[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5432 Introduced in House (IH)]

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116th CONGRESS
  1st Session
                                H. R. 5432

  To amend title XVIII of the Social Security Act to count toward the 
 determination of full time equivalency for graduate medical education 
under the Medicare program time spent in an approved medical residency 
    training program for training in culturally and linguistically 
                           appropriate care.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           December 13, 2019

    Ms. Mucarsel-Powell (for herself and Ms. Porter) introduced the 
following bill; which was referred to the Committee on Ways and Means, 
 and in addition to the Committee on Energy and Commerce, 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 count toward the 
 determination of full time equivalency for graduate medical education 
under the Medicare program time spent in an approved medical residency 
    training program for training in culturally and linguistically 
                           appropriate care.

    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 ``Medical Education for a Diverse 
America Act''.

SEC. 2. TRAINING TOMORROW'S DOCTORS FOR CULTURALLY AND LINGUISTICALLY 
              APPROPRIATE CARE: GRADUATE MEDICAL EDUCATION.

    (a) Direct GME.--Section 1886(h)(4) of the Social Security Act (42 
U.S.C. 22 1395ww(h)(4)) is amended by adding at the end the following 
new subparagraph :
                    ``(L) Treatment of cultural competency training.--
                In determining a hospital's number of full-time 
                equivalent residents for purposes of this subsection, 
                all the time that is spent by an intern or resident in 
                an approved medical residency training program for 
                education and training in cultural competency and 
                linguistically appropriate service delivery shall be 
                counted toward the determination of full time 
                equivalency.''.
    (b) Indirect Medical Education.--Section 1886(d)(5)(B) of the 
Social Security Act (42 U.S.C. 1395ww(d)(5)(B)) is amended--
            (1) by redesignating the clause (x) added by section 
        5505(b) of the Patient Protection and Affordable Care Act as 
        clause (xi); and
            (2) by adding at the end the following new clause:
                            ``(xii) The provisions of subparagraph (L) 
                        of subsection (h)(4) shall apply under this 
                        subparagraph in the same manner as they apply 
                        under such subsection.''.
    (c) Effective Date.--The amendments made by subsections (a) and (b) 
shall apply with respect to payments made to hospitals on or after the 
date that is one year after the date of the enactment of this Act.
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