[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[S. 2071 Introduced in Senate (IS)]


109th CONGRESS
  1st Session
                                S. 2071

      To amend title XVIII of the Social Security Act to clarify 
     congressional intent regarding the counting of residents in a 
            nonhospital setting under the medicare program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           November 18, 2005

Ms. Snowe (for herself, Mr. Bingaman, Ms. Collins, Mr. Dorgan, and Mr. 
 Rockefeller) 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 clarify 
     congressional intent regarding the counting of residents in a 
            nonhospital setting 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 ``Community and Rural Medical 
Residency Preservation Act of 2005''.

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

    (a) D-GME.--Section 1886(h)(4)(E) (42 U.S.C. 1395ww(h)(4)(E)) is 
amended by adding at the end the following new sentences: ``For 
purposes of the preceding sentence, the term `all, or substantially 
all, of the costs for the training program' means the stipends and 
benefits provided to the resident and other amounts, if any, as 
determined by the hospital and the entity operating the nonhospital 
setting. The hospital is not required to pay the entity any amounts 
other than those determined by the hospital and the entity in order for 
the hospital to be considered to have incurred all, or substantially 
all, of the costs for the training program in that setting.''.
    (b) IME.--Section 1886(d)(5)(B)(iv) (42 U.S.C. 1395ww(d)(5)(B)(iv)) 
is amended by adding at the end the following new sentences: ``For 
purposes of the preceding sentence, the term `all, or substantially 
all, of the costs for the training program' means the stipends and 
benefits provided to the resident and other amounts, if any, as 
determined by the hospital and the entity operating the nonhospital 
setting. The hospital is not required to pay the entity any amounts 
other than those determined by the hospital and the entity in order for 
the hospital to be considered to have incurred all, or substantially 
all, of the costs for the training program in that setting.''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on January 1, 2005.
                                 <all>