I 113th CONGRESS 1st Session H. R. 1178 IN THE HOUSE OF REPRESENTATIVES March 14, 2013 Ms. Castor of Florida introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to authorize grants for graduate medical education partnerships in States with a low physician-resident-to-general-population ratio.

1. Short title This Act may be cited as the Creating Access to Residency Education Act of 2013 . 2. Graduate medical education partnerships in States with a low physician-resident-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: 317U. Graduate medical education partnerships in States with a low physician-resident-to-general-population ratio (a) In general The Administrator of the Centers for Medicare & Medicaid Services (in this section referred 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-population 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 (2) a public or private entity consisting of a public or nonprofit teaching hospital or an accredited graduate medical education training program. (c) Matching funding In awarding a grant or contract under this section, the Administrator shall include 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 residency program or new slots in an existing program. (3) To the extent and in the amounts made available in advance in appropriations Acts, the Administrator 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 contracts under this section, the Administrator shall give preference to the following: (1) Eligible partnerships in which the participating State has 20 or fewer medical residents per population of 100,000 or the participating local government is within such a State. (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 graduate medical education programs or slots within existing programs in the field of family medicine, internal medicine and its subspecialties, geriatrics, or pediatrics. (e) Requirements The Administrator may establish application processes and other requirements for partnerships to receive funding under this section including multiyear commitments to ensure the continued funding of graduate medical education slots for residents in training. (f) Authorization of appropriations To carry out this section, there are authorized to be appropriated $25,000,000 for fiscal year 2014, and such sums as may be necessary for fiscal years 2015 through 2019. .