109 HR 5935 IH: Medicare Residency Program Fairness U.S. House of Representatives 2006-07-27 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

I 109th CONGRESS 2d Session H. R. 5935 IN THE HOUSE OF REPRESENTATIVES July 27, 2006 Mr. Green of Wisconsin introduced the following bill; which was referred to the Committee on Ways and Means A BILL To amend title XVIII of the Social Security Act to provide for an adjustment to the reduction of Medicare resident positions based on settled cost reports.

1.

Short title

This Act may be cited as the Medicare Residency Program Fairness Act of 2006.

2.

Adjustment to the reduction of Medicare resident positions based on settled cost reports

(a)

In general

Section 1886(h)(7) of the Social Security Act (42 U.S.C. 1395ww(h)(7)) is amended— (1)by redesignating subparagraph (D) as subparagraph (E); and (2)by adding at the end the following new subparagraph: (D)

Adjustment based on settled cost report for rural and small urban hospitals

In the case of a hospital located in a rural area (as defined in subsection (d)(2)(D)) or in an urban area that is not a large urban area (as so defined) for which— (i)the otherwise applicable resident limit was reduced under subparagraph (A)(i)(I); and (ii)such reduction was based on a reference resident level that was determined using a cost report that was subsequently settled, whether as a result of an appeal or otherwise, and the reference resident level under such settled cost report is higher than the level used for the reduction under subparagraph (A)(i)(I); the Secretary shall apply subparagraph (A)(i)(I) using the higher resident reference level and make any necessary adjustments to the reduction described in clause (i). Any such necessary adjustments shall be effective for portions of cost reporting periods occurring on or after July 1, 2005. The first sentence of this subparagraph shall not be taken into account in applying the second sentence of subparagraph (B)(i). . (b)

Effective date

The amendments made by this section shall take effect as if included in the enactment of section 422 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173).