SEC. 2. GRADUATE MEDICAL EDUCATION PARTNERSHIPS 
IN STATES WITH A LOW PHYSICIAN-RESI-
DENT-TO-GENERAL-POPULATION RATIO. 
Part B of title III of the Public Health Service Act 
is amended by inserting after section 317T (42 U.S.C. 
247b–22) the following: 
‘‘SEC. 317U. GRADUATE MEDICAL EDUCATION PARTNER-
SHIPS IN STATES WITH A LOW PHYSICIAN- 
RESIDENT-TO-GENERAL-POPULATION RATIO. 
‘‘(a) IN GENERAL.—The Administrator of the Cen-
ters for Medicare & Medicaid Services (in this section re-
ferred to as the ‘Administrator’) shall make grants to, or 
enter into contracts with, eligible partnerships between 
State or local governments and private entities to support 
the creation of new medical residency training programs 
or slots within existing programs in underserved States 
in which there is a low physician-resident-to-general-popu-
lation ratio. 
‘‘(b) ELIGIBILITY.—To be eligible to receive Federal 
funding under this section, a partnership must consist 
of— 
‘‘(1) a State in which there are fewer than 25 
medical residents per population of 100,000 or a 
local government within such a State; and 
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‘‘(2) a public or private entity consisting of a 
public or nonprofit teaching hospital or an accred-
ited graduate medical education training program. 
‘‘(c) MATCHING FUNDING.—In awarding a grant or 
contract under this section, the Administrator shall in-
clude a requirement of matching funds as follows: 
‘‘(1) The public or private entity must agree to 
provide one-third of the cost of the medical residency 
program or new slots in an existing program. 
‘‘(2) The State or local government must agree 
to provide one-third of the cost of the medical resi-
dency program or new slots in an existing program. 
‘‘(3) To the extent and in the amounts made 
available in advance in appropriations Acts, the Ad-
ministrator shall agree to provide the remaining one- 
third of the cost of the medical residency program 
or slots in an existing program. 
‘‘(d) PREFERENCES.—In awarding grants and con-
tracts under this section, the Administrator shall give 
preference to the following: 
‘‘(1) Eligible partnerships in which the partici-
pating State has 20 or fewer medical residents per 
population of 100,000 or the participating local gov-
ernment is within such a State. 
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‘‘(2) Eligible partnerships in which the State 
involved has a population exceeding 15,000,000 and 
has less than 10 percent of the Nation’s residency 
slots. 
‘‘(3) Eligible partnerships which fund new grad-
uate medical education programs or slots within ex-
isting programs in the field of family medicine, in-
ternal medicine and its subspecialties, geriatrics, or 
pediatrics. 
‘‘(e) REQUIREMENTS.—The Administrator may es-
tablish application processes and other requirements for 
partnerships to receive funding under this section includ-
ing multiyear commitments to ensure the continued fund-
ing of graduate medical education slots for residents in 
training. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $25,000,000 for fiscal year 2014, and such sums 
as may be necessary for fiscal years 2015 through 2019.’’. 
Æ 
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