Continues DSH payment adjustments with an increase to qualifying hospitals that serve indigent populations of cities with an average per capita income significantly below statewide averages.

The amendment continues enhanced payment to certain academic medical centers.

SPA establishes an additional DSH payment adjustment to qualifying hospitals to promote access in less urbanized areas of Pennsylvania.

Continues an additional class of disproportionate payments for acute care hospitals ranked at least three standard deviatgions above the mean with respect to Medicaid inpatient days and above the 99th percentile of all acute care hospitals with respect to discharges.

Continues supplemental payments to qualifying hospitals which provide a high volume of services in me4dically underserved areas.

Continues disproportionate share hospital payments to hospitals with qualify8ing burn centers.

Continues disproportionate share hospital payments to facilities designated as critical access hospitals and qualifying rural hospitals.

Continues disproportionate share hospital payments to qualifying hospitals with obstetrical and neonatal intensive care cases.

Continues an additional class of disproportionate payments for acute care hospitals with 400 or more setup and staffed beds in a county with a population less than 500,000.

Continues disproportionate share hospital payments to qualifying teaching hospitals that provide psychiatric services.