[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[S. 1300 Introduced in Senate (IS)]

111th CONGRESS
  1st Session
                                S. 1300

      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

                             June 18, 2009

  Ms. Snowe (for herself, Mr. Dorgan, and Ms. Collins) 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 2009''.

SEC. 2. CLARIFICATION OF CONGRESSIONAL INTENT REGARDING THE COUNTING OF 
              RESIDENTS IN A NONHOSPITAL 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 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) of the Social Security Act (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, 2010.
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