109th CONGRESS
1st Session
S. 2071
To amend title XVIII of the Social Security Act to clarify congressional
intent regarding the counting of residents in a nonhospital setting under
the medicare program.
IN THE SENATE OF THE UNITED STATES
November 18, 2005
Ms. SNOWE (for herself, Mr. BINGAMAN, Ms. COLLINS, Mr. DORGAN, and Mr.
ROCKEFELLER) introduced the following bill; which was read twice and referred
to the Committee on Finance
A BILL
To amend title XVIII of the Social Security Act to clarify congressional
intent regarding the counting of residents in a nonhospital setting 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 `Community and Rural Medical Residency Preservation
Act of 2005'.
SEC. 2. CLARIFICATION OF CONGRESSIONAL INTENT REGARDING THE COUNTING OF
RESIDENTS IN A NONHOSPITAL SETTING.
(a) D-GME- Section 1886(h)(4)(E) (42 U.S.C. 1395ww(h)(4)(E)) is amended
by adding at the end the following new sentences: `For purposes of the preceding
sentence, the term `all, or substantially all, of the costs for the training
program' means the stipends and benefits provided to the resident and other
amounts, if any, as determined by the hospital and the entity operating
the nonhospital setting. The hospital is not required to pay the entity
any amounts other than those determined by the hospital and the entity in
order for the hospital to be considered to have incurred all, or substantially
all, of the costs for the training program in that setting.'.
(b) IME- Section 1886(d)(5)(B)(iv) (42 U.S.C. 1395ww(d)(5)(B)(iv)) is amended
by adding at the end the following new sentences: `For purposes of the preceding
sentence, the term `all, or substantially all, of the costs for the training
program' means the stipends and benefits provided to the resident and other
amounts, if any, as determined by the hospital and the entity operating
the nonhospital setting. The hospital is not required to pay the entity
any amounts other than those determined by the hospital and the entity in
order for the hospital to be considered to have incurred all, or substantially
all, of the costs for the training program in that setting.'.
(c) EFFECTIVE DATE- The amendments made by this section shall take effect
on January 1, 2005.
END