IB 

Union Calendar No. 807 

118TH CONGRESS 

2D SESSION H. R. 8235 

[Report No. 118–960, Part I] 

To amend title XVIII of the Social Security Act to modify the distribution 

of certain additional graduate medical education positions under the 

Medicare program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 2, 2024 

Mr. MURPHY introduced the following bill; which was referred to the Committee on Ways and Means, and in addition to the Committee on Energy 

and Commerce, 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 

DECEMBER 27, 2024 

Reported from the Committee on Ways and Means with an amendment 

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

DECEMBER 27, 2024 

Committee on Energy and Commerce discharged; committed to the Committee 

of the Whole House on the State of the Union and ordered to be printed 

[For text of introduced bill, see copy of bill as introduced on May 2, 2024] 


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•HR 8235 RH

A BILL 

To amend title XVIII of the Social Security Act to modify 

the distribution of certain additional graduate medical 

education positions under the Medicare program. 


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•HR 8235 RH

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

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Rural Physician Work5 force Preservation Act’’. 

6 SEC. 2. MODIFYING THE DISTRIBUTION OF CERTAIN ADDI7 TIONAL GRADUATE MEDICAL EDUCATION PO8 SITIONS UNDER THE MEDICARE PROGRAM. 

9 Section 1886(h) of the Social Security Act (42 U.S.C. 

10 1395ww(h)) is amended— 

11 (1) in paragraph (9)— 

12 (A) in subparagraph (B)(ii)(I), by amend13 ing such subclause to read as follows: 

14 ‘‘(I) Hospitals that— 

15 ‘‘(aa) are located in a rural 

16 area (as defined in section 

17 1886(d)(2)(D)); or 

18 ‘‘(bb) are treated as being lo19 cated in a rural area pursuant to 

20 section 1886(d)(8)(E), but only if 

21 such hospital so treated meets a 

22 criterion specified in subclause (I) 

23 or (II) of clause (ii) of such sec24 tion.’’; and 


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•HR 8235 RH

1 (B) in subparagraph (F)(ii), by inserting 

2 ‘‘and includes, with respect to the distribution of 

3 full-time equivalent residency positions for fiscal 

4 year 2023 or 2024, a hospital that is treated as 

5 being located in a rural area pursuant to section 

6 1886(d)(8)(E) regardless of whether such hospital 

7 meets a criterion specified in subclause (I) or 

8 (II) of clause (ii) of such section’’ before the pe9 riod; and 

10 (2) in paragraph (10)(B)(ii)(I), by amending 

11 such subclause to read as follows: 

12 ‘‘(I) Hospitals that— 

13 ‘‘(aa) are located in a rural 

14 area (as defined in section 

15 1886(d)(2)(D)); or 

16 ‘‘(bb) are treated as being lo17 cated in a rural area pursuant to 

18 section 1886(d)(8)(E), but only if 

19 such hospital so treated meets a 

20 criterion specified in subclause (I) 

21 or (II) of clause (ii) of such sec22 tion.’’. 


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Union Calendar No. 807 

118TH CONGRESS 

2D SESSION H. R. 8235 

[Report No. 118–960, Part I] 

A BILL 

To amend title XVIII of the Social Security Act to 

Medicare program. graduate medical education positions under the modify the distribution of certain additional 

DECEMBER 27, 2024 

Reported from the Committee on Ways and Means with 

an amendment 

DECEMBER 27, 2024 

Committee on Energy and Commerce discharged; comState of the Union and ordered to be printed mitted to the Committee of the Whole House on the 


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