[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[S. 135 Introduced in Senate (IS)]







107th CONGRESS
  1st Session
                                 S. 135

To amend title XVIII of the Social Security Act to improve payments for 
     direct graduate medical education under the medicare program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            January 22, 2001

Mrs. Feinstein (for herself, Mr. Jeffords, Mr. Cochran, Mrs. Boxer, and 
 Ms. Landrieu) 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 improve payments for 
     direct 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 ``Direct Graduate Medical Education 
Improvement Act of 2001''.

SEC. 2. ESTABLISHMENT OF A FLOOR FOR THE LOCALITY ADJUSTED NATIONAL 
              AVERAGE PER RESIDENT AMOUNT DURING FISCAL YEARS 2003 
              THROUGH 2006.

    (a) In General.--Section 1886(h)(2)(D)(iii) of the Social Security 
Act (42 U.S.C. 1395ww(h)(2)(D)(iii)), as amended by section 511 of the 
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act 
of 2000 (as enacted into law by section 1(a)(6) of Public Law 106-554), 
is amended to read as follows:
                            ``(iii) Floor for locality adjusted 
                        national average per resident amount.--
                                    ``(I) In general.--The approved FTE 
                                resident amount for a hospital for a 
                                cost reporting period beginning during 
                                a fiscal year shall not be less than 
                                the applicable percentage of the 
                                locality adjusted national average per 
                                resident amount computed under 
                                subparagraph (E) for the hospital for 
                                that period.
                                    ``(II) Applicable percentage.--In 
                                this clause, the term `applicable 
                                percentage' means, in the case of a 
                                cost reporting period beginning 
                                during--
                                            ``(aa) fiscal year 2001, 70 
                                        percent;
                                            ``(bb) fiscal year 2002, 85 
                                        percent;
                                            ``(cc) fiscal year 2003 or 
                                        2004, 90 percent;
                                            ``(dd) fiscal year 2005, 95 
                                        percent; and
                                            ``(ee) fiscal year 2006, 
                                        100 percent.''.
    (b) Authorization of Appropriations.--For each fiscal year 
(beginning with fiscal year 2003), there are authorized to be 
appropriated to the Federal Hospital Insurance Trust Fund established 
under section 1817 of the Social Security Act (42 U.S.C. 1395i) an 
amount equal to the amount by which expenditures under such Trust Fund 
are increased for the fiscal year by reason of the enactment of items 
(cc), (dd), and (ee) of section 1886(h)(2)(D)(iii)(II) of such Act (42 
U.S.C. 1395ww(h)(2)(D)(iii)(II)), as added by subsection (a).
                                 <all>