Title: Creating Additional Residency Expansion Act
Policy area: Health

Summary:
Creating Additional Residency Expansion Act or the CARE Act
This bill temporarily expands the Teaching Health Center Graduate Medical Education Program by requiring the Health Resources and Services Administration to make payments to additional teaching health centers, with priority given to centers that are located in counties with high Medicaid enrollment.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3451 Introduced in House (IH)]

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115th CONGRESS
  1st Session
                                H. R. 3451

   To amend title III of the Public Health Service Act to expand the 
program for payments to teaching health centers with GME programs, and 
                          for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 27, 2017

Mr. Denham (for himself and Mr. Valadao) introduced the following bill; 
       which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
   To amend title III of the Public Health Service Act to expand the 
program for payments to teaching health centers with GME programs, and 
                          for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Creating Additional Residency 
Expansion Act'' or the ``CARE Act''.

SEC. 2. EXPANSION OF PROGRAM FOR PAYMENTS TO TEACHING HEALTH CENTERS 
              WITH GME PROGRAMS.

    Section 340H of the Public Health Service Act (42 U.S.C. 256h) is 
amended--
            (1) in subsection (g), by inserting ``(other than 
        subsection (k))'' after ``section'';
            (2) in subsection (j)(3)--
                    (A) by striking ``center.--The'' and inserting 
                ``center.--
                            ``(i) In general.--Subject to clause (ii), 
                        the''; and
                    (B) by adding at the end the following new clause:
                            ``(ii) Carve-out of centers funded under 
                        subsection (k).--The term `qualified teaching 
                        health center' shall not include, with respect 
                        to a fiscal year, a center that is a additional 
                        qualified teaching health center (as defined in 
                        subsection (k)(5)) for such fiscal year.''; and
            (3) by adding at the end the following new subsection:
    ``(k) Funding for Additional Qualified Teaching Health Centers.--
            ``(1) Payments.--In addition to making payments pursuant to 
        subsection (a), the Secretary shall make payments under this 
        subsection for direct expenses and for indirect expenses to 
        additional qualified teaching health centers (as defined in 
        paragraph (5)) that are listed as sponsoring institutions by 
        the relevant accrediting body for expansion of existing or 
        establishment of additional approved graduate medical residency 
        training programs.
            ``(2) Application of program rules.--Except as otherwise 
        provided in the succeeding paragraphs of this subsection, 
        subsections (b), (c), (d), (e), (f), (h), and (i) shall apply 
        to payments made pursuant to this subsection in the same 
        manner, and to the same extent, that such subsections apply 
        with respect to payments made pursuant to subsection (a).
            ``(3) Limitation.--The number of full-time equivalent 
        residents for which a qualified teaching health center receives 
        payments pursuant to this subsection for a fiscal year shall 
        not exceed by more than six the number of full-time equivalent 
        residents for which the center received such payments for the 
        preceding fiscal year.
            ``(4) Appropriations.--To carry out this subsection, there 
        are appropriated such sums as may be necessary, not to exceed--
                    ``(A) $19,000,000 for fiscal year 2019; and
                    ``(B) $38,000,000 for fiscal year 2020.
            ``(5) Additional qualified teaching health center 
        defined.--
                    ``(A) In general.--For purposes of this subsection, 
                the term `additional qualified teaching health center' 
                means an entity that is selected by the Secretary 
                pursuant to subparagraph (B) and that, but for the 
                application of subsection (j)(3)(ii), would, with 
                respect to a fiscal year, be a qualified teaching 
                health center with respect to such fiscal year.
                    ``(B) Selection by secretary.--
                            ``(i) In general.--For purposes of 
                        subparagraph (A), the Secretary shall select 20 
                        centers, at least ten of which the Secretary 
                        did not make payments to under this section in 
                        fiscal year 2017.
                            ``(ii) Priority to high-medicaid 
                        counties.--In making selections under clause 
                        (i), the Secretary shall give priority to 
                        centers that are located in counties in which 
                        greater than 35 percent of the population is 
                        enrolled in the Medicaid program under title 
                        XIX of the Social Security Act.
            ``(6) Rule of construction.--Nothing in this subsection may 
        be construed as limiting the number of qualified teaching 
        health centers to which the Secretary may make payments for a 
        fiscal year with funds appropriated under subsection (g).''.
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