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The bill also provides for certain other payments: disproportionate share hospital (DSH) supplemental payments for safety-net providers; administrative costs; vaccines for children; and state expenditures on cost-sharing for low-income Medicare beneficiaries. The bill also appears to establish a new payment pool for hospitals with exceptionally great indigent care responsibilities, but its provisions are too vague to know whether these funds would be anything like what states spend on their safety-net hospitals today. The bill makes no mention of other crucial Medicaid spending functions, such as the additional payments states make to teaching hospitals that serve large numbers of beneficiaries.

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