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Bill
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To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes.

H.R. 3755 · 114th Congress · Oct 9, 2015 · Lineage

A BILL

Section 1 Disregard of resident slots that include VA training against the Medicare graduate medical education limitations

(a)
Direct GME— Section 1886(h)(4)(F) of the Social Security Act (42 U.S.C. 1395ww(h)(4)(F)) is amended by adding at the end the following new clause:

“(iii) Disregard of certain resident slots that include VA training—For portions of cost reporting periods beginning on or after July 1, 2016, in applying the limitations regarding the total number of full-time equivalent residents in the field of allopathic or osteopathic medicine under clause (i) in a hospital's approved medical residency training program, the Secretary shall not take into account any resident within such program that counts towards meeting the obligation of the Secretary of Veterans Affairs under section 301(b)(2) of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146; 38 U.S.C. 7302 note).”

(b)
Indirect GME— Section 1886(d)(5)(B)(v) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)(v)) is amended, in the second sentence, by striking “subsection (h)(4)(F)(ii)” and inserting “clauses (ii) and (iii) of subsection (h)(4)(F)”.

Sec. 2 Extension of period for increase in graduate medical education residency positions at medical facilities of the Department of Veterans Affairs

(a)
In general— Paragraph (2) of section 301(b) of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146; 38 U.S.C. 7302 note) is amended—
(1)
in the paragraph heading, by striking “Five-year” and inserting “Ten-year”; and
(2)
in subparagraph (A), by striking “5-year period” and inserting “10-year period”.
(b)
Report— Paragraph (3)(A) of such section is amended by striking “2019” and inserting “2024”.