108TH CONGRESS

2D SESSION S. 2526

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’’.
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S 2526 ES

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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S 2526 ES

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)’’;
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S 2526 ES

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:

Secretary.
108TH CONGRESS

2D SESSION S. 2526

AN ACT

To reauthorize the Children’s Hospitals Graduate

Medical Education Program.