[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3755 Introduced in House (IH)]

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114th CONGRESS
  1st Session
                                H. R. 3755

  To amend title XVIII of the Social Security Act to provide for the 
disregard of certain resident slots that include Department of Veterans 
 Affairs training in determining payments for direct graduate medical 
                education costs, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 9, 2015

  Ms. Titus (for herself, Mr. Takano, and Mr. Becerra) introduced the 
following bill; which was referred to the Committee on Ways and Means, 
and in addition to the Committees on Energy and Commerce and Veterans' 
Affairs, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
  To amend title XVIII of the Social Security Act to provide for the 
disregard of certain resident slots that include Department of Veterans 
 Affairs training in determining payments for direct graduate medical 
                education costs, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. DISREGARD OF RESIDENT SLOTS THAT INCLUDE VA TRAINING AGAINST 
              THE MEDICARE GRADUATE MEDICAL EDUCATION LIMITATIONS.

    (a) Direct GME.--Section 1886(h)(4)(F) of the Social Security Act 
(42 U.S.C. 1395ww(h)(4)(F)) is amended by adding at the end the 
following new clause:
                            ``(iii) Disregard of certain resident slots 
                        that include va training.--For portions of cost 
                        reporting periods beginning on or after July 1, 
                        2016, in applying the limitations regarding the 
                        total number of full-time equivalent residents 
                        in the field of allopathic or osteopathic 
                        medicine under clause (i) in a hospital's 
                        approved medical residency training program, 
                        the Secretary shall not take into account any 
                        resident within such program that counts 
                        towards meeting the obligation of the Secretary 
                        of Veterans Affairs under section 301(b)(2) of 
                        the Veterans Access, Choice, and Accountability 
                        Act of 2014 (Public Law 113-146; 38 U.S.C. 7302 
                        note).''.
    (b) Indirect GME.--Section 1886(d)(5)(B)(v) of the Social Security 
Act (42 U.S.C. 1395ww(d)(5)(B)(v)) is amended, in the second sentence, 
by striking ``subsection (h)(4)(F)(ii)'' and inserting ``clauses (ii) 
and (iii) of subsection (h)(4)(F)''.

SEC. 2. EXTENSION OF PERIOD FOR INCREASE IN GRADUATE MEDICAL EDUCATION 
              RESIDENCY POSITIONS AT MEDICAL FACILITIES OF THE 
              DEPARTMENT OF VETERANS AFFAIRS.

    (a) In General.--Paragraph (2) of section 301(b) of the Veterans 
Access, Choice, and Accountability Act of 2014 (Public Law 113-146; 38 
U.S.C. 7302 note) is amended--
            (1) in the paragraph heading, by striking ``Five-year'' and 
        inserting ``Ten-year''; and
            (2) in subparagraph (A), by striking ``5-year period'' and 
        inserting ``10-year period''.
    (b) Report.--Paragraph (3)(A) of such section is amended by 
striking ``2019'' and inserting ``2024''.
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