US Federal 2025-2026 Regular Session

US Federal Senate Bill SB3299

Introduced
 
Introduced
12/2/25  

Caption

A bill to amend title XIX of the Social Security Act to provide a permanent disproportionate share hospital allotment to Tennessee for fiscal year 2026 and succeeding fiscal years, and for other purposes.

Impact

The enactment of SB3299 would ensure that Tennessee hospitals receive consistent financial support, which could lead to improved healthcare services across the state. By establishing a permanent DSH allotment, the bill intends to stabilize funding for hospitals that serve a large number of low-income patients. This decision is critical given the changing healthcare landscape, where financial uncertainties can threaten the viability of local hospitals, particularly those in underserved areas.

Summary

Senate Bill 3299, titled the ‘Delivering Support for Hospitals in Tennessee Act’, aims to amend Title XIX of the Social Security Act by providing a permanent Disproportionate Share Hospital (DSH) allotment to the state of Tennessee for fiscal year 2026 and for succeeding fiscal years. This bill is particularly significant as it seeks to address the financial challenges faced by hospitals within Tennessee, allowing for steady funding based on historical allotment figures, adjusted for inflation according to the consumer price index.

Contention

Notably, while supporters of SB3299 argue that the bill is a necessary measure to safeguard critical healthcare provision in Tennessee, opponents may raise concerns regarding the reliance on federal funding and the potential repercussions for state budget allocations. Critics might point out that permanent allotment adjustments could lead to fiscal strains elsewhere in the health system or on other state budgets, especially if there are unexpected economic downturns.

Companion Bills

US HB6393

Same As DSH in Tennessee Act

Previously Filed As

US H5127

Capital Reserve Fund, appropriations

US H4026

Capital Reserve Fund

US HB6393

DSH in Tennessee Act Delivering Support for Hospitals in Tennessee Act

US HR1014

Providing for consideration of the bill (H.R. 7148) making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes; providing for consideration of the bill (H.R. 7147) making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes; and for other purposes.

US S1208

YOUTH SAFETY AND PERMANENCY- Relates to the appropriation to the Department of Health and Welfare for fiscal years 2025 and 2026.

US HB7145

To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.

US HB312

Hospitals, private hospital assessment and Medicaid funding program extended for fiscal year 2028

US HR1096

Providing for consideration of the bill (H.R. 4213) making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2026, and for other purposes.

US HR1095

Providing for consideration of the bill (H.R. 7744) making appropriations for the Department of Homeland Security for the fiscal year ending September 30, 2026, and for other purposes.

US H6095

Imposes a hospital licensing fee for fiscal year 2026 against net patient-services revenue of every non-government owned hospital for the hospital’s first fiscal year ending on or after January 1, 2024.

Similar Bills

No similar bills found.