(42 U.S.C. 1395ww) is amended by adding at the
end the following new subsection:
‘‘(j)(1) In addition to amounts paid under subsection
(d)(5)(F), the Secretary is authorized to pay hospitals
which are eligible for such payments for a fiscal year (be-
ginning with fiscal year 1998) supplemental amounts that
do not exceed the limit provided for in paragraph (2).
‘‘(2) The sum of the aggregate amounts paid pursu-
ant to paragraph (1) for a fiscal year shall not exceed the
Secretary’s estimate of 75 percent of the amount of reduc-
tions in payments under section 1876 that are attributable
to the operation of subsection (a)(1)(C)(ii)(I) of such sec-
tion during such fiscal year.’’.
SEC. 3. NATIONAL ADVISORY COUNCIL ON POSTGRADUATE
MEDICAL EDUCATION.
(a) IN GENERAL.—There is established within the
Department of Health and Human Services an advisory
council to be known as the National Advisory Council on
Postgraduate Medical Education (in this section referred
to as the ‘‘Council’’).
(b) DUTIES.—The Council shall provide advice to the
Secretary on appropriate policies for making payments for
the support of postgraduate medical education in order to
assure an adequate supply of physicians trained in various
specialities, consistent with the health care needs of the
United States.
(c) COMPOSITION.—
(1) IN GENERAL.—The Secretary shall appoint
to the Council 15 individuals who are not officers or
employees of the United States. Such individuals
shall include not less than 1 individual from each of
the following categories of individuals or entities:
(A) Organizations representing consumers
of health care services.
(B) Physicians who are faculty members of
medical schools, or who supervise approved phy-
sician training programs.
(C) Physicians in private practice who are
not physicians described in subparagraph (B).
(D) Practitioners in public health.
(E) Advanced-practice nurses.
(F) Other health professionals who are not
physicians.
(G) Medical schools.
(I) Teaching hospitals.
(J) The Accreditation Council on Graduate
Medical Education.
(K) The American Board of Medical Speci-
alities.
(L) The Council on Postdoctoral Training
of the American Osteopathic Association.
(M) The Council on Podiatric Medical
Education of the American Podiatric Medical
Association.
(2) REQUIREMENTS REGARDING REPRESENTA-
TIVE MEMBERSHIP.—To the greatest extent feasible,
the membership of the Council shall represent the
various geographic regions of the United States,
shall reflect the racial, ethnic, and gender composi-
tion of the population of the United States, and
shall be broadly representative of medical schools
and teaching hospitals in the United States.
(3) EX
OFFICIO
MEMBERS; OTHER
FEDERAL
OFFICERS OR EMPLOYEES.—The membership of the
Council shall include individuals designated by the
Secretary to serve as members of the Council from
among Federal officers or employees who are ap-
pointed by the President, or by the Secretary (or by
other Federal officers who are appointed by the
President with the advice and consent of the Sen-
ate). Individuals designated under the preceding sen-
tence shall include each of the following officials (or
a designee of the official):
(A) The Secretary of Health and Human
Services.
(B) The Secretary of Veterans Affairs.
(C) The Secretary of Defense.
(d) CHAIR.—The Secretary shall, from among mem-
bers of the Council appointed under subsection (c)(1), des-
ignate an individual to serve as the chair of the Council.
(e) TERMINATION.—The Council terminates Decem-
ber 31, 2000.
Æ