[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 1897 Introduced in Senate (IS)]







108th CONGRESS
  1st Session
                                S. 1897

     To amend title XVIII of the Social Security Act to provide a 
    clarification of congressional intent regarding the counting of 
  residents in a nonprovider setting for purposes making payment for 
             medical education under the medicare program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           November 20, 2003

   Ms. Snowe 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 provide a 
    clarification of congressional intent regarding the counting of 
  residents in a nonprovider setting for purposes making payment for 
             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 ``Medicare Education Payment 
Clarification Act of 2003''.

SEC. 2. CLARIFICATION OF CONGRESSIONAL INTENT REGARDING THE COUNTING OF 
              RESIDENTS IN A NONPROVIDER SETTING.

    (a) D-GME.--Section 1886(h)(4)(E) of the Social Security Act (42 
U.S.C. 1395ww(h)(4)(E)) is amended by adding at the end the following 
new sentence: ``For purposes of the preceding sentence time shall only 
be counted from the effective date of a written agreement between the 
hospital and the entity owning or operating a nonprovider setting. The 
effective date of such written agreement shall be determined in 
accordance with generally accepted accounting principles. All, or 
substantially all, of the costs for the training program in that 
setting shall be defined as the residents' stipends and benefits and 
other costs, if any, as determined by the parties.''.
    (b) IME.--Section 1886(d)(5)(B)(iv) of the Social Security Act (42 
U.S.C. 1395ww(d)(5)(B)(iv)) is amended by adding at the end the 
following new sentence: ``For purposes of the preceding sentence time 
shall only be counted from the effective date of a written agreement 
between the hospital and the entity owning or operating a nonprovider 
setting. The effective date of such written agreement shall be 
determined in accordance with generally accepted accounting principles. 
All, or substantially all, of the costs for the training program in 
that setting shall be defined as the residents' stipends and benefits 
and other costs, if any, as determined by the parties.''.
    (c) Application.--The amendments made by this section shall only 
apply with respect to approved medical residency training programs in 
the fields of allopathic and osteopathic medicine.
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