Advocate Christ Medical Center v. Kennedy

U.S. Supreme Court · decided April 29, 2025 · Supreme Court Database (Spaeth)

Decided
April 29, 2025
Term
October Term 2024
Vote
7–2
Majority author
Justice Barrett
Issue area
Economic Activity
Disposition
Affirmed
Outcome
Petitioning party lost
Ideological direction
Conservative

Opinion excerpt

(Slip Opinion) OCTOBER TERM, 2024 1 Syllabus NOTE: Where it is feasible, a syllabus (headnote) will be released, as is being done in connection with this case, at the time the opinion is issued. The syllabus constitutes no part of the opinion of the Court but has been prepared by the Reporter of Decisions for the convenience of the reader. See United States v. Detroit Timber & Lumber Co., 200 U. S. 321, 337. SUPREME COURT OF THE UNITED STATES Syllabus ADVOCATE CHRIST MEDICAL CENTER ET AL. v. KENNEDY, SECRETARY OF HEALTH AND HUMAN SERVICES CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR THE DISTRICT OF COLUMBIA CIRCUIT No. 23–715. Argued November 5, 2024—Decided April 29, 2025 When hospitals provide inpatient services to Medicare beneficiaries, the Medicare program pays those hospitals a fixed rate for treating each Medicare patient. See 42 U. S. C. §§1395ww(d)(1)–(4). Congress also provides various hospital-specific rate adjustments, including the “dis- proportionate share hospital” (DSH) adjustment, which offers addi- tional funding to hospitals that treat a high percentage of low-income patients. To calculate the DSH adjustment, the Department of Health and Human Services (HHS) adds together two statutorily prescribed fractions referred to as the Medicare fraction and the Medicaid frac- tion. §1395ww(d)(5)(F)(vi). The Medicare fraction “represents the pro- portion of a…

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