[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3914 Introduced in House (IH)]







105th CONGRESS
  2d Session
                                H. R. 3914

 To amend title XVIII of the Social Security Act to continue Medicare 
 direct graduate medical education payment rates for certain training 
  programs in osteopathy after their operation is assumed by another 
                               hospital.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 20, 1998

  Ms. Kaptur introduced the following bill; which was referred to the 
   Committee on Ways and Means, and in addition to the Committee on 
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

_______________________________________________________________________

                                 A BILL


 
 To amend title XVIII of the Social Security Act to continue Medicare 
 direct graduate medical education payment rates for certain training 
  programs in osteopathy after their operation is assumed by another 
                               hospital.

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

SECTION 1. MEDICARE DIRECT GME REIMBURSEMENT FOR CERTAIN HOSPITALS 
              ASSUMING OPERATION OF PROGRAMS IN OSTEOPATHY.

    (a) In General.--Section 1886(h)(2) of the Social Security Act (42 
U.S.C. 1395ww(h)(2)) is amended by adding at the end the following new 
subparagraph:
                    ``(F) Special rule for assumption of operation of 
                program in osteopathy.--
                            ``(i) In general.--The Secretary shall 
                        compute the approved FTE resident amount for a 
                        program described in clause (ii) based on the 
                        approved FTE resident amount that would have 
                        applied if the operation of the program had not 
                        changed.
                            ``(ii) Program described.--For purposes of 
                        clause (i), a program described in this 
                        subclause is a medical residency training 
                        program in osteopathy operated by a hospital 
                        if--
                                    ``(I) the program was previously 
                                operated by an osteopathic hospital 
                                that, in fiscal year 1993, ceased 
                                furnishing services for which payment 
                                may be made under this title;
                                    ``(II) at the time the osteopathic 
                                hospital ceased furnishing such 
                                services, the operation of the program 
                                was assumed by the hospital; and
                                    ``(III) at the time of assuming 
                                such operation, the only approved 
                                medical residency training program 
                                operated by the hospital was such a 
                                program in podiatry.''.
    (b) Budget Neutrality in Direct GME Payments.--The Secretary of 
Health and Human Services shall adjust the payment rates otherwise 
established under subsection (h) of section 1886 of the Social Security 
Act (42 U.S.C. 1395ww) in a manner so that the aggregate of the 
payments made under such subsection does not exceed the aggregate of 
the payments that would have been made under such subsection if the 
amendment made by subsection (a) had not been enacted.
    (c) Effective Date.--The amendment made by subsection (a) applies 
to medical residency training programs for residency years beginning on 
or after July 1, 1998.
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