[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5574 Introduced in House (IH)]








109th CONGRESS
  2d Session
                                H. R. 5574

   To amend the Public Health Service Act to reauthorize support for 
      graduate medical education programs in children's hospitals.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              June 9, 2006

 Mr. Deal of Georgia (for himself, Mr. Brown of Ohio, Mr. Markey, Mr. 
Gene Green of Texas, Ms. Baldwin, Mr. Pitts, Mr. Rush, Mr. Radanovich, 
Mr. Shimkus, Mr. Burgess, Mr. Bass, Mrs. Capps, Mr. Murphy, Mr. Inslee, 
 Mr. Pallone, Mr. Gillmor, Mrs. Bono, Mr. Upton, Mr. Hall, Mr. Waxman, 
and Mr. Wynn) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
   To amend the Public Health Service Act to reauthorize support for 
      graduate medical education programs in children's hospitals.

    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 ``Children's Hospital GME Support 
Reauthorization Act of 2006''.

SEC. 2. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE 
              GRADUATE MEDICAL EDUCATION PROGRAMS.

    (a) In General.--Section 340E of the Public Health Service Act (42 
U.S.C. 256e) is amended--
            (1) in subsection (a), by inserting ``and each of fiscal 
        years 2007 through 2011'' after ``for each of fiscal years 2000 
        through 2005'';
            (2) in subsection (f)(1)(A)--
                    (A) in clause (ii), by striking ``and'' at the end;
                    (B) in clause (iii), by striking the period at the 
                end and inserting ``; and''; and
                    (C) by adding at the end the following:
                            ``(iv) for each of fiscal years 2007 
                        through 2011, $100,000,000.''; and
            (3) in subsection (f)(2)--
                    (A) in the matter before subparagraph (A), by 
                striking ``subsection (b)(1)(A)'' and inserting 
                ``(b)(1)(B)'';
                    (B) in subparagraph (B), by striking ``and'' at the 
                end;
                    (C) in subparagraph (C), by striking the period at 
                the end and inserting ``; and''; and
                    (D) by adding at the end the following:
                    ``(D) for each of fiscal years 2007 through 2011, 
                $200,000,000.''.
    (b) Reduction in Payments for Failure to File Annual Report.--
Subsection (b) of section 340E of the Public Health Service Act (42 
U.S.C. 256e) is amended--
            (1) in paragraph (1), in the matter before subparagraph 
        (A), by striking ``paragraph (2)'' inserting ``paragraphs (2) 
        and (3)''; and
            (2) by adding at the end the following:
            ``(3) Annual reporting required.--
                    ``(A) Reduction in payment for failure to report.--
                            ``(i) In general.--The amount payable under 
                        this section to a children's hospital for a 
                        fiscal year (beginning with fiscal year 2008 
                        and after taking into account paragraph (2)) 
                        shall be reduced by 25 percent if the Secretary 
                        determines that--
                                    ``(I) the hospital has failed to 
                                provide the Secretary, as an addendum 
                                to the hospital's application under 
                                this section for such fiscal year, the 
                                report required under subparagraph (B) 
                                for the previous fiscal year; or
                                    ``(II) such report fails to provide 
                                the information required under any 
                                clause of such subparagraph.
                            ``(ii) Notice and opportunity to provide 
                        missing information.--Before imposing a 
                        reduction under clause (i) on the basis of a 
                        hospital's failure to provide information 
                        described in clause (i)(II), the Secretary 
                        shall provide notice to the hospital of such 
                        failure and the Secretary's intention to impose 
                        such reduction and shall provide the hospital 
                        with the opportunity to provide the required 
                        information within a period of 30 days 
                        beginning on the date of such notice. If the 
                        hospital provides such information within such 
                        period, no reduction shall be made under clause 
                        (i) on the basis of the previous failure to 
                        provide such information.
                    ``(B) Annual report.--The report required under 
                this subparagraph for a children's hospital for a 
                fiscal year is a report that includes (in a form and 
                manner specified by the Secretary) the following 
                information relating to the residency training program 
                sponsored by the hospital and supported under this 
                section for the residency academic year completed 
                immediately prior to such fiscal year:
                            ``(i) The types of resident training 
                        programs that the hospital sponsored, such as 
                        general pediatrics, internal medicine/
                        pediatrics, and pediatric subspecialties, 
                        including both medical subspecialties certified 
                        by the American Board of Pediatrics (such as 
                        pediatric gastroenterology) and non-medical 
                        subspecialties approved by other medical 
                        certification boards (such as pediatric 
                        surgery).
                            ``(ii) The number of full-time equivalent 
                        resident training positions in each training 
                        program sponsored by the hospital, the number 
                        of such positions the hospital recruited to 
                        fill, and the number of such positions filled.
                            ``(iii) The types of training that the 
                        hospital provided for residents in its own 
                        sponsored programs related to the health care 
                        needs of different populations, such as 
                        children who are underserved for reasons of 
                        family income or geographic location, including 
                        rural, exurban, and urban areas.
                            ``(iv) The changes in residency training 
                        the hospital has made during such residency 
                        academic year (except that the first report 
                        submitted by the hospital under this 
                        subparagraph shall be for such changes since 
                        the first year in which the hospital received 
                        payment under this section), including--
                                    ``(I) changes in curricula and 
                                types of training programs, and 
                                benefits that have resulted from such 
                                changes; and
                                    ``(II) changes for purposes of 
                                training the residents in its own 
                                sponsored programs in the measurement 
                                and improvement of the quality and 
                                safety of patient care.
                            ``(v) The numbers of residents who, upon 
                        completion of a hospital's sponsored training 
                        program at the end of such residency academic 
                        year, care for children within the borders of 
                        the service area of the hospital or within the 
                        borders of the State in which the hospital is 
                        located. Such numbers shall be disaggregated 
                        with respect to residents who completed initial 
                        board certification, subspecialty residencies, 
                        and dental residencies.
                    ``(C) Report to congress.--Not later than the end 
                of fiscal year 2011, the Secretary, acting through the 
                Administrator of the Health Resources and Services 
                Administration, shall submit a report to the Congress--
                            ``(i) summarizing the information submitted 
                        in reports to the Secretary under subparagraph 
                        (B);
                            ``(ii) describing the results of the 
                        program carried out under this section; and
                            ``(iii) making recommendations for 
                        improvements to the program.''.
    (c) Technical Amendments.--Section 340E of the Public Health 
Service Act (42 U.S.C. 256e) is further amended--
            (1) in subsection (c)(2)(E)(ii), by striking ``described in 
        subparagraph (C)(ii)'' and inserting ``applied under section 
        1886(d)(3)(E) of the Social Security Act for discharges 
        occurring during the preceding fiscal year'';
            (2) in subsection (e)(2), by striking the first sentence; 
        and
            (3) in subsection (e)(3), by striking ``made to pay'' and 
        inserting ``made and pay''.
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