Save Our Safety-Net Hospitals Act of 2025

This bill modifies Medicaid funding rules to help safety-net hospitals that serve many low-income patients. It changes how "disproportionate share hospital" (DSH) payments are calculated, allowing states to use unspent DSH funds from prior years to increase payments to these hospitals without exceeding new caps. States can retroactively adjust their Medicaid plans to boost payments for past years, as long as the total doesn’t exceed the annual allotment. The key change ensures hospitals serving high numbers of Medicaid patients receive more consistent federal support, directly affecting hospitals and state Medicaid programs.