https://dch.georgia.gov/indigent-care-trust-fund
"The Indigent Care Trust Fund (ICTF) was established in 1990 to expand Medicaid eligibility and services, support rural and other health care providers, primarily hospitals, which serve the medically indigent, and fund primary health care programs for medically indigent Georgians. The ICTF is an umbrella program which contains the Disproportionate Share Hospital (DSH) program, nursing home provider fees, Care Management Organization (CMO) Quality Assessment Fees; Breast Cancer Tag Fees, ambulance rates and other uninsured/indigent initiatives. With ICTF funding, even uninsured people who do not qualify for Medicaid may receive health care from participating hospitals."