Becerra v. Empire Health Foundation

U.S. Supreme Court · decided June 24, 2022 · Supreme Court Database (Spaeth)

Decided
June 24, 2022
Term
October Term 2021
Vote
5–4
Majority author
Justice Kagan
Issue area
Economic Activity
Disposition
Reversed and remanded
Outcome
Petitioning party won
Ideological direction
Conservative

Opinion excerpt

(Slip Opinion) OCTOBER TERM, 2021 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 BECERRA, SECRETARY OF HEALTH AND HUMAN SERVICES v. EMPIRE HEALTH FOUNDATION, FOR VALLEY HOSPITAL MEDICAL CENTER CERTIORARI TO THE UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT No. 20–1312. Argued November 29, 2021—Decided June 24, 2022 Once a person turns 65 or has received federal disability benefits for 24 months, he becomes “entitled” to benefits under Part A of Medicare. 42 U. S. C. §§426 (a)–(b). Part A provides coverage for, among other things, inpatient hospital treatment. See §1395d(a). Medicare pays hospitals a fixed rate for such treatment based on the patient’s diag- nosis, regardless of the hospital’s actual cost and subject to certain ad- justments. §§1395ww(d)(1)–(5). One such adjustment is the “dispro- portionate share hospital” (DSH) adjustment, which provides higher- than-usual rates to hospitals that serve a higher-than-usual percent- age of low-income patients. To calculate the DSH adjustment, the De-…

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