Urban Health Care Delivery Act of 2007

Read twice and referred to the Committee on Finance.

Congressional Research Service

Official summary

Version 00 · Introduced in Senate · Oct 29, 2007

Urban Health Care Delivery Act of 2007 - Revises requirements for adjustments in payments made by a state under title XIX (Medicaid) of the Social Security Act for inpatient hospital services furnished by a disproportionate share hospital (DSH).

Provides that DSH payment adjustments made by a state to a state- or local government- owned or operated hospital providing up to 450 inpatient beds, and meeting certain other criteria, shall be made without regard, and in addition, to the standard DSH allotment limitation on federal financial participation. Caps such adjustments at 175% of the costs of furnishing such services.

Prescribes criteria for such a hospital, including operation of a community mental health center, a burn center serving the entire state, and a Level I trauma center with at least 100,000 encounters per year.

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People & committees

Who introduced it

Sen. Bayh, Evan [D-IN] · D–IN

Committees

Finance Committee

1 cosponsorship records, including any withdrawals

Sen. Lugar, Richard G. [R-IN]

Legislative record

Actions

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Oct 29, 2007
Read twice and referred to the Committee on Finance.
Oct 29, 2007
Introduced in Senate

Primary sources

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Introduced in Senate · Oct 29, 2007 Formatted Text PDF Formatted XML

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Feb 10, 2026. Consult Congress.gov for the current record.

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Objective

Analyze S.2253 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Discuss S.2253, 110th Congress: Urban Health Care Delivery Act of 2007

Official record: https://www.congress.gov/bill/110th-congress/senate-bill/2253

Text version to examine: Introduced in Senate · 2007-10-29.

Official full text: https://www.congress.gov/110/bills/s2253/BILLS-110s2253is.htm

Imported record last updated by the source: 2026-02-10T13:34:31Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Analyze S.2253 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

Fairness and public impact

Progressive lens

Examine S.2253 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Discuss S.2253, 110th Congress: Urban Health Care Delivery Act of 2007

Official record: https://www.congress.gov/bill/110th-congress/senate-bill/2253

Text version to examine: Introduced in Senate · 2007-10-29.

Official full text: https://www.congress.gov/110/bills/s2253/BILLS-110s2253is.htm

Imported record last updated by the source: 2026-02-10T13:34:31Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.2253 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

Institutions and government scope

Conservative lens

Examine S.2253 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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Discuss S.2253, 110th Congress: Urban Health Care Delivery Act of 2007

Official record: https://www.congress.gov/bill/110th-congress/senate-bill/2253

Text version to examine: Introduced in Senate · 2007-10-29.

Official full text: https://www.congress.gov/110/bills/s2253/BILLS-110s2253is.htm

Imported record last updated by the source: 2026-02-10T13:34:31Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.2253 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

Individual rights and government power

Liberty lens

Examine S.2253 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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Discuss S.2253, 110th Congress: Urban Health Care Delivery Act of 2007

Official record: https://www.congress.gov/bill/110th-congress/senate-bill/2253

Text version to examine: Introduced in Senate · 2007-10-29.

Official full text: https://www.congress.gov/110/bills/s2253/BILLS-110s2253is.htm

Imported record last updated by the source: 2026-02-10T13:34:31Z. Verify current status and distinguish any later version from the version above.

Read the official text before answering. If you cannot access it, say so and ask me to provide it; do not assume a link means you have read the document. Distinguish proposals from enacted law, cite sources, and separate facts, interpretation, and uncertain predictions. Include counterarguments even when using a particular perspective.

Examine S.2253 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.