I 
117TH CONGRESS 
2D SESSION 
H. R. 9156 
To amend title XVIII of the Social Security Act to extend the period for 
certain teaching hospitals to establish full-time equivalent residency caps 
for new residency training programs impacted by the COVID–19 pan-
demic, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 7, 2022 
Mr. HARDER of California (for himself and Mr. MCNERNEY) 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 consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend title XVIII of the Social Security Act to extend 
the period for certain teaching hospitals to establish full- 
time equivalent residency caps for new residency training 
programs impacted by the COVID–19 pandemic, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Train More Doctors 
Act of 2022’’. 
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SEC. 2. TWO-YEAR EXTENSION OF GRADUATE MEDICAL 
EDUCATION FTE RESIDENT CAP BUILDING 
PERIOD FOR CERTAIN TEACHING HOSPITALS 
IMPACTED BY THE COVID–19 PUBLIC HEALTH 
EMERGENCY. 
Section 1886(h)(4)(H)(i) of the Social Security Act 
(42 U.S.C. 1395ww(h)(4)(H)(i)) is amended by adding at 
the end the following new subclause: 
‘‘(VI)(aa) In applying this clause in 
the case of a hospital that first began 
training residents in a new approved med-
ical residency training program or pro-
grams on or after July 1, 2018, and before 
July 1, 2021, in determining the limitation 
on the number of total full time equivalent 
residents under subparagraphs (F) and 
(G) and under clauses (v) and (vi)(I) of 
subsection (d)(5)(B) with respect to such 
new approved medical residency training 
program or programs of such hospital, the 
Secretary shall extend by two years the cap 
building period (as defined in item (bb)) 
applicable to such new approved medical 
residency training program or programs of 
such hospital to take into account the im-
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pact of the COVID–19 public health emer-
gency on such program or programs. 
‘‘(bb) For purposes of item (aa), the 
term ‘cap building period’ means the 5- 
year period used to calculate the total ad-
justment of the limitation under subpara-
graph (F) for a hospital for a new ap-
proved medical residency training program 
under the relevant provisions of para-
graphs (d) and (e) of section 413.79 of 
title 42, Code of Federal Regulations, and 
such other relevant provisions of such reg-
ulations (as in effect on the date of the en-
actment of this subclause).’’. 
Æ 
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