There’s one week until the country once again faces the possibility of a government shutdown. In November 2023, Congress averted a shutdown by funding the government and other critical programs until January 19^th and while that deadline is fast approaching, a deal is still uncertain. On Sunday, top Senate and House members said they had agreed to set the total amount of spending at nearly $1.66 trillion but some legislators continue to press for additional measures that could halt progress, such as new immigration restrictions. Congress could potentially avert a partial shutdown by passing another short-term funding bill if legislators ran out of time. If that doesn’t happen, cuts to Medicaid Disproportionate Share Hospital (DSH) payments are set to take effect on January 19^th.