A new group counts only where the hospital's costs exceed all payments
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6106, Sec. 6106.
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A new group counts only where the hospital's costs exceed all payments
The document says “is amended”Who acts: CongressHow: statuteSec. 6106 in the PDF
What the document says
“``(iii) Individuals who are eligible for medical assistance under the State plan or under a waiver”
Section 6106 adds a new clause (iii) to section 1923(g)(1)(B) of the Social Security Act. It covers individuals eligible for medical assistance under the State plan or a waiver for whom the plan or waiver pays after Medicare or an applicable plan, but only if the hospital in the aggregate incurred costs exceeding the payments from all of those sources for services furnished to those individuals during the year.
What the document actually says
“``(iii) Individuals who are eligible for medical assistance under the State plan or under a waiver”
That sentence, in plain words
This covers people who can get help under the state plan or a waiver of it.
What this is about
These are people with more than one payer. The hospital may count them only if its costs were more than all it was paid for them.
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Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6106, 140 Stat. 643 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“A new group counts only where the hospital's costs exceed all payments,” Consolidated Appropriations Act, 2026, section 6106, Sec. 6106. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6106-new-clause-iii/ (retrieved October 10, 2026).
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