HEALTH official if recommendations submitted not later than 180 days after date of hospital closure involved in case of hospital closed after date being 2 years before date of enactment of clause ; Process taking into consideations recommendations submitted to Secretary by senior
Index of Sec 1504. ...HOSPITAL closed after date being 2 years before date of enactment of clause ; Process taking into consideations recommendations submitted to Secretary by senior health official if recommendations submitted not later than 180 days after date of hospital closure involved in case of
Index of Sec 1504. ...HOSPITAL closed after date being 2 years before date of enactment of clause ; Process taking into consideations recommendations submitted to Secretary by senior health official if recommendations submitted not later than 180 days after date of hospital closure involved in case of
Index of Sec 1504. ...HOSPITAL'S FTE cap under section 413.79 of title 42, Code of Federal Regulations and not affecting application of section 1886(h)(4)(h)(v) of Social Security Act ; Amendments making by section not effecting temporary adjustment to
Index of Sec 1504. ...RESIDENCY programs closed after date described in subclause ; Estimated aggregate number of increases in otherwise applicable resident limits for hospitals under clause to be equal to estimated number of resident positions in approved medical
Index of Sec 1504. ...TITLE 42, Code of Federal Regulations and not affecting application of section 1886(h)(4)(h)(v) of Social Security Act ; Amendments making by section not effecting temporary adjustment to hospital's FTE cap under section 413.79 of
Index of Sec 1504. ...1st Session |
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.
Mr. Dingell (for himself, Mr. Rangel, Mr. Waxman, Mr. George Miller of California, Mr. Stark, Mr. Pallone, and Mr. Andrews) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, 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
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
(a) Direct GME.—Section 1886(h)(4)(H) of the Social Security Act (42 U.S.C. Section 1395ww(h)(4)(H)) is amended by adding at the end the following new clause:
“(vi) REDISTRIBUTION OF RESIDENCY SLOTS AFTER A HOSPITAL CLOSES.—
“(I) IN GENERAL.—The Secretary shall, by regulation, establish a process consistent with subclauses (II) and (III) under which, in the case where a hospital (other than a hospital described in clause (v)) with an approved medical residency program in a State closes on or after the date that is 2 years before the date of the enactment of this clause, the Secretary shall increase the otherwise applicable resident limit under this paragraph for other hospitals in the State in accordance with this clause.
“(II) PROCESS FOR HOSPITALS IN CERTAIN AREAS.—In determining for which hospitals the increase in the otherwise applicable resident limit described in subclause (I) is provided, the Secretary shall establish a process to provide for such increase to one or more hospitals located in the State. Such process shall take into consideration the recommendations submitted to the Secretary by the senior health official (as designated by the chief executive officer of such State) if such recommendations are submitted not later than 180 days after the date of the hospital closure involved (or, in the case of a hospital that closed after the date that is 2 years before the date of the enactment of this clause, 180 days after such date of enactment).
“(III) LIMITATION.—The estimated aggregate number of increases in the otherwise applicable resident limits for hospitals under this clause shall be equal to the estimated number of resident positions in the approved medical residency programs that closed on or after the date described in subclause (I).”.
(b) No effect on temporary FTE cap adjustments.—The amendments made by this section shall not effect any temporary adjustment to a hospital's FTE cap under section 413.79(h) of title 42, Code of Federal Regulations (as in effect on the date of enactment of this Act) and shall not affect the application of section 1886(h)(4)(H)(v) of the Social Security Act.
(1) Section 422(b)(2) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173), as amended by section 1501(c), is amended by striking “(7) and” and inserting “(4)(H)(vi), (7), and”.
(2) Section 1886(h)(7)(E) of the Social Security Act (42 U.S.C. 1395ww(h)(7)(E)) is amended by inserting “or under paragraph (4)(H)(vi)” after “under this paragraph”.