To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes.

Bill: 114-hr-3755
Sponsor: full_name: Rep. Titus, Dina [D-NV-1]
Introduced: 2015-10-09
Policy area: Health
Subjects: Department of Veterans Affairs

Health facilities and institutions

Health personnel

Medical education

Medicare

Veterans' medical care
Latest action: action_date: 2015-10-21
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2015-10-09
action_desc: Introduced in House
text: <p>This bill amends title XVIII (Medicare) of the Social Security Act to revise provisions related to graduate medical education (GME)&nbsp;residency positions&nbsp;and the Department of Veterans Affairs (VA).</p> <p>Under current law, for purposes of calculating Medicare payments for hospitals, certain limitations apply regarding the total number of GME residency positions in a hospital's training program. The bill specifies that these limitations shall not apply to any residency position that counts towards meeting the VA's obligation under the Veterans Access, Choice, and Accountability Act of 2014 to increase by 1,500 the number of GME residency positions at VA medical facilities.</p> <p>The bill also extends by five years the period over which the VA must increase the number of&nbsp;GME residency positions at its medical facilities.</p>

tv_txt: I 114th CONGRESS 1st Session H. R. 3755 IN THE HOUSE OF REPRESENTATIVES October 9, 2015 Ms. Titus (for herself, Mr. Takano , and Mr. Becerra ) introduced the following bill; which was referred to the Committee on Ways and Means , and in addition to the Committees on Energy and Commerce and Veterans’ Affairs , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to provide for the disregard of certain resident slots that include Department of Veterans Affairs training in determining payments for direct graduate medical education costs, and for other purposes.

1. Disregard of resident slots that include VA training against the Medicare graduate medical education limitations (a) Direct GME Section 1886(h)(4)(F) of the Social Security Act ( 42 U.S.C. 1395ww(h)(4)(F) ) is amended by adding at the end the following new clause: (iii) Disregard of certain resident slots that include VA training For portions of cost reporting periods beginning on or after July 1, 2016, in applying the limitations regarding the total number of full-time equivalent residents in the field of allopathic or osteopathic medicine under clause (i) in a hospital's approved medical residency training program, the Secretary shall not take into account any resident within such program that counts towards meeting the obligation of the Secretary of Veterans Affairs under section 301(b)(2) of the Veterans Access, Choice, and Accountability Act of 2014 ( Public Law 113–146 ; 38 U.S.C. 7302 note). . (b) Indirect GME Section 1886(d)(5)(B)(v) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(B)(v) ) is amended, in the second sentence, by striking subsection (h)(4)(F)(ii) and inserting clauses (ii) and (iii) of subsection (h)(4)(F) . 2. Extension of period for increase in graduate medical education residency positions at medical facilities of the Department of Veterans Affairs (a) In general Paragraph (2) of section 301(b) of the Veterans Access, Choice, and Accountability Act of 2014 ( Public Law 113–146 ; 38 U.S.C. 7302 note) is amended— (1) in the paragraph heading, by striking Five-year and inserting Ten-year ; and (2) in subparagraph (A), by striking 5-year period and inserting 10-year period . (b) Report Paragraph (3)(A) of such section is amended by striking 2019 and inserting 2024 .