TRAIN Act

Bill: 117-hr-4407
Sponsor: full_name: Rep. Blunt Rochester, Lisa [D-DE-At Large]
Introduced: 2021-07-13
Policy area: Health
Subjects: Allied health services

Education programs funding

Health programs administration and funding

Hospital care

Medical education

Medicare

Nursing
Latest action: action_date: 2021-07-14
text: Referred to the Subcommittee on Health.

Summaries:
action_date: 2021-07-13
action_desc: Introduced in House
text: <p><b>Technical Reset to Advance the Instruction of Nurses Act or the TRAIN Act</b></p> <p>This bill modifies the methodology and application of Medicare Advantage nursing and allied health education payments for hospitals. Specifically, for 2010-2019, the bill eliminates the annual cap on total payments and excludes any resulting increase from factoring into calculations for graduate medical education payments for such hospitals. (The Centers for Medicare &amp; Medicaid Services recently issued guidance providing for the recalculation and correction of certain payments to account for the annual payment cap.) </p>

tv_txt: I 117th CONGRESS 1st Session H. R. 4407 IN THE HOUSE OF REPRESENTATIVES July 13, 2021 Ms. Blunt Rochester (for herself, Mr. LaHood , and Mr. Rodney Davis of Illinois ) 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 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 a waiver of the cap on annual payments for nursing and allied health education payments.

1. Short title This Act may be cited as the Technical Reset to Advance the Instruction of Nurses Act or the TRAIN Act . 2. Waiver of cap on annual payments for nursing and allied health education payments (a) In general Section 1886(l)(2)(B) of the Social Security Act ( 42 U.S.C. 1395ww(l)(2)(B) ) is amended— (1) by striking payments .—Such ratio and inserting “ payments .— (i) In general Subject to clause (ii), such ratio ; and (2) by adding at the end the following new clause: (ii) Exception to annual limitation for each of 2010 through 2019 For each of 2010 through 2019, the limitation under clause (i) on the total amount of additional payments for nursing and allied health education to be distributed to hospitals under this subsection for portions of cost reporting periods occurring in the year shall not apply to such payments made in such year. . (b) No affect on payments for direct graduate medical education Section 1886(h)(3)(D)(iii) of the Social Security Act ( 42 U.S.C. 1395ww(h)(3)(D)(iii) ) is amended by adding at the end the following sentence: In applying the preceding sentence for each of 2010 through 2019, the Secretary shall not take into account any increase in the total amount of such additional payment amounts for such nursing and allied health education for portions of cost reporting periods occurring in the year pursuant to the application of paragraph (2)(B)(ii) of such subsection. . (c) Retroactive application The amendments made by this section shall apply to payments made for portions of cost reporting periods occurring in 2010 and subsequent years.