Under the ACA, DSH payments will go away, because supposedly everyone will be insured.

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Also, right now, the hospital that treats this patient receives what is know as DSH payments for providing care for the uninsured.

FORBES: A Great Example Of Why Everyone Should Have Health Coverage

For many years, the Medicare program has made payments to hospitals, called Disproportionate Share Hospital payments (DSH), in order to compensate hospitals for taking care of the uninsured, because Medicare mandates through the EMTALA law that hospitals provide emergency care to everyone, including illegal immigrants, regardless of their ability to pay.

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