; . 3. Allowing for increased disproportionate share hospital adjustments for certain hospitals under the Medicaid program (a) In general Section 1923 of the Social Security Act ( 42 U.S.C. 1396r–4 ) is amended by adding at the end the following new subsection: (k) Allowable increase in adjustments for certain hospitals (1) In general A payment adjustment under this section during a fiscal year with respect to a hospital that is a multimission hospital for such fiscal year that exceeds the amount determined under subsection (g) with respect to such hospital and fiscal year shall be deemed to be consistent with subsection (c) to the extent that such payment adjustment is less than or equal to the amount that would have been determined under subsection (g) with respect to such hospital and fiscal year had the costs incurred during such fiscal year by such hospital (as described in paragraph (1)(A) of such subsection (or, in the case of a specified hospital (as defined in paragraph (5)), as described in paragraph (1)(A) of such subsection as in effect on January 1, 2020)) to individuals described in paragraph (1)(B) of such subsection (or, in the case of a specified hospital, individuals described in paragraph (1)(A) of such subsection as in effect on January 1, 2020) included costs incurred by such hospital during such fiscal year that are described in paragraph (2) with respect to individuals described in paragraph (3) and that are so incurred for the purpose (as determined by the State) described in paragraph (4). (2) Costs described For purposes of paragraph (1), the costs described in this paragraph are costs for furnishing or supporting the furnishing of physicians’ services (as defined in section 1848), services provided at Federally qualified health center or any other clinical outpatient setting, and emergency medical services (as defined in section 303(j)(13) of the Controlled Substances Act). (3) Individuals described For purposes of paragraph (1), the individuals described in this paragraph are, with