,,ii  #aaith ,,congress  #ast ,session  
,s4 #cbii  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #b1  
#bjbe,mrs4 ,blackburn 7for herself and  
,mr4 ,hagerty7 introduced the following 
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to amend title ,,xix of the ,social  
,security ,act to provide a permanent   
disproportionate share hospital         
allotment to ,tennessee for fiscal year 
#bjbf and succeeding fiscal years1 and  
for other purposes4  #a4 ,short title   
,this ,act may be cited as the          
,delivering ,support for ,hospitals in  
,tennessee ,act or the ,,dsh in         
,tennessee ,act4  #b4 ,permanent        
,tennessee ,,dsh allotment for fiscal   
year #bjbf and succeeding fiscal years  
,section #aibc7;f77#c7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acifr-#d7;f77#c77 is amended-- 7#a7 in 
subparagraph 7,a71 by striking          
subparagraphs 7,e7 and 7,f7 and         
inserting subparagraphs 7,e71 7,f71 and 

7,g72 and  7#b7 by adding at the end the
 following new subparagraph3  7,g7      
,tennessee ,,dsh restoration  7i7 ,in   
general ,notwithstanding any other      
provision of this subsection1 the ,state
 of ,tennessee shall receive a ,,dsh    
allotment under this paragraph beginning
 with fiscal year #bjbf and for each    
succeeding fiscal year4  7ii7 ,allotment
 for fiscal year #bjbf ,notwithstanding 
the table set forth in paragraph 7#b7 or
 the terms of the ,tenn,care            
,demonstration ,project in effect for   
the ,state1 the ,,dsh allotment for     
,tennessee for fiscal year #bjbf1 shall 
be equal to the ,,dsh allotment for     
,tennessee under paragraph 7#f77;,a77vi7
 for fiscal year #bjae1 increased in    
each succeeding fiscal year by the      
percentage change in the consumer price 
index for all urban consumers 7all      
items2 ,u4,s4 city average74  7iii7     
,treatment as a low ,,dsh state ,for any
 fiscal year after fiscal year #bjbf--  
7,i7 ,tennessee shall be deemed to be a 

,state described in paragraph 7#e77;,b72
 and  7,,ii7 the ,,dsh allotment for    
,tennessee shall be the ,,dsh allotment 
for the previous fiscal year increased  
in the same manner as ,,dsh allotments  
for low ,,dsh ,states are increased for 
such fiscal year under clause 7iii7 of  
such paragraph4  4