United States 119th Congress Status: In Committee 1 R cosponsors

HR 3581 — Protect DSH Act

Last action — Referred to the House Committee on Energy and Commerce.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced May 23, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 16% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

How this bill changes current law

3 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill delays certain scheduled reductions in disproportionate share hospital payments under Medicaid from 2026-2028 to 2029-2031.

  • 42 U.S.C. 1396r-4(f)(7)(A)

    2026 through 2028 → 2029 through 2031

    This change delays the payment reductions for hospitals serving a high number of low-income patients.

  • 42 U.S.C. 1396r-4(f)(7)(A)(ii)

    2026 through 2028 → 2029 through 2031

    This change also aligns another payment reduction timeline with the new schedule.

  • 42 U.S.C. 1396r-4(f)(8)

    2027 → 2031

    This change extends the timeline for certain Medicaid payment adjustments to 2031.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 546 not signed on

Sponsors (1)

Co-sponsors (0)

None.

Not signed on (546)

546 members have not signed on to this bill.

Show all 546 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

veterans healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HR 3581?
HR 3581 is sponsored by Crenshaw, Dan (Republican).
What is the current status of HR 3581?
This bill is in committee in the House. Introduced May 23, 2025. It must pass committee before a floor vote.
Where can I track HR 3581?
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Last checked for changes 3 months ago · updated continuously

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