The National Association of Public Hospitals and Health Systems released an analysis projecting that hospitals could be exposed to much-higher-than-expected uncompensated care costs through the rest of the decade as a result of the Supreme Court's decision to make optional the Medicaid expansion provided for under the ACA optional. According to the report, "Using data from various nationally recognized sources, the National Association of Public Hospitals and Health Systems (NAPH) projects hospitals will see $53.3 billion more uncompensated care costs by 2019 than originally estimated when lawmakers approved the Affordable Care Act (ACA)." The hospital association used the analysis to call on Congress to restore the ACA's cuts to disproportionate share hospital payments, which go into effect in 2014. "NAPH is ready to work with lawmakers to devise a safety net funding policy that ensures access to care for all who need it."