HR 1222 IH
106th CONGRESS
1st Session
H. R. 1222
To amend title XVIII of the Social Security Act to make certain
changes related to payments for graduate medical education under the Medicare
Program.
IN THE HOUSE OF REPRESENTATIVES
March 23, 1999
Mr. BALDACCI (for himself, Mr. KLECZKA, and Mr. SANDERS) introduced the
following bill; which was referred to the Committee on Ways and Means, and in
addition to the Committee on 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 make certain
changes related to payments for graduate medical education under the Medicare
Program.
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 `Graduate Medical Education Technical
Amendments of 1999'.
SEC. 2. INDIRECT GRADUATE MEDICAL EDUCATION ADJUSTMENT.
(a) IN GENERAL- Section 1886(d)(5)(B)(v) of the Social Security Act (42
U.S.C. 1395ww(d)(5)(B)(v)) (as added by section 4621(b) of the Balanced Budget
Act of 1997) is amended--
(1) by striking `(v) In determining' and inserting `(v)(I) Subject to
subclause (II), in determining';
(2) by striking `in the hospital with respect to the hospital's most
recent cost reporting period ending on or before December 31, 1996'; and
inserting `who were appointed by the hospital's approved medical residency
training programs for the hospital's most recent cost reporting period
ending on or before December 31, 1996'; and
(3) by adding at the end the following:
`(II) Beginning on or after January 1, 1997, in the case of a hospital
that sponsors only 1 allopathic or osteopathic residency program, the limit
determined for such hospital under subclause (I) may, at the hospital's
discretion, be increased by 1 for each calendar year but shall not exceed a
total of 3 more than the limit determined for the hospital under subclause
(I).'.
(b) TECHNICAL AMENDMENTS- Section 1886(d)(5)(B) of the Social Security Act
(42 U.S.C. 1395ww(d)(5)(B)) is amended by moving clauses (ii), (v), and (vi) 2
ems to the left.
SEC. 3. DIRECT GRADUATE MEDICAL EDUCATION ADJUSTMENT.
(a) LIMITATION ON NUMBER OF RESIDENTS- Section 1886(h)(4)(F) of the Social
Security Act (42 U.S.C. 1395ww(h)(4)(F)) (as added by section 4623 of the
Balanced Budget Act of 1997) is amended by inserting `who were appointed by
the hospital's approved medical residency training programs' after `may not
exceed the number of such full-time equivalent residents'.
(b) FUNDING FOR NEW PROGRAMS- The first sentence of section
1886(h)(4)(H)(i) of the Social Security Act (42 U.S.C. 1395ww(h)(4)(H)(i)) (as
added by section 4623 of the Balanced Budget Act of 1997) is amended by
inserting `and before September 30, 1999' after `January 1, 1995'.
(c) FUNDING FOR PROGRAMS MEETING RURAL NEEDS- The second sentence of
section 1886(h)(4)(H)(i) of the Social Security Act (42 U.S.C.
1395ww(h)(4)(H)(i)) (as added by section 4623 of the Balanced Budget Act of
1997) is amended by striking the period at the end and inserting `, including
facilities that are not located in an underserved rural area but have
established separately accredited rural training tracks.'.
SEC. 4. EFFECTIVE DATE.
The amendments made by this Act shall take effect as if included in the
enactment of the Balanced Budget Act of 1997.
END