I 

114TH CONGRESS 

1ST SESSION H. R. 3755 

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. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 9, 2015 

Ms. TITUS (for herself, Mr. TAKANO, and Mr. BECERRA) introduced the following bill; which was referred to the Committee on Ways and Means, 

and in addition to the Committees on Energy and Commerce and Veterans’ Affairs, 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 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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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•HR 3755 IH

1 SECTION 1. DISREGARD OF RESIDENT SLOTS THAT IN2 CLUDE VA TRAINING AGAINST THE MEDI3 CARE GRADUATE MEDICAL EDUCATION LIMI4 TATIONS. 

5 (a) DIRECT GME.—Section 1886(h)(4)(F) of the So6 cial Security Act (42 U.S.C. 1395ww(h)(4)(F)) is amend7 ed by adding at the end the following new clause: 

8 ‘‘(iii) DISREGARD OF CERTAIN RESI9 DENT SLOTS THAT INCLUDE VA TRAIN10 ING.—For portions of cost reporting peri11 ods beginning on or after July 1, 2016, in 

12 applying the limitations regarding the total 

13 number of full-time equivalent residents in 

14 the field of allopathic or osteopathic medi15 cine under clause (i) in a hospital’s ap16 proved medical residency training program, 

17 the Secretary shall not take into account 

18 any resident within such program that 

19 counts towards meeting the obligation of 

20 the Secretary of Veterans Affairs under 

21 section 301(b)(2) of the Veterans Access, 

22 Choice, and Accountability Act of 2014 

23 (Public Law 113–146; 38 U.S.C. 7302 

24 note).’’. 

25 (b) INDIRECT GME.—Section 1886(d)(5)(B)(v) of 

26 the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)(v)) 


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1 is amended, in the second sentence, by striking ‘‘sub2 section (h)(4)(F)(ii)’’ and inserting ‘‘clauses (ii) and (iii) 

3 of subsection (h)(4)(F)’’. 

4 SEC. 2. EXTENSION OF PERIOD FOR INCREASE IN GRAD5 UATE MEDICAL EDUCATION RESIDENCY PO6 SITIONS AT MEDICAL FACILITIES OF THE DE7 PARTMENT OF VETERANS AFFAIRS. 

8 (a) IN GENERAL.—Paragraph (2) of section 301(b) 

9 of the Veterans Access, Choice, and Accountability Act of 

10 2014 (Public Law 113–146; 38 U.S.C. 7302 note) is 

11 amended— 

12 (1) in the paragraph heading, by striking 

13 ‘‘FIVE-YEAR’’ and inserting ‘‘TEN-YEAR’’; and 

14 (2) in subparagraph (A), by striking ‘‘5-year 

15 period’’ and inserting ‘‘10-year period’’. 

16 (b) REPORT.—Paragraph (3)(A) of such section is 

17 amended by striking ‘‘2019’’ and inserting ‘‘2024’’. 

Æ 


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