[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4219 Introduced in House (IH)]







105th CONGRESS
  2d Session
                                H. R. 4219

To amend title XVIII of the Social Security Act to make certain changes 
 related to payments for graduate medical education under the Medicare 
                                Program.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 15, 1998

  Mr. Baldacci (for himself, Mr. Allen, Mr. Hinchey, and Mr. Sanders) 
 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 make certain changes 
 related to payments for graduate medical education under the Medicare 
                                Program.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Graduate Medical Education Technical 
Amendments of 1998''.

SEC. 2. INDIRECT GRADUATE MEDICAL EDUCATION ADJUSTMENT.

    Section 1886(d)(5)(B)(v) of the Social Security Act (42 U.S.C. 
1395ww(d)(5)(B)(v)) (as added by section 4621(b) of the Balanced Budget 
Act of 1997) is amended by striking ``in the hospital with respect to 
the hospital's most recent cost reporting period ending on or before 
December 31, 1996'' and inserting ``who were appointed by the 
hospital's approved medical residency training programs for the 
hospital's most recent cost reporting period ending on or before 
December 31, 1996. The preceding sentence shall not apply to a hospital 
that sponsors only 1 allopathic or osteopathic residency program.''.

SEC. 3. DIRECT GRADUATE MEDICAL EDUCATION ADJUSTMENT.

    (a) Limitation on Number of Residents.--Section 1886(h)(4)(F) of 
the Social Security Act (42 U.S.C. 1395ww(h)(4)(F)) (as added by 
section 4623 of the Balanced Budget Act of 1997) is amended by 
inserting ``who were appointed by the hospital's approved medical 
residency training programs'' after ``may not exceed the number of such 
full-time equivalent residents''.
    (b) Funding.--
            (1) New programs.--The first sentence of section 
        1886(h)(4)(H)(i) of such Act (42 U.S.C. 1935ww(h)(4)(H)(i)) (as 
        added by section 4623 of the Balanced Budget Act of 1997) is 
        amended by inserting ``and before September 30, 1999'' after 
        ``January 1, 1995''.
            (2) Programs meeting rural needs.--The second sentence of 
        such section is amended by striking the period at the end and 
        inserting ``, including facilities that are not located in an 
        undeserved rural area but have established separately 
        accredited rural training tracks.''.

SEC. 4. EFFECTIVE DATE.

    The amendments made by this Act shall take effect as if included in 
the enactment of the Balanced Budget Act of 1997.
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