I 

108TH CONGRESS 

2D SESSION S. 2526 

IN THE HOUSE OF REPRESENTATIVES 

NOVEMBER 16, 2004 

Referred to the Committee on Energy and Commerce 

AN ACT 

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, 

3 SECTION 1. SHORT TITLE. 

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

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

6 Act’’. 
2 

S 2526 RFH 

1 SEC. 2. REAUTHORIZATION OF CHILDREN’S HOSPITALS 

2 GRADUATE MEDICAL EDUCATION PROGRAM. 

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

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

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

6 (b) DIRECT GRADUATE MEDICAL EDUCATION.—Sec7 tion 340E(c) of the Public Health Service Act (42 U.S.C. 

8 256e(c)) is amended— 

9 (1) in paragraph (1)(B), by inserting ‘‘but with10 out giving effect to section 1886(h)(7) of such Act)’’ 

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

12 Act’’; and 

13 (2) in paragraph (2)(E)(ii), by striking ‘‘de14 scribed in subparagraph (C)(ii)’’ and inserting ‘‘ap15 plied under section 1886(d)(3)(E) of the Social Se16 curity Act for discharges occurring during the pre17 ceding fiscal year’’. 

18 (c) INDIRECT GRADUATE MEDICAL EDUCATION.— 

19 Section 340E(d)(2)(A) of the Public Health Service Act 

20 (42 U.S.C. 256e(d)(2)(A)) is amended— 

21 (1) by inserting ‘‘ratio of the’’ after ‘‘hospitals 

22 and the’’; and 

23 (2) by inserting before the semicolon the fol24 lowing: ‘‘to beds (excluding beds or bassinets as25 signed to healthy newborn infants)’’. 
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1 (d) NATURE OF PAYMENTS.—Section 340E(e)(3) of 

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

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

4 and pay’’. 

5 (e) AUTHORIZATION OF APPROPRIATIONS.—Section 

6 340E(f) of the Public Health Service Act (42 U.S.C. 

7 256e(f)) is amended— 

8 (1) in paragraph (1)(A)— 

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

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

11 and inserting a semicolon; and 

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

13 ‘‘(iv) for fiscal year 2006, 

14 $110,000,000; and 

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

16 through 2010, such sums as may be nec17 essary.’’; and 

18 (2) in paragraph (2)— 

19 (A) in the matter preceding subparagraph 

20 (A)— 

21 (i) by striking ‘‘There are hereby au22 thorized’’ and inserting ‘‘There are author23 ized’’; and 

24 (ii) by striking ‘‘(b)(1)(A)’’ and in25 serting ‘‘(b)(1)(B)’’; 
4 

S 2526 RFH 

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

2 ‘‘and’’; 

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

4 period and inserting a semicolon; and 

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

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

7 and 

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

9 2010, such sums as may be necessary.’’. 

10 (f) TECHNICAL AMENDMENT.—Section 340E(e)(2) 

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

12 is amended by striking the first sentence. 

13 SEC. 3. SENSE OF THE SENATE. 

14 It is the sense of the Senate that perinatal hospitals 

15 play an important role in providing quality care and ensur16 ing the best possible outcomes for thousands of seriously 

17 ill newborns each year, and that medical training pro18 grams at perinatal hospitals give providers essential train19 ing in treating healthy mothers and babies as well as pa20 tients in neonatal intensive care units. 

Passed the Senate November 16, 2004. 

Attest: EMILY J. REYNOLDS, 

Secretary.