3.6 1.8 7.4
Arizona 171.0 119.4 52.4 36.6 30.7
Arkansas 72.1 50.9 10.2 7.2 14.1
California 2,585.2 1,292.6 730.5 365.3 28.3
Colorado 218.1 109.1 58.2 29.1 26.7
Connecticut 471.7 235.8 139.6 69.8 29.6
Delaware 18.5 10.7 1.7 1.0 9.3
District of Columbia 103.2 72.2 35.8 25.0 34.7
Florida 387.4 235.8 110.1 67.0 28.4
Georgia 468.6 316.9 108.3 73.2 23.1
Hawaii 21.3 11.5 1.5 0.8 7.2
Idaho 27.2 19.4 2.3 1.6 8.3
Illinois 503.9 253.5 105.7 53.2 21.0
Indiana 382.1 252.0 117.2 77.3 30.7
Iowa 77.5 46.4 6.6 4.0 8.6
Kansas 85.2 48.6 27.7 15.8 32.5
Kentucky 238.6 171.0 88.1 63.1 36.9
Louisiana 1,243.8 808.5 348.7 226.6 28.0
Maine 191.9 123.8 37.6 24.3 19.6
Maryland 179.8 89.9 58.1 29.1 32.3
Massachusetts 719.3 359.6 317.1 158.6 44.1
Michigan 484.8 312.5 197.4 127.2 40.7
Minnesota 176.1 88.1 13.8 6.9 7.9
Mississippi 235.4 179.8 56.9 43.5 24.2
Missouri 854.1 558.6 282.2 184.5 33.0
Montana 20.4 13.4 2.3 1.5 11.4
Nebraska 63.5 33.4 6.7 3.5 10.6
Nevada 84.1 54.5 10.0 6.5 11.9
New Hampshire 377.6 188.8 106.4 53.2 28.2
New Jersey 1,518.1 759.1 517.2 258.6 34.1
New Mexico 33.2 24.0 2.8 2.0 8.4
New York 3,788.0 1,894.0 1,303.5 651.8 34.4
North Carolina 517.9 347.8 168.8 113.3 32.6

Report to Congress on Medicaid and CHIP 87


Chapter 3: APPENDIX 3A

TABLE 3A-2. (continued)

Unreduced allotment Allotment reduction


Percent
reduction in
Total (state and Total (state and federal DSH
State federal) Federal federal) Federal allotments
North Dakota $22.5 $11.3 $1.1 $0.5 4.7%
Ohio 759.3 479.0 328.9 207.5 43.3
Oklahoma 68.5 42.7 5.8 3.6 8.4
Oregon 85.3 53.4 10.0 6.3 11.8
Pennsylvania 1,266.6 661.8 491.2 256.6 38.8
Rhode Island 145.8 76.6 68.0 35.7 46.6
South Carolina 542.2 386.2 175.8 125.2 32.4
South Dakota 23.0 13.0 0.9 0.5 3.8
Tennessee 1
80.6 53.1 – – –
Texas 1,937.7 1,127.5 440.0 256.0 22.7
Utah 33.2 23.1 4.4 3.1 13.2
Vermont 49.2 26.5 22.2 12.0 45.2
Virginia 206.6 103.3 74.1 37.1 35.9
Washington 436.3 218.1 178.7 89.4 41.0
West Virginia 107.1 79.6 36.4 27.0 34.0
Wisconsin 187.7 111.5 12.0 7.1 6.4
Wyoming 0.5 0.3 0.1 0.0 9.8

Notes: DSH is disproportionate share hospital. FY is fiscal year. DSH allotment estimates for FY 2020 are based on the DSH allotment
reduction methodology that CMS proposed in July 2017; these estimates may change if CMS changes this methodology when it
finalizes this DSH allotment reduction rule.
― Dash indicates zero; 0.0 indicates a non-zero amount less than $0.5 million.
1
Tennessee is not subject to DSH allotment reductions because its DSH allotment is specified in statute (§ 1923(f)(6)(A) of the Social
Security Act).
Source: MACPAC, 2019, analysis of Census 2019, CBO 2018b, 2016 Medicare cost reports, and the CMS Medicaid Budget and
Expenditure System.

88 March 2019