[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1178 Introduced in House (IH)]

113th CONGRESS
  1st Session
                                H. R. 1178

To amend the Public Health Service Act to authorize grants for graduate 
medical education partnerships in States with a low physician-resident-
                      to-general-population ratio.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 14, 2013

Ms. Castor of Florida introduced the following bill; which was referred 
                to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to authorize grants for graduate 
medical education partnerships in States with a low physician-resident-
                      to-general-population ratio.

    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 ``Creating Access to Residency 
Education Act of 2013''.

SEC. 2. GRADUATE MEDICAL EDUCATION PARTNERSHIPS IN STATES WITH A LOW 
              PHYSICIAN-RESIDENT-TO-GENERAL-POPULATION RATIO.

    Part B of title III of the Public Health Service Act is amended by 
inserting after section 317T (42 U.S.C. 247b-22) the following:

``SEC. 317U. GRADUATE MEDICAL EDUCATION PARTNERSHIPS IN STATES WITH A 
              LOW PHYSICIAN-RESIDENT-TO-GENERAL-POPULATION RATIO.

    ``(a) In General.--The Administrator of the Centers for Medicare & 
Medicaid Services (in this section referred to as the `Administrator') 
shall make grants to, or enter into contracts with, eligible 
partnerships between State or local governments and private entities to 
support the creation of new medical residency training programs or 
slots within existing programs in underserved States in which there is 
a low physician-resident-to-general-population ratio.
    ``(b) Eligibility.--To be eligible to receive Federal funding under 
this section, a partnership must consist of--
            ``(1) a State in which there are fewer than 25 medical 
        residents per population of 100,000 or a local government 
        within such a State; and
            ``(2) a public or private entity consisting of a public or 
        nonprofit teaching hospital or an accredited graduate medical 
        education training program.
    ``(c) Matching Funding.--In awarding a grant or contract under this 
section, the Administrator shall include a requirement of matching 
funds as follows:
            ``(1) The public or private entity must agree to provide 
        one-third of the cost of the medical residency program or new 
        slots in an existing program.
            ``(2) The State or local government must agree to provide 
        one-third of the cost of the medical residency program or new 
        slots in an existing program.
            ``(3) To the extent and in the amounts made available in 
        advance in appropriations Acts, the Administrator shall agree 
        to provide the remaining one-third of the cost of the medical 
        residency program or slots in an existing program.
    ``(d) Preferences.--In awarding grants and contracts under this 
section, the Administrator shall give preference to the following:
            ``(1) Eligible partnerships in which the participating 
        State has 20 or fewer medical residents per population of 
        100,000 or the participating local government is within such a 
        State.
            ``(2) Eligible partnerships in which the State involved has 
        a population exceeding 15,000,000 and has less than 10 percent 
        of the Nation's residency slots.
            ``(3) Eligible partnerships which fund new graduate medical 
        education programs or slots within existing programs in the 
        field of family medicine, internal medicine and its 
        subspecialties, geriatrics, or pediatrics.
    ``(e) Requirements.--The Administrator may establish application 
processes and other requirements for partnerships to receive funding 
under this section including multiyear commitments to ensure the 
continued funding of graduate medical education slots for residents in 
training.
    ``(f) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $25,000,000 for fiscal year 
2014, and such sums as may be necessary for fiscal years 2015 through 
2019.''.
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