II 

Calendar No. 98

109TH CONGRESS 

1ST SESSION S. 285

[Report No. 109–66] 

To reauthorize the Children’s Hospitals Graduate Medical Education 

Program. 

IN THE SENATE OF THE UNITED STATES 

FEBRUARY 3, 2005

Mr. BOND (for himself, Mr. KENNEDY, Mr. DEWINE, Mrs. MURRAY, Mr. 

TALENT, Mr. DURBIN, Mr. WARNER, Mrs. BOXER, Mr. BIDEN, Mr. DAYTON, Mrs. FEINSTEIN, Mrs. CLINTON, Ms. CANTWELL, Mr. SESSIONS, 

Ms. LANDRIEU, Mr. ALLEN, Mr. KERRY, Mr. BINGAMAN, Mr. COLEMAN, 

and Mrs. LINCOLN) introduced the following bill; which was read twice 

and referred to the Committee on Health, Education, Labor, and Pensions 

MAY 11, 2005

Reported by Mr. ENZI, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL

To reauthorize the Children’s Hospitals Graduate Medical 

Education Program.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,
2

•S 285 RS 

1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Children’s Hospitals 

3 Educational Equity and Research Act’’ or the ‘‘CHEER 

4 Act’’. 

5 SEC. 2. REAUTHORIZATION OF CHILDREN’S HOSPITALS 

6 GRADUATE MEDICAL EDUCATION PROGRAM. 

7 (a) EXTENSION OF PROGRAM.—Section 340E(a) of 

8 the Public Health Service Act (42 U.S.C. 256e(a)) is 

9 amended by striking ‘‘2005’’ and inserting ‘‘2010’’. 

10 (b) DIRECT GRADUATE MEDICAL EDUCATION.—Sec11 tion 340E(c) of the Public Health Service Act (42 U.S.C. 

12 256e(c)) is amended—

13 (1) in paragraph (1)(B), by inserting ‘‘but with14 out giving effect to section 1886(h)(7) of such Act)’’ 

15 after ‘‘section 1886(h)(4) of the Social Security 

16 Act’’; and 

17 (2) in paragraph (2)(E)(ii), by striking ‘‘de18 scribed in subparagraph (C)(ii)’’ and inserting ‘‘ap19 plied under section 1886(d)(3)(E) of the Social Se20 curity Act for discharges occurring during the pre21 ceding fiscal year’’. 

22 (c) NATURE OF PAYMENTS.—Section 340E(e)(3) of 

23 the Public Health Service Act (42 U.S.C. 256e(e)(3)) is 

24 amended by striking ‘‘made to pay’’ and inserting ‘‘made 

25 and pay’’. 
3

•S 285 RS 

1 (d) AUTHORIZATION OF APPROPRIATIONS.—Section 

2 340E(f) of the Public Health Service Act (42 U.S.C. 

3 256e(f)) is amended—

4 (1) in paragraph (1)(A)—

5 (A) in clause (ii), by striking ‘‘and’’; 

6 (B) in clause (iii), by striking the period 

7 and inserting a semicolon; and 

8 (C) by adding at the end the following: 

9 ‘‘(iv) for fiscal year 2006, 

10 $110,000,000; and 

11 ‘‘(v) for each of fiscal years 2007 

12 through 2010, such sums as may be nec13 essary.’’; and 

14 (2) in paragraph (2)—

15 (A) in the matter preceding subparagraph 

16 (A)—

17 (i) by striking ‘‘There are hereby au18 thorized’’ and inserting ‘‘There are author19 ized’’; and 

20 (ii) by striking ‘‘(b)(1)(A)’’ and in21 serting ‘‘(b)(1)(B)’’; 

22 (B) in subparagraph (B), by striking 

23 ‘‘and’’; 

24 (C) in subparagraph (C), by striking the 

25 period and inserting a semicolon; and 
4

•S 285 RS 

1 (D) by adding at the end the following: 

2 ‘‘(D) for fiscal year 2006, $220,000,000; 

3 and 

4 ‘‘(E) for each of fiscal years 2007 through 

5 2010, such sums as may be necessary.’’. 

6 (e) TECHNICAL AMENDMENT.—Section 340E(e)(2) 

7 of the Public Health Service Act (42 U.S.C. 256e(e)(2)) 

8 is amended by striking the first sentence. 

9 SEC. 3. SENSE OF THE SENATE. 

10 It is the sense of the Senate that perinatal hospitals 

11 play an important role in providing quality care and ensur12 ing the best possible outcomes for thousands of seriously 

13 ill newborns each year, and that medical training pro14 grams at perinatal hospitals give providers essential train15 ing in treating healthy mothers and babies as well as pa16 tients in neonatal intensive care units.

17 SECTION 1. SHORT TITLE. 

18 This Act may be cited as the ‘‘Children’s Hospitals 

19 Educational Equity and Research Act’’ or the ‘‘CHEER 

20 Act’’. 

21 SEC. 2. REAUTHORIZATION OF CHILDREN’S HOSPITALS 

22 GRADUATE MEDICAL EDUCATION PROGRAM. 

23 (a) EXTENSION OF PROGRAM.—Section 340E(a) of the 

24 Public Health Service Act (42 U.S.C. 256e(a)) is amended 

25 by striking ‘‘2005’’ and inserting ‘‘2010’’. 
5

•S 285 RS 

1 (b) DIRECT GRADUATE MEDICAL EDUCATION.—Sec2 tion 340E(c) of the Public Health Service Act (42 U.S.C. 

3 256e(c)) is amended—

4 (1) in paragraph (1)(B), by inserting ‘‘but with5 out giving effect to section 1886(h)(7) of such Act)’’ 

6 after ‘‘section 1886(h)(4) of the Social Security Act’’; 

7 and 

8 (2) in paragraph (2)(E)(ii), by striking ‘‘de9 scribed in subparagraph (C)(ii)’’ and inserting ‘‘ap10 plied under section 1886(d)(3)(E) of the Social Secu11 rity Act for discharges occurring during the preceding 

12 fiscal year’’. 

13 (c) NATURE OF PAYMENTS.—Section 340E(e)(3) of the 

14 Public Health Service Act (42 U.S.C. 256e(e)(3)) is amend15 ed by striking ‘‘made to pay’’ and inserting ‘‘made and 

16 pay’’. 

17 (d) AUTHORIZATION OF APPROPRIATIONS.—Section 

18 340E(f) of the Public Health Service Act (42 U.S.C. 256e(f)) 

19 is amended—

20 (1) in paragraph (1)(A)—

21 (A) in clause (ii), by striking ‘‘and’’; 

22 (B) in clause (iii), by striking the period 

23 and inserting a semicolon; and 

24 (C) by adding at the end the following: 
6

•S 285 RS 

1 ‘‘(iv) for fiscal year 2006, 

2 $110,000,000; and 

3 ‘‘(v) for each of fiscal years 2007 

4 through 2010, such sums as may be nec5 essary.’’; and 

6 (2) in paragraph (2)—

7 (A) in the matter preceding subparagraph 

8 (A)—

9 (i) by striking ‘‘There are hereby au10 thorized’’ and inserting ‘‘There are author11 ized’’; and 

12 (ii) by striking ‘‘(b)(1)(A)’’ and insert13 ing ‘‘(b)(1)(B)’’; 

14 (B) in subparagraph (B), by striking 

15 ‘‘and’’; 

16 (C) in subparagraph (C), by striking the 

17 period and inserting a semicolon; and 

18 (D) by adding at the end the following: 

19 ‘‘(D) for fiscal year 2006, $220,000,000; 

20 and 

21 ‘‘(E) for each of fiscal years 2007 through 

22 2010, such sums as may be necessary.’’. 

23 (e) TECHNICAL AMENDMENT.—Section 340E(e)(2) of 

24 the Public Health Service Act (42 U.S.C. 256e(e)(2)) is 

25 amended by striking the first sentence. 
7

•S 285 RS 

1 SEC. 3. SENSE OF THE SENATE. 

2 It is the sense of the Senate that perinatal hospitals 

3 play an important role in providing quality care and en4 suring the best possible outcomes for thousands of seriously 

5 ill newborns each year, and that medical training programs 

6 at perinatal hospitals give providers essential training in 

7 treating healthy mothers and babies as well as patients in 

8 neonatal intensive care units. 
Calendar No. 98

109TH CONGRESS 

1ST SESSION S. 285

[Report No. 109–66] 

A BILL

To reauthorize the Children’s Hospitals Graduate 

Medical Education Program. 

MAY 11, 2005

Reported with an amendment