[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7233 Introduced in House (IH)]

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115th CONGRESS
  2d Session
                                H. R. 7233

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


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 10, 2018

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 ratio of medical 
             residents relative to the general population.

    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 2018''.

SEC. 2. GRADUATE MEDICAL EDUCATION PARTNERSHIPS IN STATES WITH A LOW 
              RATIO OF MEDICAL RESIDENTS RELATIVE TO GENERAL 
              POPULATION.

    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 RATIO OF MEDICAL RESIDENTS RELATIVE TO GENERAL 
              POPULATION.

    ``(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 entities 
to support the creation of new medical residency training programs or 
slots within existing programs in States in which there is a low ratio 
of medical residents relative to the general population.
    ``(b) Eligibility.--To be eligible to receive Federal funding under 
this section, an entity must--
            ``(1) be located in a State in which there are fewer than 
        30 medical residents per population of 100,000; and
            ``(2) be a public or nonprofit teaching hospital or an 
        accredited graduate medical education training program.
    ``(c) Partnerships.--In supporting the creation of new medical 
residency training programs or slots through a grant or contract under 
this section, an eligible entity may enter into a partnership with a 
State, local government, community health center, local health 
department, hospital, or other organization deemed by the entity to be 
appropriate.
    ``(d) Matching Funds.--An agreement awarding a grant or contract 
under this section shall--
            ``(1) in the case of a new or existing medical residency 
        training program in the field of primary care--
                    ``(A) require the entity awarded such grant or 
                contract to provide one-third of the cost of the slots 
                to be funded through the agreement; and
                    ``(B) to the extent and in the amounts made 
                available in advance in appropriations Acts, require 
                the Administrator to provide the remaining two-thirds 
                of the cost of such slots; and
            ``(2) in the case of a new or existing medical residency 
        training program in any other field--
                    ``(A) require the award recipient to provide one-
                half of the cost of the slots to be funded through the 
                agreement; and
                    ``(B) to the extent and in the amounts made 
                available in advance in appropriations Acts, require 
                the Administrator to provide the remaining one-half of 
                the cost of such slots.
    ``(e) Requirements.--The Administrator shall establish application 
processes for eligible entities to receive funding under this section, 
including multiyear commitments to ensure the continued funding of 
graduate medical education slots for residents in training.
    ``(f) Definition.--For purposes of this section, the Administrator 
shall define the term `primary care'.
    ``(g) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated $25,000,000 for fiscal year 
2020, and such sums as may be necessary for fiscal years 2021 through 
2025.''.
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