[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[S. 1557 Enrolled Bill (ENR)]
S.1557
One Hundred Thirteenth Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Friday,
the third day of January, two thousand and fourteen
An Act
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 2013''.
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 striking ``through 2005 and each of
fiscal years 2007 through 2011'' and inserting ``through 2005, each
of fiscal years 2007 through 2011, and each of fiscal years 2014
through 2018''; and
(2) in subsection (f)--
(A) in paragraph (1)(A)--
(i) in clause (iii), by striking ``and'';
(ii) in clause (iv), by striking the period and
inserting ``; and''; and
(iii) by adding at the end the following:
``(v) for each of fiscal years 2014 through 2018,
$100,000,000.''; and
(B) in paragraph (2)--
(i) in subparagraph (C), by striking ``and'';
(ii) in subparagraph (D), by striking the period and
inserting ``; and''; and
(iii) by adding at the end the following:
``(E) for each of fiscal years 2014 through 2018,
$200,000,000.''.
(b) Report to Congress.--Section 340E(b)(3)(D) of the Public Health
Service Act (42 U.S.C. 256e(b)(3)(D)) is amended by striking ``Not
later than the end of fiscal year 2011'' and inserting ``Not later than
the end of fiscal year 2018''.
SEC. 3. SUPPORT OF GRADUATE MEDICAL EDUCATION PROGRAMS IN CERTAIN
HOSPITALS.
Section 340E of the Public Health Service Act (42 U.S.C. 256e) is
amended by adding at the end the following:
``(h) Additional Provisions.--
``(1) In general.--The Secretary is authorized to make
available up to 25 percent of the total amounts in excess of
$245,000,000 appropriated under paragraphs (1) and (2) of
subsection (f), but not to exceed $7,000,000, for payments to
hospitals qualified as described in paragraph (2), for the direct
and indirect expenses associated with operating approved graduate
medical residency training programs, as described in subsection
(a).
``(2) Qualified hospitals.--
``(A) In general.--To qualify to receive payments under
paragraph (1), a hospital shall be a free-standing hospital--
``(i) with a Medicare payment agreement and that is
excluded from the Medicare inpatient hospital prospective
payment system pursuant to section 1886(d)(1)(B) of the
Social Security Act and its accompanying regulations;
``(ii) whose inpatients are predominantly individuals
under 18 years of age;
``(iii) that has an approved medical residency training
program as defined in section 1886(h)(5)(A) of the Social
Security Act; and
``(iv) that is not otherwise qualified to receive
payments under this section or section 1886(h) of the
Social Security Act.
``(B) Establishment of residency cap.--In the case of a
freestanding children's hospital that, on the date of enactment
of this subsection, meets the requirements of subparagraph (A)
but for which the Secretary has not determined an average
number of full-time equivalent residents under section
1886(h)(4) of the Social Security Act, the Secretary may
establish such number of full-time equivalent residents for the
purposes of calculating payments under this subsection.
``(3) Payments.--Payments to hospitals made under this
subsection shall be made in the same manner as payments are made to
children's hospitals, as described in subsections (b) through (e).
``(4) Payment amounts.--The direct and indirect payment amounts
under this subsection shall be determined using per resident
amounts that are no greater than the per resident amounts used for
determining direct and indirect payment amounts under subsection
(a).
``(5) Reporting.--A hospital receiving payments under this
subsection shall be subject to the reporting requirements under
subsection (b)(3).
``(6) Remaining funds.--
``(A) In general.--If the payments to qualified hospitals
under paragraph (1) for a fiscal year are less than the total
amount made available under such paragraph for that fiscal
year, any remaining amounts for such fiscal year may be made
available to all hospitals participating in the program under
this subsection or subsection (a).
``(B) Quality bonus system.--For purposes of distributing
the remaining amounts described in subparagraph (A), the
Secretary may establish a quality bonus system, whereby the
Secretary distributes bonus payments to hospitals participating
in the program under this subsection or subsection (a) that
meet standards specified by the Secretary, which may include a
focus on quality measurement and improvement, interpersonal and
communications skills, delivering patient-centered care, and
practicing in integrated health systems, including training in
community-based settings. In developing such standards, the
Secretary shall collaborate with relevant stakeholders,
including program accrediting bodies, certifying boards,
training programs, health care organizations, health care
purchasers, and patient and consumer groups.''.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.