I 
114TH CONGRESS 
2D SESSION 
H. R. 6333 
To amend title XVIII of the Social Security Act with respect to the accredita-
tion of osteopathic residency training programs for purposes of graduate 
medical education payments under the Medicare program. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 16, 2016 
Mr. KELLY of Pennsylvania (for himself and Mr. BUCHANAN) 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 with respect 
to the accreditation of osteopathic residency training pro-
grams for purposes of graduate medical education pay-
ments under the Medicare program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. ACCREDITATION OF OSTEOPATHIC RESIDENCY 
TRAINING PROGRAMS FOR PURPOSES OF 
GRADUATE MEDICAL EDUCATION PAYMENTS 
UNDER THE MEDICARE PROGRAM. 
Section 1886(h)(5) of the Social Security Act (42 
U.S.C. 1395ww(h)(5)) is amended— 
(1) by amending subparagraph (A) to read as 
follows: 
‘‘(A) 
APPROVED
MEDICAL
RESIDENCY 
TRAINING PROGRAM.—The term ‘approved med-
ical residency training program’ means a resi-
dency or other postgraduate medical training 
program, including an osteopathic community 
residency training program— 
‘‘(i) participation in which may be 
counted toward certification in a specialty 
or subspecialty; and 
‘‘(ii) which has been approved by an 
accrediting body certified by the Sec-
retary.’’; 
(2) by amending subparagraph (D) to read as 
follows: 
‘‘(D) FOREIGN MEDICAL GRADUATE.—The 
term ‘foreign medical graduate’ means a resi-
dent who is not a graduate of— 
‘‘(i) an accredited school of medicine; 
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‘‘(ii) an accredited school of osteop-
athy; or 
‘‘(iii) an accredited school of dentistry 
or podiatry.’’; 
(3) in subparagraph (G)(iii), by striking ‘‘Ac-
creditation Council on Graduate Medical Education’’ 
and inserting ‘‘accreditor’’; and 
(4) by adding at the end the following new sub-
paragraphs: 
‘‘(L) OSTEOPATHIC
COMMUNITY
RESI-
DENCY TRAINING PROGRAM.—The term ‘osteo-
pathic community residency training program’ 
means an osteopathic medical residency train-
ing program that primarily relies on physicians 
who train residents in the residency training 
program on a volunteer basis while continuing 
to provide full-time patient care services. 
‘‘(M) MULTIPLE
ACCREDITING
BODIES 
FOR ALLOPATHIC AND OSTEOPATHIC MEDICAL 
RESIDENCY
TRAINING
PROGRAMS.—The Sec-
retary shall certify a minimum of two accred-
iting bodies for the purpose of accrediting med-
ical residency training programs in allopathic 
and osteopathic medicine.’’. 
Æ 
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