--- title: "Medicare DSH: District of Columbia Case Challenges Retroactive Part C Days Final Rule" description: Today, February 24, 2023, CMS released the FFY 2021 SSI File for IPPS hospitals. image: https://public.govdataservices.com/hubfs/Midsection%20of%20businesswoman%20with%20binders%20at%20office.jpeg --- [Skip to content](https://public.govdataservices.com/the-scoop/medicare-dsh-district-of-columbia-case-challenges-retroactive-part-c-days-final-rule#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Sep 23, 2024, 11:06:39 AM 2 min read # Medicare DSH: District of Columbia Case Challenges Retroactive Part C Days Final Rule [Previous](https://public.govdataservices.com/the-scoop/tx-vacates-1115-waiver-exclusion-rule) [Next](https://public.govdataservices.com/the-scoop/medicare-dsh-issue-headed-back-to-prrb-district-judge-rules-on-allina) SHANNON MEDICAL CENTER et al v. BECERRA ( case 1:24-cv-02583-JDB ) “CASE” was filed September 9, 2024 in District Court For the District of Columbia. The CASE is a challenge to The Part C Days Final Rule which is commonly known to be an instance of Retro Rulemaking occurring on June 9, 2023 by CMS following a Supreme Court ruling that CMS had violated notice and comment rule making procedures in its 2004 Final Rule. Congress amended statute shortly after a Georgetown University Hospital case where the Supreme Court indicated Retro Rulemaking was not allowed unless Congress conveyed such right. In the amended statue Retro Rulemaking is allowed when required by statute or when it is in the public interest. In the CASE, the Plaintiffs are charging Defendant XAVIER BECERRA as Secretary of Health and Human Services of being Arbitrary, Capricious, Abusing Discretion, and being Contrary to Law and Unsupported by Substantial Evidence in the enactment of the Part C Days Final Rule. This case in particularly interesting considering the Chevron doctrine was recently diminished by the Supreme Court which is expected to effectively take discretionary authority away from government agencies such as CMS in certain circumstances. This CASE joins the Advocate case currently before the Supreme Court along with other data matching cases in courts below the Supreme Court as the most noteworthy cases impacting Medicare DSH Reimbursement by means of the SSI ratio and Medicaid Share percentage. If you have questions regarding Medicare DSH please contact Adam Blackwell at [adamblackwell@govdataservices.com](mailto:adamblackwell@govdataservices.com) The CASE can be found [**here**](https://www.courtlistener.com/docket/69144800/shannon-medical-center-v-becerra/#:~:text=Docket%20for%20SHANNON%20MEDICAL%20CENTER%20v.%20BECERRA,%201:24-cv-02583%20%E2%80%94%20Brought). ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Aug 31, 2026, 2:01:05 PM 2 min read Court Vacates CMS's 2023 Medicare Part C Rule On August 28, 2026, the U.S. District Court for the District of Columbia vacated CMS’s 2023 Rule governing the treatment of ... Start Reading](https://public.govdataservices.com/the-scoop/court-vacates-cmss-2023-medicare-part-c-rule) ### [Chris Cusimano Jul 10, 2023, 12:12:11 PM 1 min read CMS Releases Proposed Rule: Remedy for the 340B-Acquired Drug Payment Policy for Calendar years 2018-2022 CMS Releases Proposed Rule: Remedy for the 340B-Acquired Drug Payment Policy for Calendar years 2018-2022. Start Reading](https://public.govdataservices.com/the-scoop/remedy-for-the-340b-acquired-drug-payment-policy-for-calendar-years-2018-2022) ### [Chris Cusimano Aug 2, 2024, 11:54:43 AM 1 min read CMS FFY 2025 Rehabilitation Final Rule On July 31, 2024, CMS released the FFY 2025 Inpatient Rehabilitation Facility (IRF) Prospective Payment System Final Rule ... Start Reading](https://public.govdataservices.com/the-scoop/cms-ffy-2025-rehabilitation-final-rule) [![gds-logo-1](https://public.govdataservices.com/hs-fs/hubfs/gds-logo-1.png?width=500&height=150&name=gds-logo-1.png)](https://public.govdataservices.com/) **Get in Touch** Government Data Services 3200 W. Market St., Ste. 102 Akron, OH 44333-3324 Government Data Services 117 Seaboard Lane, F270 Franklin, TN 37067 Toll Free: (800) 370-7397 Email: [info@govdataservices.com](mailto:info@govdataservices.com) ![soc](https://public.govdataservices.com/hs-fs/hubfs/soc.jpg?width=44&name=soc.jpg)[![digicert](https://public.govdataservices.com/hs-fs/hubfs/digicert.png?width=117&name=digicert.png)](https://seal.digicert.com/seals/popup/?tag=VtfrmabA&url=www.govdataservices.com) © 2026 - Government Data Services LLC. All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/medicare-dsh-district-of-columbia-case-challenges-retroactive-part-c-days-final-rule" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "Today, February 24, 2023, CMS released the FFY 2021 SSI File for IPPS hospitals.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "September 23, 2024 3 PM", "datePublished" : "September 23, 2024 3 PM", "headline" : "Medicare DSH: District of Columbia Case Challenges Retroactive Part C Days Final Rule", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/Midsection%20of%20businesswoman%20with%20binders%20at%20office.jpeg", "inLanguage" : "en", "keywords" : "[Legal News, Disproportionate Share Hospital (DSH), Medicare Cost Report, Inpatient Prospective Payment System]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "Medicare DSH: District of Columbia Case Challenges Retroactive Part C Days Final Rule", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "SHANNON MEDICAL CENTER et al v. BECERRA ( case 1:24-cv-02583-JDB ) “CASE” was filed September 9, 2024 in District Court For the District of Columbia. The CASE is a challenge to The Part C Days Final Rule which is commonly known to be an instance of Retro Rulemaking occurring on June 9, 2023 by CMS following a Supreme Court ruling that CMS had violated notice and comment rule making procedures in its 2004 Final Rule. Congress amended statute shortly after a Georgetown University Hospital case where the Supreme Court indicated Retro Rulemaking was not allowed unless Congress conveyed such right. In the amended statue Retro Rulemaking is allowed when required by statute or when it is in the public interest. In the CASE, the Plaintiffs are charging Defendant XAVIER BECERRA as Secretary of Health and Human Services of being Arbitrary, Capricious, Abusing Discretion, and being Contrary to Law and Unsupported by Substantial Evidence in the enactment of the Part C Days Final Rule. This case in particularly interesting considering the Chevron doctrine was recently diminished by the Supreme Court which is expected to effectively take discretionary authority away from government agencies such as CMS in certain circumstances. This CASE joins the Advocate case currently before the Supreme Court along with other data matching cases in courts below the Supreme Court as the most noteworthy cases impacting Medicare DSH Reimbursement by means of the SSI ratio and Medicaid Share percentage. If you have questions regarding Medicare DSH please contact Adam Blackwell at adamblackwell@govdataservices.com The CASE can be found here.", "url" : "https://public.govdataservices.com/the-scoop/medicare-dsh-district-of-columbia-case-challenges-retroactive-part-c-days-final-rule", "wordCount" : "377" } ``` ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Cusimano", "url" : "https://public.govdataservices.com/the-scoop/author/chris-cusimano" }, "dateModified" : "2024-09-23T15:12:46.622Z", "datePublished" : "2024-09-23T15:06:39.000Z", "headline" : "Medicare DSH: District of Columbia Case Challenges Retroactive Part C Days Final Rule", "image" : [ "https://public.govdataservices.com/hubfs/Midsection%20of%20businesswoman%20with%20binders%20at%20office.jpeg" ], "mainEntityOfPage" : { "@id" : "https://public.govdataservices.com/the-scoop/medicare-dsh-district-of-columbia-case-challenges-retroactive-part-c-days-final-rule", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject" } } } ```