$8.049 billion. That is what CMS is distributing in uncompensated care payments in FY 2027 - a 2.9% increase from the $7.821 billion paid out in FY 2026.
That number tells you something important about the structural weight hospitals are already carrying before a single new mandate kicks in. And on July 31, 2026, CMS added several new mandates.
The FY 2027 Inpatient Prospective Payment System final rule - officially CMS-1849-F - was published in the Federal Register on August 4, 2026. It is effective October 1, 2026. If your organization has not worked through every major provision, here is the breakdown that matters.
