[United States Statutes at Large, Volume 128, 113th Congress, 2nd Session]
[From the U.S. Government Publishing Office, www.gpo.gov]


Public Law 113-98
113th Congress

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

[[Page 1141]]

$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

[[Page 1142]]

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.''.

Approved April 7, 2014.

LEGISLATIVE HISTORY--S. 1557:
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CONGRESSIONAL RECORD:
Vol. 159 (2013):
Nov. 12, considered and passed
Senate.
Vol. 160 (2014):
Apr. 1, considered and passed House.