I 

113TH CONGRESS 

1ST SESSION H. R. 1178 

To amend the Public Health Service Act to authorize grants for graduate 

medical education partnerships in States with a low physician-residentto-general-population ratio. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 14, 2013 

Ms. CASTOR of Florida introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to authorize grants 

for graduate medical education partnerships in States 

with a low physician-resident-to-general-population ratio. 

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 ‘‘Creating Access to 

5 Residency Education Act of 2013’’. 


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1 SEC. 2. GRADUATE MEDICAL EDUCATION PARTNERSHIPS 

2 IN STATES WITH A LOW PHYSICIAN-RESI3 DENT-TO-GENERAL-POPULATION RATIO. 

4 Part B of title III of the Public Health Service Act 

5 is amended by inserting after section 317T (42 U.S.C. 

6 247b–22) the following: 

7 ‘‘SEC. 317U. GRADUATE MEDICAL EDUCATION PARTNER8 SHIPS IN STATES WITH A LOW PHYSICIAN9 RESIDENT-TO-GENERAL-POPULATION RATIO. 

10 ‘‘(a) IN GENERAL.—The Administrator of the Cen11 ters for Medicare & Medicaid Services (in this section re12 ferred to as the ‘Administrator’) shall make grants to, or 

13 enter into contracts with, eligible partnerships between 

14 State or local governments and private entities to support 

15 the creation of new medical residency training programs 

16 or slots within existing programs in underserved States 

17 in which there is a low physician-resident-to-general-popu18 lation ratio. 

19 ‘‘(b) ELIGIBILITY.—To be eligible to receive Federal 

20 funding under this section, a partnership must consist 

21 of— 

22 ‘‘(1) a State in which there are fewer than 25 

23 medical residents per population of 100,000 or a 

24 local government within such a State; and 


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1 ‘‘(2) a public or private entity consisting of a 

2 public or nonprofit teaching hospital or an accred3 ited graduate medical education training program. 

4 ‘‘(c) MATCHING FUNDING.—In awarding a grant or 

5 contract under this section, the Administrator shall in6 clude a requirement of matching funds as follows: 

7 ‘‘(1) The public or private entity must agree to 

8 provide one-third of the cost of the medical residency 

9 program or new slots in an existing program. 

10 ‘‘(2) The State or local government must agree 

11 to provide one-third of the cost of the medical resi12 dency program or new slots in an existing program. 

13 ‘‘(3) To the extent and in the amounts made 

14 available in advance in appropriations Acts, the Ad15 ministrator shall agree to provide the remaining one16 third of the cost of the medical residency program 

17 or slots in an existing program. 

18 ‘‘(d) PREFERENCES.—In awarding grants and con19 tracts under this section, the Administrator shall give 

20 preference to the following: 

21 ‘‘(1) Eligible partnerships in which the partici22 pating State has 20 or fewer medical residents per 

23 population of 100,000 or the participating local gov24 ernment is within such a State. 


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1 ‘‘(2) Eligible partnerships in which the State 

2 involved has a population exceeding 15,000,000 and 

3 has less than 10 percent of the Nation’s residency 

4 slots. 

5 ‘‘(3) Eligible partnerships which fund new grad6 uate medical education programs or slots within ex7 isting programs in the field of family medicine, in8 ternal medicine and its subspecialties, geriatrics, or 

9 pediatrics. 

10 ‘‘(e) REQUIREMENTS.—The Administrator may es11 tablish application processes and other requirements for 

12 partnerships to receive funding under this section includ13 ing multiyear commitments to ensure the continued fund14 ing of graduate medical education slots for residents in 

15 training. 

16 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To 

17 carry out this section, there are authorized to be appro18 priated $25,000,000 for fiscal year 2014, and such sums 

19 as may be necessary for fiscal years 2015 through 2019.’’. 

Æ 


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