summary
Introduced
06/21/2019
06/21/2019
In Committee
06/24/2019
06/24/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
116th Congress
Bill Summary
To amend title XVIII of the Social Security Act to establish rules for payment for graduate medical education (GME) costs for hospitals that establish a new medical residency training program after hosting resident rotators for short durations. This bill revises payment rules under Medicare for graduate medical education (GME) costs with respect to a hospital that establishes a new medical residency training program. If a hospital has not entered into a GME affiliation agreement, the Centers for Medicare & Medicaid Services (CMS) must establish the hospital's full-time equivalent (FTE) resident amount only after determining that the hospital's medical residency training program trains at least 1.0 FTE resident in a cost reporting period. If a hospital has an approved FTE resident amount that is based on other specified thresholds, the CMS must reestablish the amount when the hospital begins training FTE residents in excess of the applicable threshold. The bill also establishes similar thresholds for new determinations of certain adjustments to hospital payment limitations regarding FTE residents in allopathic and osteopathic medicine; a hospital's adjustment must be redetermined once the applicable threshold is exceeded.
AI Summary
This bill amends the Social Security Act to establish new rules for Medicare's payment of graduate medical education (GME) costs for hospitals that start a new medical residency training program after previously hosting medical residents for short durations. The key provisions are:
1) If a hospital has not entered a GME affiliation agreement, the Centers for Medicare & Medicaid Services (CMS) must establish the hospital's full-time equivalent (FTE) resident amount only after determining the hospital has trained at least 1.0 FTE resident in a cost reporting period.
2) For hospitals that previously had an approved FTE resident amount below certain thresholds, CMS must reestablish the amount if the hospital exceeds those thresholds (less than 1.0 FTE before 1997, or no more than 3.0 FTE between 1997 and the bill's enactment).
3) Similar thresholds are established for redetermining a hospital's FTE resident limitation adjustments, allowing for adjustments once the applicable threshold is exceeded.
The amendments apply to cost reporting periods beginning on or after the bill's enactment date.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (5)
Last Action
Referred to the Subcommittee on Health. (on 06/24/2019)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.congress.gov/bill/116th-congress/house-bill/3425/all-info |
| BillText | https://www.congress.gov/116/bills/hr3425/BILLS-116hr3425ih.pdf |
| Bill | https://www.congress.gov/116/bills/hr3425/BILLS-116hr3425ih.pdf.pdf |
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