I 118th CONGRESS 1st Session H. R. 990 IN THE HOUSE OF REPRESENTATIVES February 14, 2023 Mr. Bilirakis introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend title XIX of the Social Security Act to establish a methodology for determining State allotments for Medicaid disproportionate share hospital payments that is based on State poverty levels, to require States to prioritize disproportionate share hospital payments on the basis of Medicaid inpatient utilization and low-income utilization rates, and for other purposes.