[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 2259 Introduced in Senate (IS)]







105th CONGRESS
  2d Session
                                S. 2259

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 SENATE OF THE UNITED STATES

                             June 26, 1998

 Mr. Murkowski introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 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 for New Programs.--The first sentence of section 
1886(h)(4)(H)(i) of the Social Security Act (42 U.S.C. 
1395ww(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''.
    (c) Funding for Programs Meeting Rural Needs.--The second sentence 
of section 1886(h)(4)(H)(i) of the Social Security Act (42 U.S.C. 
1395ww(h)(4)(H)(i)) (as added by section 4623 of the Balanced Budget 
Act of 1997) is amended by striking the period at the end and inserting 
``, including facilities that are not located in an underserved 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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