[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2436 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 2436

  To amend title XVIII of the Social Security Act to include services 
provided by interns and residents under any medical residency training 
  program approved by the Accreditation Council for Graduate Medical 
Education in determining the amount of payment to hospitals under part 
 A of the medicare program for the indirect costs of medical education.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 16, 1993

Mr. Payne of Virginia introduced the following bill; which was referred 
                   to the Committee on Ways and Means

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to include services 
provided by interns and residents under any medical residency training 
  program approved by the Accreditation Council for Graduate Medical 
Education in determining the amount of payment to hospitals under part 
 A of the medicare program for the indirect costs of medical education.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. INCLUDING INTERNS AND RESIDENTS ASSIGNED TO CERTAIN OFF-SITE 
              RESIDENCY TRAINING PROGRAMS IN DETERMINING MEDICARE 
              PAYMENT FOR INDIRECT MEDICAL EDUCATION.

    (a) In General.--Section 1886(d)(5)(B) of the Social Security Act 
(42 U.S.C. 1395ww(d)(5)(B)) is amended by adding at the end the 
following new clause:
            ``(v) In determining such adjustment, the Secretary shall 
        count services of interns and residents under a medical 
        residency training program that is conducted at a setting other 
        than the hospital, but only if--
                    ``(I) the hospital incurs all, or substantially 
                all, of the costs of the training program;
                    ``(II) the hospital has entered into a written 
                agreement with the entity at which the training program 
                is conducted regarding the conditions under which the 
                services are furnished and the amount of payment (if 
                any) by the entity to the hospital for the services;
                    ``(III) interns and residents enrolled under the 
                program are directly involved in providing services to 
                patients; and
                    ``(IV) the training program is approved by the 
                Accreditation Council for Graduate Medical 
                Education.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to cost reporting periods beginning on or after October 1, 1993.

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