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    <number>4774</number>
    <updateDate>2023-01-11T13:31:52Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:31:52Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <type>HR</type>
    <introducedDate>2016-03-17</introducedDate>
    <congress>114</congress>
    <constitutionalAuthorityStatementText><![CDATA[<pre>[Congressional Record Volume 162, Number 43 (Thursday, March 17, 2016)]From the Congressional Record Online through the Government Publishing Office [<a href='http://www.gpo.gov'>www.gpo.gov</a>]By Ms. CASTOR of Florida:H.R. 4774.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8, Clause 1 of the United StatesConstitution[Page H1462]</pre>]]></constitutionalAuthorityStatementText>
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        <title>Advancing Medical Resident Training in Community Hospitals Act of 2016</title>
        <congress>114</congress>
        <number>4732</number>
        <type>HR</type>
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          <actionDate>2016-03-18</actionDate>
          <text>Referred to the Subcommittee on Health.</text>
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        <title>Advancing Medical Resident Training in Community Hospitals Act of 2016</title>
        <congress>114</congress>
        <number>2671</number>
        <type>S</type>
        <latestAction>
          <actionDate>2016-03-14</actionDate>
          <text>Read twice and referred to the Committee on Finance.</text>
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        <text>Referred to the Subcommittee on Health.</text>
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        <text>Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.</text>
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    <sponsors>
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        <bioguideId>C001066</bioguideId>
        <fullName>Rep. Castor, Kathy [D-FL-14]</fullName>
        <firstName>Kathy</firstName>
        <lastName>Castor</lastName>
        <party>D</party>
        <state>FL</state>
        <district>14</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>K000368</bioguideId>
        <fullName>Rep. Kirkpatrick, Ann [D-AZ-1]</fullName>
        <firstName>Ann</firstName>
        <lastName>Kirkpatrick</lastName>
        <party>D</party>
        <state>AZ</state>
        <district>1</district>
        <sponsorshipDate>2016-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>C001090</bioguideId>
        <fullName>Rep. Cartwright, Matt [D-PA-17]</fullName>
        <firstName>Matt</firstName>
        <lastName>Cartwright</lastName>
        <party>D</party>
        <state>PA</state>
        <district>17</district>
        <sponsorshipDate>2016-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000608</bioguideId>
        <fullName>Rep. Peters, Scott H. [D-CA-52]</fullName>
        <firstName>Scott</firstName>
        <lastName>Peters</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>H.</middleName>
        <district>52</district>
        <sponsorshipDate>2016-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>R000577</bioguideId>
        <fullName>Rep. Ryan, Tim [D-OH-13]</fullName>
        <firstName>TIM</firstName>
        <lastName>RYAN</lastName>
        <party>D</party>
        <state>OH</state>
        <district>13</district>
        <sponsorshipDate>2016-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>G000556</bioguideId>
        <fullName>Rep. Grayson, Alan [D-FL-9]</fullName>
        <firstName>Alan</firstName>
        <lastName>Grayson</lastName>
        <party>D</party>
        <state>FL</state>
        <district>9</district>
        <sponsorshipDate>2016-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000799</bioguideId>
        <fullName>Rep. Walz, Timothy J. [D-MN-1]</fullName>
        <firstName>Timothy</firstName>
        <lastName>Walz</lastName>
        <party>D</party>
        <state>MN</state>
        <middleName>J.</middleName>
        <district>1</district>
        <sponsorshipDate>2016-04-26</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S001145</bioguideId>
        <fullName>Rep. Schakowsky, Janice D. [D-IL-9]</fullName>
        <firstName>JANICE</firstName>
        <lastName>SCHAKOWSKY</lastName>
        <party>D</party>
        <state>IL</state>
        <middleName>D.</middleName>
        <district>9</district>
        <sponsorshipDate>2016-04-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>T000468</bioguideId>
        <fullName>Rep. Titus, Dina [D-NV-1]</fullName>
        <firstName>Dina</firstName>
        <lastName>Titus</lastName>
        <party>D</party>
        <state>NV</state>
        <district>1</district>
        <sponsorshipDate>2016-04-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000258</bioguideId>
        <fullName>Rep. Peterson, Collin C. [D-MN-7]</fullName>
        <firstName>COLLIN</firstName>
        <lastName>PETERSON</lastName>
        <party>D</party>
        <state>MN</state>
        <middleName>C.</middleName>
        <district>7</district>
        <sponsorshipDate>2016-04-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>S001157</bioguideId>
        <fullName>Rep. Scott, David [D-GA-13]</fullName>
        <firstName>David</firstName>
        <lastName>Scott</lastName>
        <party>D</party>
        <state>GA</state>
        <district>13</district>
        <sponsorshipDate>2016-04-28</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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      <item>
        <bioguideId>P000607</bioguideId>
        <fullName>Rep. Pocan, Mark [D-WI-2]</fullName>
        <firstName>Mark</firstName>
        <lastName>Pocan</lastName>
        <party>D</party>
        <state>WI</state>
        <district>2</district>
        <sponsorshipDate>2016-05-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000381</bioguideId>
        <fullName>Rep. Kilmer, Derek [D-WA-6]</fullName>
        <firstName>Derek</firstName>
        <lastName>Kilmer</lastName>
        <party>D</party>
        <state>WA</state>
        <district>6</district>
        <sponsorshipDate>2016-05-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001251</bioguideId>
        <fullName>Rep. Butterfield, G. K. [D-NC-1]</fullName>
        <firstName>G. K.</firstName>
        <lastName>Butterfield</lastName>
        <party>D</party>
        <state>NC</state>
        <district>1</district>
        <sponsorshipDate>2016-05-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
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        <bioguideId>P000597</bioguideId>
        <fullName>Rep. Pingree, Chellie [D-ME-1]</fullName>
        <firstName>Chellie</firstName>
        <lastName>Pingree</lastName>
        <party>D</party>
        <state>ME</state>
        <district>1</district>
        <sponsorshipDate>2016-07-25</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    </cosponsors>
    <policyArea>
      <name>Health</name>
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    <subjects>
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          <name>Administrative law and regulatory procedures</name>
        </item>
        <item>
          <name>Congressional oversight</name>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2016-03-17</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2016-12-06T17:36:02Z</updateDate>
        <text><![CDATA[ <p><strong>Training Tomorrow's Doctors Today Act</strong></p> <p>This bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare &amp; Medicaid Services (CMS) to increase, for purposes of Medicare payment,&nbsp;the otherwise applicable resident limit&nbsp;for&nbsp;qualifying hospitals. The bill establishes a process for distributing the new residency positions.</p> <p>The bill eliminates the use of three-year rolling averages with respect to calculating, for purposes of Medicare payment, specified limits on certain new or redistributed residency positions.</p> <p>With respect to&nbsp;specified hospitals, all of the time spent by an intern or resident in an approved medical residency training program, regardless of setting, shall be counted for purposes of determining a hospital's number of residents.</p> <p>The bill revises payment rules for graduate medical education (GME) costs with respect to a hospital that establishes a new medical residency training program. With respect to a hospital that has not entered into a GME affiliation agreement, CMS shall establish the hospital's resident amount only after determining that the hospital trains more&nbsp;a specified number of&nbsp;residents. Similarly, CMS shall adjust a hospital's limitation on allopathic and osteopathic residents only after determining that the hospital&nbsp;trains&nbsp;more than a specified number of residents. In specified cases, CMS shall provide a hospital an opportunity to have its resident amount reestablished and its limitation adjustment re-determined. </p> <p>The bill also revises provisions regarding: (1) aggregation rules relating to resident limits, and (2) the period of board eligibility for residents who change specialties.</p> <p>CMS shall establish and implement procedures for adjusting a hospital's indirect medical education payments based on specified performance measures.</p>]]></text>
      </summary>
    </summaries>
    <title>Training Tomorrow's Doctors Today Act</title>
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        <title>Training Tomorrow's Doctors Today Act</title>
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        <title>To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes.</title>
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        <title>Training Tomorrow's Doctors Today Act</title>
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        <type>Introduced in House</type>
        <date>2016-03-17T04:00:00Z</date>
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    <latestAction>
      <actionDate>2016-03-21</actionDate>
      <text>Referred to the Subcommittee on Health.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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