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Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Improving Physician Access in 
Teaching Hospitals (PATH) Act of 2011''.

SEC. 2. DISTRIBUTION OF ADDITIONAL RESIDENCY SLOTS.

    Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is 
amended--
            (1) in paragraph (7)(E), by inserting ``paragraph (9),'' 
        after ``paragraph (8),''; and
            (2) by adding at the end the following:
            ``(9) Distribution of additional residency positions.--
                    ``(A) Reductions in limit based on unused 
                positions.--
                            ``(i) In general.--Except as provided in 
                        clause (ii), if a hospital's resident level (as 
                        defined in paragraph (7)(C)(i)) for each of the 
                        5 most recent cost reporting periods (ending 
                        before the date of the enactment of this 
                        paragraph) of the hospital for which a cost 
                        report has been settled (or, if not, submitted 
                        subject to audit) as determined by the 
                        Secretary is less than the otherwise applicable 
                        resident limit (as defined in paragraph 
                        (8)(H)(iii)), effective for portions of cost 
                        reporting periods occurring on or after the 
                        paragraph (9) effective date (as defined in 
                        subparagraph (E)), the otherwise applicable 
                        resident limit shall be reduced by the 
                        difference between such otherwise applicable 
                        resident limit and the highest such reference 
                        resident level for any of such 5 cost reporting 
                        periods.
                            ``(ii) Exception.--Clause (i) shall not 
                        apply to--
                                    ``(I) a hospital located in a rural 
                                area with fewer than 250 beds; or
                                    ``(II) a hospital that has had in 
                                effect a voluntary residency reduction 
                                plan under paragraph (6) or pursuant to 
                                section 402 of Public Law 90-248.
                    ``(B) Requirements for additional residency 
                slots.--
                            ``(i) In general.--The Secretary shall 
                        increase the otherwise applicable resident 
                        limit for hospitals that submit an application 
                        under this subparagraph by such number as the 
                        Secretary may approve for portions of cost 
                        reporting periods occurring on or after the 
                        paragraph (9) effective date. The aggregate 
                        number of increases in the otherwise applicable 
                        resident limit under this subparagraph shall be 
                        equal to the sum of--
                                    ``(I) the aggregate reduction in 
                                such limits attributable to 
                                subparagraph (A) (as estimated by the 
                                Secretary); and
                                    ``(II) 1,000 for portions of cost 
                                reporting periods occurring during the 
                                12-month period beginning on the 
                                paragraph (9) effective date, 1,000 
                                additional positions for portions of 
                                cost reporting periods occurring during 
                                the 12-month period beginning 1 year 
                                after such effective date, 1,000 
                                additional positions for portion of 
                                cost reporting period occurring during 
                                the 12-month period beginning 2 years 
                                after such effective date, and such 
                                number of additional positions for 
                                portions of the 2 subsequent cost 
                                reporting periods as the Secretary may 
                                determine necessary to support 
                                residency training programs in 
                                specialities that exceed 3 years.
                            ``(ii) Consideration in redistribution.--In 
                        determining for which hospitals the increase in 
                        the otherwise applicable resident limit is 
                        provided under this subparagraph, the Secretary 
                        shall take into account--
                                    ``(I) data provided by the Health 
                                Resources and Services Administration 
                                as a national standard to exhibit a 
                                specific demand in the health care 
                                workforce, as well as the 
                                Administration's projected demand and 
                                supply for physicians in the specialty 
                                of medicine involved; and
                                    ``(II) the demonstrated likelihood 
                                of the hospital filling positions made 
                                available under this paragraph within 
                                the first 3 cost reporting periods 
                                beginning on or after the paragraph (9) 
                                effective date.
                        The Secretary shall give special consideration 
                        for up to 25 additional positions in the case 
                        of a hospital that demonstrates the likelihood 
                        of filing such positions during the first cost 
                        reporting period beginning on or after such 
                        effective date.
                            ``(iii) Limitation.--In no case shall the 
                        number of additional positions made available 
                        to a hospital under this paragraph exceed 25 in 
                        the first cost reporting period or 75 for all 
                        cost reporting periods.
                    ``(C) Priority for additional positions resulting 
                from hospital closures.--With respect to additional 
                positions described in subparagraph (B)(i)(I) which are 
                derived from a reduction in limits under subparagraph 
                (A) for a hospital that closed (in this subparagraph 
                referred to as a `closed hospital'), the Secretary 
                shall distribute the increase to hospitals in the 
                following priority order:
                            ``(i) First, to other hospitals for the 
                        program or programs under which the hospital 
                        had a cooperative arrangement with the closed 
                        hospital under which residents in the graduate 
                        medical education program of the closed 
                        hospital also rotated through the other 
                        hospital.
                            ``(ii) Second, to other hospitals that are 
                        members of the same affiliated group of 
                        hospitals as the closed hospital.
                            ``(iii) Third, to other hospitals that are 
                        located in the same or contiguous core-based 
                        statistical area as the closed hospital.
                    ``(D) Preference.--After applying subparagraph (C) 
                and the special consideration under subparagraph (B), 
                in determining for which hospitals the increase in the 
                otherwise applicable resident limit is provided under 
                subparagraph (B), the Secretary shall give preference 
                to hospitals--
                            ``(i) that submit an application for new 
                        residents in primary care and geriatric 
                        medicine and in other specialties as determined 
                        to be in demand under subparagraph (B)(ii)(I); 
                        and
                            ``(ii) that emphasize training in community 
                        health centers and other community-based or 
                        hospital-sponsored clinics, and private 
                        physicians' offices, including physician 
                        groups.
                    ``(E) Paragraph (9) effective date defined.--In 
                this paragraph, the term `paragraph (9) effective date' 
                means July 1 of the year that begins after the date of 
                the enactment of this paragraph.
                    ``(F) Affiliation.--The provisions of this 
                paragraph shall be applied to hospitals which are 
                members of the same affiliated group (as defined by the 
                Secretary under paragraph (4)(H)(ii)) and the reference 
                resident level for each such hospital with respect to 
                the cost reporting period that results in the smallest 
                difference between the reference resident level and the 
                otherwise applicable resident limit.''.

SEC. 3. EXPANDING PRIMARY CARE BONUS TO CERTAIN UNDERSERVED 
              SPECIALTIES.

    (a) In General.--Section 1833(x)(2)(A) of the Social Security Act 
(42 U.S.C. 1395l(x)(2)(A)) is amended--
            (1) in clause (i)--
                    (A) by striking ``or'' at the end of subclause (I);
                    (B) by striking ``and'' at the end of subclause 
                (II) and inserting ``or''; and
                    (C) by adding at the end the following new 
                subclause:
                                    ``(III) is a physician (as 
                                described in section 1861(r)(1)) who is 
                                in an underserved specialty, such as 
                                psychiatry or neurology, as specified 
                                by the Secretary, or other specialty 
                                identified by the Secretary to be in 
                                demand; and''; and
            (2) in clause (ii), by inserting after ``(ii)'' the 
        following: ``in the case of an individual described in 
        subclause (I) or (II) of clause (i),''.
    (b) Effective Date.--The amendments made by subsection (a) shall 
apply to payments for items and services furnished on or after January 
1, 2012.

SEC. 4. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

    (a) In General.--Subpart D of part IV of subchapter A of chapter 1 
of the Internal Revenue Code of 1986 (relating to business related 
credits) is amended by adding at the end the following new section:

``SEC. 45S. SMALL PHYSICIAN PRACTICE RESIDENCY CREDIT.

    ``(a) In General.--For purposes of section 38, the amount of the 
small physician practice residency credit determined under this section 
for any taxable year with respect to a qualified small physician 
practice is the sum of the following:
            ``(1) Overall amount.--The per resident dollar amount 
        multiplied by the number of qualified teaching hospital 
        residents who provide services to, and are trained by, such 
        practice during the taxable year and who are in their first, 
        second, or third post-graduate year of medical residency.
            ``(2) Bonus.--The sum of--
                    ``(A) 50 percent of the per resident dollar amount 
                multiplied by the number of such residents who are in 
                their first post-graduate year of medical residency 
                during the taxable year; and
                    ``(B) 25 percent of the per resident dollar amount 
                multiplied by the average number of such residents who 
                are not counted under subparagraph (A) and are in their 
                second post-graduate year during the taxable year.
    ``(b) Qualified Small Physician Practice.--For purposes of this 
section, the term `qualified small physician practice' means any trade 
or business of providing physicians' services (as defined in section 
1861(q) of the Social Security Act), which may be a community health 
center, that is owned and operated by a doctor of medicine or 
osteopathy if fewer than 50 individuals are employed in such trade or 
business (including new training sites) and the trade or business 
includes as part of the practice the training of doctors of medicine or 
osteopathy in a rotation covering at least 6 months in the taxable 
year. All persons treated as a single employer under subsection (a) or 
(b) or section 52 or subsection (m) or (o) of section 414 shall be 
treated as a single trade or business for purposes of the preceding 
sentence.
    ``(c) Qualified Teaching Hospital Residents.--For purposes of this 
section, the term `qualified teaching hospital resident' means any 
resident (within the meaning of subparagraph (I) of section 1886(h)(5) 
of the Social Security Act) in an approved medical residency training 
program (as defined in subparagraph (A) of such section) which provides 
services to the qualified small physician practice (while utilizing the 
technologies and supplies of such practice) for a period not less 
than--
            ``(1) 4 weeks in the case of a primary care resident (as 
        defined in subparagraph (H) of such section); or
            ``(2) 2 weeks in the case of any other resident.
    ``(d) Per Resident Dollar Amount.--For purposes of this section, 
the term `per resident dollar amount' means, in the case of a qualified 
small physician practice that includes as part of the practice the 
training of doctors of medicine or osteopathy in a rotation covering--
            ``(1) at least 6 months but less than 9 months in the 
        taxable year, $2,500; or
            ``(2) at least 9 months in the taxable year, $3,000.
    ``(e) Residents Not Taken Into Account More Than Once.--A qualified 
teaching hospital resident shall be taken into account under subsection 
(a) for the taxable in which the period described in subsection (c) 
ends and shall not be so taken into account for any other taxable 
year.''.
    (b) Credit Allowed as Part of General Business Credit.--Section 
38(b) of such Code (defining current year business credit) is amended 
by striking ``plus'' at the end of paragraph (35), by striking the 
period at the end of paragraph (36) and inserting ``, plus'', and by 
adding at the end the following new paragraph:
            ``(37) the small physician practice residency credit 
        determined under section 45S(a).''.
    (c) Conforming Amendment.--The table of sections for subpart D of 
part IV of subchapter A of chapter 1 of such Code is amended by adding 
at the end the following new item:

``Sec. 45S. Small physician practice residency credit.''.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after the date of the enactment of 
this Act.

A: Improving Physician Access in Teaching Hospitals (PATH) Act of 2011 - Amends title XVIII (Medicare) of the Social Security Act with respect to distribution of additional resident positions as they affect calculation of payments for direct graduate medical education (DME) costs.

States that, if a hospital's resident level for each of the five most recent cost reporting periods is less than the otherwise applicable resident limit, then the otherwise applicable resident limit shall be reduced by the difference between it and the highest reference resident level for any of those five cost reporting periods. Excepts from this reduction requirement a hospital: (1) located in a rural area with fewer than 250 beds, or (2) that has had in effect a voluntary residency reduction plan.

Requires the Secretary of Health and Human Services (HHS) to increase the otherwise applicable resident limit (create additional residency slots) for applicant hospitals according to a specified formula that takes into account the aggregate reduction in limits attributable to this Act.

Expands the primary care bonus to certain underserved specialties, such as psychiatry or neurology.

Amends the Internal Revenue Code to allow a small physician practice residency credit.
****
Q: SECTION 1. FINDINGS.

    Congress finds the following:
            (1) It is in the national interest that all citizens, 
        including active-duty service members, be allowed to vote in 
        Federal elections.
            (2) Since 1977, active-duty service members serving 
        overseas or on the United States mainland have been excluded 
        from fully participating and voting in both general and runoff 
        Federal elections in American Samoa due to several factors, 
        including local law that requires active duty military members 
        to register in person, limited air and mail service between the 
        U.S. mainland and American Samoa, and delays in the preparation 
        of new ballots in the case of runoff elections.
            (3) American Samoa law requiring uniformed service voters 
        to register to vote in person is contrary to the Uniformed and 
        Overseas Citizens Absentee Voting Act (42 U.S.C. 1973ff et 
        seq.).
            (4) The Uniformed and Overseas Citizens Absentee Voting Act 
        has been in effect for over 15 years, and American Samoa has 
        not addressed this discrepancy between Federal and territorial 
        law, despite notice that the discrepancy exists.
            (5) It is necessary to take additional action to ensure 
        that the votes of uniformed voters are counted in Federal 
        elections conducted in American Samoa and that active duty 
        service members (including reservists called to active duty) do 
        not need to appear in person to register to vote.
            (6) It is necessary to state that the Uniformed and 
        Overseas Citizens Absentee Voting Act supersedes American Samoa 
        law and American Samoa must comply with this Federal law.
            (7) It is also in the national interest that, to the extent 
        possible, Members of the United States House of Representatives 
        and non-voting Delegates be elected in the first week of 
        November in even-numbered years.
            (8) Since 1980, when the first election for the 
        Congressional Delegate from American Samoa was held, there have 
        been several general elections at which there was no final 
        resolution of who was elected as the Delegate for the next 
        Congress, and run-off elections were required.
            (9) When the outcome of the Delegate election is not 
        resolved until a runoff election is held, a final determination 
        of who the Delegate will be is not made known until late 
        November.
            (10) A delayed outcome may place a newly elected Delegate 
        in a more junior position to other Members of Congress elected 
        on the first Tuesday after the first Monday of November in an 
        election year.
            (11) When more than 2 candidates file to run for election 
        for the office of Delegate, holding a primary election to 
        reduce the number of candidates to 2 will greatly increase the 
        likelihood that the general election will produce a candidate 
        who receives a majority of the votes cast.

SEC. 2. PRIMARY ELECTION REQUIRED.

    Section 2(a) of the Act entitled ``An Act to provide that the 
Territory of American Samoa be represented by a nonvoting Delegate to 
the United States House of Representatives, and for other purposes'', 
approved October 31, 1978 (48 U.S.C. 1732(a)) is amended--
            (1) by inserting ``(1)'' after ``(a)''; and
            (2) by adding at the end the following new paragraphs:
    ``(2) In any general election year when 3 or more eligible 
individuals file by the first Tuesday of July as candidates for the 
office of Delegate, a primary election shall be held on the first 
Tuesday of August of that general election year. If the primary 
election results in 1 candidate receiving more than 50 percent of the 
votes cast, then that candidate shall be the only candidate on the 
ballot for the general election for Delegate that year. If the primary 
election results in no candidate receiving more than 50 percent of the 
votes cast, then the 2 candidates receiving the most votes cast shall 
be on the ballot for the general election year. If there is a tie for 
the 2 candidates receiving the most votes, the names of the 2 
candidates shall be listed on the ballot for that general election 
year.
    ``(3) Candidates for the office of Delegate to the United States 
House of Representatives must file their candidacy not later than the 
first Tuesday of July each year that a general election referred to in 
paragraph (1) is scheduled to be held.''.

SEC. 3. CONFORMING AMENDMENTS.

    Section 4 of the Act entitled ``An Act to provide that the 
Territory of American Samoa be represented by a nonvoting Delegate to 
the United States House of Representatives, and for other purposes'', 
approved October 31, 1978 (48 U.S.C. 1734), is amended by inserting 
``in a general Federal election'' after ``ties between candidates''.

SEC. 4. EFFECTIVE DATE.

    The amendments made by this Act shall take effect on January 1, 
2003.

A: Declares that it is necessary to state that the Uniformed and Overseas Citizens Absentee Voting Act supersedes American Samoa law and American Samoa must comply with it.Requires a primary election to be held in American Samoa on the first Tuesday of August of any general election year when three or more eligible individuals have filed by the first Tuesday of July as candidates for the office of Delegate representing American Samoa in the U.S. House of Representatives.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Comprehensive Holocaust 
Accountability in Insurance Measure''.

    TITLE I--PROVISIONS APPLICABLE WITH RESPECT TO CERTAIN FOREIGN 
                          INSURANCE COMPANIES

SEC. 101. PROHIBITION.

    (a) In General.--Any foreign insurance company listed in subsection 
(b) may not conduct any form of business in the United States, 
including participating, directly or indirectly, in any aspect of the 
payment system within the jurisdiction of the United States (including 
any clearing or electronic fund transfer system) or conducting any 
business with a United States bank, unless the company discloses to the 
Attorney General, in accordance with subsection (c), the name of any 
individual with which the company had any financial dealing and which 
is on the list of Jewish Holocaust Survivors maintained by the United 
States Holocaust Memorial Museum in Washington, D.C., or the list of 
individuals who died in the Holocaust maintained by the Yad Veshem of 
Jerusalem in its Hall of Names.
    (b) Insurance Companies.--The foreign insurance companies referred 
to in subsection (a) are as follows:
            (1) Assicurazioni Generali S.p.A.
            (2) Union Des Assurances de Paris.
            (3) Victoria Lebenversicherungs AG.
            (4) Winterthur Lebensversicherungs Gesellschaft.
            (5) Allianz Lebensversicherungs AG.
            (6) Wiener Allianz Versicherungs AG.
            (7) Riunione Adriatica di Sicurta.
            (8) Vereinte Lebensversicherungs AG.
            (9) Basler Lebens-Versicherungs Gesellschaft.
            (10) Deutscher Ring Lebensversicherungs AG.
            (11) Nordstern Lebensversicherungs AG.
            (12) Gerling Konzern Lebensversicherungs AG.
            (13) Manheimer Lebensversicherung AG.
            (14) Der Anker.
            (15) Allgemeine Versicherungs AG.
            (16) Zuerich Lebensversicherungs Gesellschaft.
            (17) Any other foreign insurance company which was in a 
        position to have financial dealings with any individual who was 
        subject to the Holocaust.
    (c) Attorney General.--The Attorney General shall designate an 
office in the Department of Justice to which disclosures shall be made 
in accordance with subsection (a). Such office shall take such action 
as may be appropriate to make the disclosures available to the public.

 TITLE II--PROVISIONS APPLICABLE TO UNITED STATES BANKING INSTITUTIONS

SEC. 201. LIMITATION ON INSURED DEPOSITORY INSTITUTIONS.

    (a) In General.--Section 18 of the Federal Deposit Insurance Act 
(12 U.S.C. 1828) is amended by adding at the end the following new 
subsection:
    ``(t) Prohibition on Transactions With Certain Insurance Companies 
or Their Affiliates.--
            ``(1) In general.--No insured depository institution may 
        accept any deposit from, maintain any deposit on behalf of, 
        offer or provide payment services to or on behalf of, 
        participate directly or indirectly in any aspect of the payment 
        system (including any clearing or electronic fund transfer 
        system) for or on behalf of, hold any credit balance for, make 
        any loan or other extension of credit to or for the benefit of, 
        or engage in any other financial activity or transaction with 
        or on behalf of any foreign insurance company listed in section 
        101(b) (including any company the Attorney General determines 
        is described in paragraph (17) of such section) or any 
        affiliate of such company during the period beginning 15 days 
        after the enactment of the Comprehensive Holocaust 
        Accountability in Insurance Measure and ending on the date on 
        which the Attorney General provides notice through publication 
        in the Federal Register that such company has complied with the 
        disclosure requirements contained in section 101(a) of such 
        Act.
            ``(2) Limited exception for affiliates.--
                    ``(A) In general.--If an insured depository 
                institution is itself an affiliate of a foreign 
                insurance company described in paragraph (1), paragraph 
                (1) shall not apply so as to prohibit--
                            ``(i) the payment of dividends on any 
                        shares of stock in such insured depository 
                        institution which are held by the foreign 
                        insurance company or any affiliate of such 
                        company; or
                            ``(ii) the investment of additional capital 
                        in such insured depository institution by the 
                        foreign insurance company or affiliate.
                    ``(B) Regulations.--Any payment or investment 
                described in subparagraph (A) shall be subject to, and 
                shall be made in accordance with, such regulations, 
                including any limitation, as the Attorney General or 
the appropriate Federal banking agency may prescribe.''.

SEC. 202. LIMITATION ON UNINSURED BRANCHES, AGENCIES, AND COMMERCIAL 
              LENDING COMPANY AFFILIATES OF FOREIGN BANKS.

    Section 7 of the International Banking Act of 1978 (12 U.S.C. 3105) 
is amended by adding at the end the following new subsection:
    ``(t) Prohibition on Transactions With Certain Insurance Companies 
or Their Affiliates.--
            ``(1) In general.--No branch, agency, or commercial lending 
        company which is controlled by a foreign bank may accept any 
        deposit from, maintain any deposit on behalf of, offer or 
        provide payment services to, participate directly or indirectly 
        in any aspect of the payment system (including any clearing or 
        electronic fund transfer system) for or on behalf of, hold any 
        credit balance for, make any loan or other extension of credit 
        to or for the benefit of, or engage in any other financial 
        activity or transaction with or on behalf of any foreign 
        insurance company listed in section 101(b) (including any 
        company the Attorney General determines is described in 
        paragraph (17) of such section) or any affiliate of such 
        company during the period beginning 15 days after the enactment 
        of the Comprehensive Holocaust Accountability in Insurance 
        Measure and ending on the date on which the Attorney General 
        provides notice through publication in the Federal Register 
        that such company has complied with the disclosure requirements 
        contained in section 101(a) of such Act.
            ``(2) Limited exception for affiliates.--
                    ``(A) In general.--If a branch, agency, or 
                commercial lending company which is controlled by a 
                foreign bank is itself an affiliate of a foreign 
                insurance company described in paragraph (1), paragraph 
                (1) shall not apply so as to prohibit--
                            ``(i) the payment of dividends on any 
                        shares of stock or a similar investment in such 
                        branch, agency, or company which are held by 
                        the foreign insurance company or any affiliate 
                        of such company; or
                            ``(ii) the investment of additional capital 
                        in branch, agency, or company by the foreign 
                        insurance company or affiliate.
                    ``(B) Regulations.--Any payment or investment 
                described in subparagraph (A) shall be subject to, and 
                shall be made in accordance with, such regulations, 
                including any limitation, as the Attorney General, the 
                Board, the Comptroller of the Currency, or the Federal 
                Deposit Insurance Corporation may prescribe.''.

A:
TABLE OF CONTENTS: 
     Title I:  Provisions Applicable with Respect to Certain 
          Foreign Insurance Companies 
     Title II:  Provisions Applicable to United States Banking 
          Institutions 
Comprehensive Holocaust Accountability in Insurance Measure - 
Title I:  Provisions Applicable with Respect To Certain Foreign Insurance Companies
 - Identifies those foreign insurance companies which, as a prerequisite to conducting any form of business in the United States (or with a U.S. bank), must first disclose to the Attorney General the name of any individual with whom such companies had any financial dealing and who is on the list of Jewish Holocaust Survivors maintained by the United States Holocaust Museum in Washington D.C., or the list of individuals who died in the Holocaust maintained by the Yad Veshem of Jerusalem in its Hall of Names. 
Directs the Attorney General to designate an office in the Department of Justice:  (1) to which such disclosures shall be made; and (2) which shall make such names public.  
    Title II:  Provisions Applicable To United States Banking Institutions
 - Amends the Federal Deposit Insurance Act and the International Banking Act of 1978 to prohibit insured depository institutions and foreign bank-controlled commercial lending companies (with a limited exception for affiliates of foreign insurance companies) from engaging in specified financial transactions with or on behalf of a foreign insurance company listed under title I (including any affiliate) during a specified period until the Attorney General publishes in the Federal Register that such company has complied with the disclosure requirements of this Act.
****