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Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Educational Empowerment Act''.

SEC. 2. DESIGNATION OF EDUCATIONAL EMPOWERMENT ZONES.

(a) In General.--Chapter 1 of the Internal Revenue Code of 1986 is
amended by adding at the end the following new subchapter:

''Subchapter X--Educational Empowerment Zones

''Sec. 1400E. Designation of educational empowerment zones.

''SEC. 1400E. DESIGNATION OF EDUCATIONAL EMPOWERMENT ZONES.

''(a) Designation.--
''(1) Educational empowerment zone.--For purposes of this
title, the term 'educational empowerment zone' means any area--
''(A) which is nominated by one or more local
governments and the State or States in which it is
located for designation as an educational empowerment
zone (hereinafter in this section referred to as a
'nominated area'), and
''(B) which the Secretary of Health and Human
Services and the Secretary of Education (hereinafter in
this section referred to as the 'Secretaries
concerned') jointly designate as an educational
empowerment zone.
''(2) Number of designations.--The Secretaries concerned
may designate not more than 30 nominated areas as educational
empowerment zones.
''(3) Areas designated based on degree of poverty, etc.--
Except as otherwise provided in this section, the nominated
areas designated as educational empowerment zones under this
subsection shall be those nominated areas with the highest
average ranking with respect to the criteria described in
subsection (c)(3). For purposes of the preceding sentence, an
area shall be ranked within each such criterion on the basis of
the amount by which the area exceeds such criterion, with the
area which exceeds such criterion by the greatest amount given
the highest ranking.
''(4) Limitation on designations.--
''(A) Publication of regulations.--The Secretaries
concerned shall prescribe by regulation no later than 4
months after the date of the enactment of this
section--
''(i) the procedures for nominating an area
under paragraph (1)(A).
''(ii) the parameters relating to the size
and population characteristics of an
educational empowerment zone, and
''(iii) the manner in which nominated areas
will be evaluated based on the criteria
specified in subsection (c).
''(B) Time limitations.--The Secretaries concerned
may designate nominated areas as educational
empowerment zones only during the 24-month period
beginning on the first day of the first month following
the month in which the regulations described in
subparagraph (A) are prescribed.
''(C) Procedural rules.--The Secretaries concerned
shall not make any designation of a nominated area as
an educational empowerment zone under paragraph (2)
unless--
''(i) a nomination regarding such area is
submitted in such a manner and in such form,
and contains such information, as the
Secretaries concerned shall by regulation
prescribe, and
''(ii) the Secretaries concerned determine
that any information furnished is reasonably
accurate.
''(5) Nomination process for indian reservations.--For
purposes of this subchapter, in the case of a nominated area on
an Indian reservation, the reservation governing body (as
determined by the Secretary of the Interior) shall be treated
as being both the State and local governments with respect to
such area.
''(b) Period for Which Designation is in Effect.--Any designation
of an area as an educational empowerment zone shall remain in effect
during the period beginning on the date of the designation and ending
on the earliest of--
''(1) December 31, 2007,
''(2) the termination date designated by the State and
local governments in their nomination, or
''(3) the date the Secretaries concerned revoke such
designation.
''(c) Area and Eligibility Requirements.--
''(1) In general.--The Secretary of Commerce may designate
a nominated area as an educational empowerment zone under
subsection (a) only if the area meets the requirements of
paragraphs (2) and (3) of this subsection.
''(2) Area requirements.--For purposes of paragraph (1), a
nominated area meets the requirements of this paragraph if--
''(A) the area is within the jurisdiction of one or
more local governments,
''(B) the boundary of the area is continuous, and
''(C) the area does not include an empowerment zone
(as defined in section 1393(b)) other than such a zone
designated under section 1391(g).
''(3) Eligibility requirements.--For purposes of paragraph
(1), a nominated area meets the requirements of this paragraph
if the State and the local governments in which it is located
certify that the nominated area satisfies such conditions as
the Secretary of Education deems appropriate.
''(4) Consideration of dropout rate, etc.--The Secretary of
Education, in setting forth the conditions for eligibility
pursuant to paragraph (3), shall take into account the extent
to which an area has low-income families, a high dropout rate,
a high rate of teen pregnancy, and large school class size.
''(d) Coordination With Treatment of Enterprise Communities.--For
purposes of this title, if there are in effect with respect to the same
area both--
''(1) a designation as an educational empowerment zone, and
''(2) a designation as an enterprise community,
both of such designations shall be given full effect with respect to
such area.
''(e) Definitions and Special Rules.--For purposes of this
subchapter, rules similar to the rules of paragraphs (2), (3), (5), and
(7) of section 1393 shall apply.''.
(b) Clerical Amendment.--The table of subchapters for chapter 1 is
amended by adding at the end the following new item:

''Subchapter X. Educational Empowerment
Zones.''.

SEC. 3. CREDIT FOR DONATIONS TO SCHOOL DISTRICTS IN EDUCATIONAL
EMPOWERMENT ZONES.

(a) In General.--Subpart B of part IV of subchapter A of chapter 1
of the Internal Revenue Code of 1986 is amended by inserting after
section 30A the following new section

''SEC. 30B. CONTRIBUTIONS TO SCHOOL DISTRICTS IN EDUCATIONAL
EMPOWERMENT ZONES.

''(a) Allowance of Credit.--There shall be allowed as a credit
against the tax imposed by this chapter for the taxable year an amount
equal to the amount of qualified educational empowerment zone
contributions made by the taxpayer during such year.
''(b) Maximum Credit.--The amount of the credit allowed by
subsection (a)--
''(1) in the case of an individual, shall not exceed
$2,000, and
''(2) in the case of any other taxpayer, shall not exceed
$10,000.
''(c) Definition of Qualified Educational Empowerment Zone
Contributions.--For purposes of this section, the term 'qualified
educational empowerment zone contributions' means cash contributions
made to any school district located in an educational empowerment zone
(as designated under section 1400E) if such contributions--
''(1) but for subsection (d), would be allowable as a
deduction under section 170, and
''(2) are used for any of the following purposes by the
school district:
''(A) Hiring new teachers.
''(B) Increasing teacher salaries.
''(C) Training teachers.
''(d) Denial of Double Benefit.--No deduction shall be allowed
under this chapter for any contribution taken into account in computing
the credit under this section.
''(e) Election.--This section shall apply to any taxpayer for any
taxable year only if such taxpayer elects (at such time and in such
manner as the Secretary may by regulations prescribe) to have this
section apply for such taxable year.
''(f) Application With Other Credits; Carryover of Excess Credit.--
The credit allowed by subsection (a) for any taxable year shall not
exceed the excess (if any) of--
''(1) the regular tax for the taxable year reduced by the
sum of the credits allowable under subpart A and the preceding
sections of this subpart, over
''(2) the tentative minimum tax for the taxable year.
If the credit under subsection (a) exceeds the limitation of the
preceding sentence, such excess shall be added to the credit allowable
under subsection (a) for the succeeding taxable year.''.
(b) Clerical Amendment.--The table of sections for subpart B of
part IV of subchapter A of chapter 1 of such Code is amended by
inserting after the item relating to section 30A the following new
item:

''Sec. 30B. Contributions to school districts in educational
empowerment zones.''.
(c) Effective Date.--The amendments made by this section shall
apply to taxable years beginning after December 31, 2003.

SEC. 4. TEACHER LOAN FORGIVENESS PROGRAM.

Part B of title IV of the Higher Education Act of 1965 is amended
by inserting after section 428K (20 U.S.C. 1078-11) the following new
section:

''SEC. 428L. LOAN FORGIVENESS FOR MATHEMATICS AND SCIENCE TEACHERS.

''(a) Purpose.--It is the purpose of this section to encourage more
individuals to enter and stay in the field of teaching mathematics,
science, and related fields.
''(b) Program.--
''(1) In general.--The Secretary shall carry out a program
of assuming the obligation to repay, pursuant to subsection
(c), a loan made, insured, or guaranteed under this part or
part D (excluding loans made under sections 428B and 428C or
comparable loans made under Part D) for any new borrower after
October 12, 1998, who--
''(A) has been employed as a full-time teacher for
3 consecutive complete school years in a school that is
located in an educational empowerment zone, as such
term is defined in section 1400E of the Internal
Revenue Code of 1986;
''(B) is a fully qualified teacher; and
''C) is not in default on a loan for which the
borrower seeks forgiveness.
''(2) Award basis; priority.--
''(A) Award basis.--Subject to subparagraph (B),
loan repayment under this section shall be on a first-
come, first-served basis and subject to the
availability of appropriations.
''(B) Priority.--The Secretary shall give priority
in providing loan repayment under this section for a
fiscal year to student borrowers who received loan
repayment under this section for the preceding fiscal
year.
''(3) Regulations.--The Secretary is authorized to
prescribe such regulations as may be necessary to carry out the
provisions of this section.
''(c) Loan Repayment.--
''(1) Eligible amount.--The amount the Secretary may repay
on behalf of any individual under this section shall not
exceed--
''(A) 80 percent of the sum of the principal
amounts outstanding of the individual's qualifying
loans at the end of 3 consecutive complete school years
of service described in subsection (b)(1)(A);
''(B) an additional 10 percent of such sum at the
end of each of the next 2 consecutive complete school
years of such service; and
''(C) a total of more than $10,000.
''(2) Construction.--Nothing in this section shall be
construed to authorize the refunding of any repayment of a loan
made under this part or part D.
''(3) Interest.--If a portion of a loan is repaid by the
Secretary under this section for any year, the proportionate
amount of interest on such loan which accrues for such year
shall be repaid by the Secretary.
''(4) Double benefits prohibited.--No borrower may, for the
same service, receive a benefit under both this section and
subtitle D of title I of the National and Community Service Act
of 1990 (42 U.S.C. 12601 et seq.). No borrower may receive a
reduction of loan obligations under both this section and
section 428J or 460.
''(d) Repayment to Eligible Lenders.--The Secretary shall pay to
each eligible lender or holder for each fiscal year an amount equal to
the aggregate amount of loans which are subject to repayment pursuant
to this section for such year.
''(e) Application for Repayment.--
''(1) In general.--Each eligible individual desiring loan
repayment under this section shall submit a complete and
accurate application to the Secretary at such time, in such
manner, and containing such information as the Secretary may
require.
''(2) Conditions.--An eligible individual may apply for
loan repayment under this section after completing the required
number of years of qualifying employment.
''(3) Fully qualified teachers.--An application for loan
repayment under this section shall include such information as
is necessary to demonstrate that the applicant--
''(A) if teaching in a public elementary or
secondary school (other than as a teacher in a public
charter school), has obtained State certification as a
teacher (including certification obtained through
alternative routes to certification) or passed the
State teacher licensing exam and holds a license to
teach in such State; and
''(B) if teaching in--
''(i) an elementary school, holds a
bachelor's degree and demonstrates knowledge
and teaching skills in reading, writing,
mathematics, science, and other areas of the
elementary school curriculum; or
''(ii) a middle or secondary school, holds
a bachelor's degree and demonstrates a high
level of competency in all subject areas in
which he or she teaches through--
''(I) a high level of performance
on a rigorous State or local academic
subject areas test; or
''(II) completion of an academic
major in each of the subject areas in
which he or she provides instruction.
''(f) Evaluation.--
''(1) In general.--The Secretary shall conduct, by grant or
contract, an independent national evaluation of the impact of
the program assisted under this section.
''(2) Competitive basis.--The grant or contract described
in subsection (b) shall be awarded on a competitive basis.
''(3) Contents.--The evaluation described in this
subsection shall--
''(A) determine the number of individuals who were
encouraged by the program assisted under this section
to pursue teaching careers;
''(B) determine the number of individuals who
remain employed in teaching mathematics, science, or
related fields as a result of participation in the
program;
''(C) identify the barriers to the effectiveness of
the program;
''(D) assess the cost-effectiveness of the program;
and
''(E) identify the number of years each individual
participates in the program.
''(4) Interim and final evaluation reports.--The Secretary
shall prepare and submit to the President and the Congress such
interim reports regarding the evaluation described in this
subsection as the Secretary deems appropriate, and shall
prepare and so submit a final report regarding the evaluation
by January 1, 2006''.

Answer: Educational Empowerment Act - Amends the Internal Revenue Code to allow a tax credit for qualified educational empowerment zone contributions. Allows the designation of up to 30 such zones. Bases designations on the degree of poverty.Establishes a teacher loan forgiveness program for mathematics and science teachers.

Question: SECTION 1. TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR CHILD VICTIMS OF
DOMESTIC VIOLENCE, STALKING, OR SEXUAL ASSAULT.

Subtitle B of the Violence Against Women Act of 1994 (42 U.S.C.
13701 note; 108 Stat. 1925) is amended by adding at the end the
following:

''CHAPTER 11--TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR CHILD VICTIMS
OF DOMESTIC VIOLENCE, STALKING, OR SEXUAL ASSAULT

''SEC. 40299. TRANSITIONAL HOUSING ASSISTANCE GRANTS FOR CHILD VICTIMS
OF DOMESTIC VIOLENCE, STALKING, OR SEXUAL ASSAULT.

''(a) In General.--The Attorney General, acting in consultation
with the Director of the Violence Against Women Office of the
Department of Justice, shall award grants under this section to States,
units of local government, Indian tribes, and other organizations
(referred to in this section as the 'recipient') to carry out programs
to provide assistance to minors, adults, and their dependents--
''(1) who are homeless, or in need of transitional housing
or other housing assistance, as a result of fleeing a situation
of domestic violence; and
''(2) for whom emergency shelter services or other crisis
intervention services are unavailable or insufficient.
''(b) Grants.--Grants awarded under this section may be used for
programs that provide--
''(1) short-term housing assistance, including rental or
utilities payments assistance and assistance with related
expenses such as payment of security deposits and other costs
incidental to relocation to transitional housing for persons
described in subsection (a); and
''(2) support services designed to enable a minor, an
adult, or a dependent of such minor or adult, who is fleeing a
situation of domestic violence to--
''(A) locate and secure permanent housing; and
''(B) integrate into a community by providing that
minor, adult, or dependent with services, such as
transportation, counseling, child care services, case
management, employment counseling, and other
assistance.
''(c) Duration.--
''(1) In general.--Except as provided in paragraph (2), a
minor, an adult, or a dependent, who receives assistance under
this section shall receive that assistance for not more than 18
months.
''(2) Waiver.--The recipient of a grant under this section
may waive the restriction under paragraph (1) for not more than
an additional 6 month period with respect to any minor, adult,
or dependent, who--
''(A) has made a good-faith effort to acquire
permanent housing; and
''(B) has been unable to acquire permanent housing.
''(d) Application.--
''(1) In general.--Each eligible entity desiring a grant
under this section shall submit an application to the Attorney
General at such time, in such manner, and accompanied by such
information as the Attorney General may reasonably require.
''(2) Contents.--Each application submitted pursuant to
paragraph (1) shall--
''(A) describe the activities for which assistance
under this section is sought; and
''(B) provide such additional assurances as the
Attorney General determines to be essential to ensure
compliance with the requirements of this section.
''(3) Application.--Nothing in this subsection shall be
construed to require--
''(A) victims to participate in the criminal
justice system in order to receive services; or
''(B) domestic violence advocates to breach client
confidentiality.
''(e) Report to the Attorney General.--
''(1) In general.--A recipient of a grant under this
section shall annually prepare and submit to the Attorney
General a report describing--
''(A) the number of minors, adults, and dependents
assisted under this section; and
''(B) the types of housing assistance and support
services provided under this section.
''(2) Contents.--Each report prepared and submitted
pursuant to paragraph (1) shall include information regarding--
''(A) the amount of housing assistance provided to
each minor, adult, or dependent, assisted under this
section and the reason for that assistance;
''(B) the number of months each minor, adult, or
dependent, received assistance under this section;
''(C) the number of minors, adults, and dependents
who--
''(i) were eligible to receive assistance
under this section; and
''(ii) were not provided with assistance
under this section solely due to a lack of
available housing; and
''(D) the type of support services provided to each
minor, adult, or dependent, assisted under this
section.
''(f) Report to Congress.--
''(1) Reporting requirement.--The Attorney General, with
the Director of the Violence Against Women Office, shall
annually prepare and submit to the Committee on the Judiciary
of the House of Representatives and the Committee on the
Judiciary of the Senate a report that contains a compilation of
the information contained in the report submitted under
subsection (e).
''(2) Availability of report.--In order to coordinate
efforts to assist the victims of domestic violence, the
Attorney General, in coordination with the Director of the
Violence Against Women Office, shall transmit a copy of the
report submitted under paragraph (1) to--
''(A) the Office of Community Planning and
Development at the United States Department of Housing
and Urban Development; and
''(B) the Office of Women's Health at the United
States Department of Health and Human Services.
''(g) Authorization of Appropriations.--
''(1) In general.--There are authorized to be appropriated
to carry out this section $30,000,000 for each of the fiscal
years 2004 through 2008.
''(2) Limitations.--Of the amount made available to carry
out this section in any fiscal year, not more than 3 percent
may be used by the Attorney General for salaries and
administrative expenses.
''(3) Minimum amount.--
''(A) In general.--Except as provided in
subparagraph (B), unless all eligible applications
submitted by any States, units of local government,
Indian tribes, or organizations within a State for a
grant under this section have been funded, that State,
together with the grantees within the State (other than
Indian tribes), shall be allocated in each fiscal year,
not less than 0.75 percent of the total amount
appropriated in the fiscal year for grants pursuant to
this section.
''(B) Exception.--The United States Virgin Islands,
American Samoa, Guam, and the Northern Mariana Islands
shall each be allocated not less than 0.25 percent of
the total amount appropriated in the fiscal year for
grants pursuant to this section.''.

Answer: Amends the Violence Against Women Act of 1994 to require the Attorney General to award grants to States, units of local government, Indian tribes, and other organizations to carry out programs to provide short-term housing assistance and related support services to minors, adults, and their dependents: (1) who are homeless, or in need of transitional housing or other housing assistance, as a result of fleeing a situation of domestic violence; and (2) for whom emergency shelter services or other crisis intervention services are unavailable or insufficient.

Limits the duration of such assistance to an 18-month period, except that a grant recipient may extend such assistance for an additional six-month period with respect to any minor, adult, or dependent who has been unable to acquire permanent housing despite a good-faith effort to do so.

Question: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Graduate Medical Education Reform
Act of 2012''.

SEC. 2. MEDICARE INDIRECT MEDICAL EDUCATION PERFORMANCE ADJUSTMENT.

Section 1886 of the Social Security Act (42 U.S.C. 1395ww) is
amended by adding at the end the following new subsection:
''(t) Indirect Medical Education Performance Adjustments.--
''(1) In general.--Subject to the succeeding provisions of
this subsection, the Secretary shall establish and implement
procedures under which the amount of payments that a hospital
(as defined in paragraph (11)(A)) would otherwise receive for
indirect medical education costs under subsection (d)(5)(B) for
discharges occurring during a fiscal year is adjusted based on
the reporting of measures and the performance of the hospital
on measures of patient care priorities specified by the
Secretary.
''(2) Adjustments to begin in fiscal year 2017.--The
adjustments shall apply to payments for discharges occurring--
''(A) with respect to the adjustments for reporting
under paragraph (8)(A), during fiscal year 2017; and
''(B) with respect to the adjustments for
performance under paragraph (8)(B), on or after October
1, 2017.
''(3) Measures.--The measures of patient care priorities
specified by the Secretary under this subsection shall include
the extent of training provided in--
''(A) the delivery of services categorized as
evaluation and management codes by the Centers for
Medicare & Medicaid Services;
''(B) a variety of settings and systems;
''(C) the coordination of patient care across
settings;
''(D) the relevant cost and value of various
diagnostic and treatment options;
''(E) interprofessional and multidisciplinary care
teams;
''(F) methods for identifying system errors and
implementing system solutions; and
''(G) the use of health information technology.
''(4) Measure development process.--
''(A) In general.--The measures of patient care
specified by the Secretary under this subsection--
''(i) shall--
''(I) be measures that have been
adopted or endorsed by an accrediting
organization (such as the Accreditation
Council for Graduate Medical Education
or the Commission on Osteopathic
College Accreditation); and
''(II) be measures that the
Secretary identifies as having used a
consensus-based process for developing
such measures; and
''(ii) may include measures that have been
submitted by teaching hospitals, medical
schools, and other stakeholders.
''(B) Proposed set of initial measures.--Not later
than July 1, 2014, the Secretary shall publish in the
Federal Register a proposed initial set of measures for
use under this subsection. The Secretary shall provide
for a period of public comment on such measures.
''(C) Final set of initial measures.--Not later
than January 1, 2015, the Secretary shall publish in
the Federal Register the set of initial measures to be
specified by the Secretary for use under this
subsection.
''(D) Update of measures.--The Secretary may,
through notice and comment rulemaking, periodically
update the measures specified under this subsection
pursuant to the requirements under subparagraph (A).
''(5) Performance standards.--The Secretary shall establish
performance standards with respect to measures specified by the
Secretary under this subsection for a performance period for a
fiscal year (as established under paragraph (6)).
''(6) Performance period.--The Secretary shall establish
the performance period for a fiscal year. Such performance
period shall begin and end prior to the beginning of such
fiscal year.
''(7) Reporting of measures.--The procedures established
and implemented under paragraph (1) shall include a process
under which hospitals shall submit data on the measures
specified by the Secretary under this subsection to the
Secretary in a form and manner, and at a time, specified by the
Secretary for purposes of this subsection.
''(8) Adjustments.--
''(A) Reporting for fiscal year 2017.--For fiscal
year 2017, in the case of a hospital that does not
submit, to the Secretary in accordance with this
subsection, data required to be submitted under
paragraph (7) for a period (determined appropriate by
the Secretary) for such fiscal year, the total amount
that the hospital would otherwise receive under
subsection (d)(5)(B) for discharges in such fiscal year
shall be reduced by 0.5 percent.
''(B) Performance for fiscal year 2018 and
subsequent fiscal years.--
''(i) In general.--Subject to clause (ii),
based on the performance of each hospital with
respect to compliance with the measures for a
performance period for a fiscal year (beginning
with fiscal year 2018), the Secretary shall
determine the amount of any adjustment under
this subparagraph to payments to the hospital
under subsection (d)(5)(B) for discharges in
such fiscal year. Such adjustment may not
exceed an amount equal to 3 percent of the
total amount that the hospital would otherwise
receive under such subsection for discharges in
such fiscal year.
''(ii) Budget neutral.--In making
adjustments under this subparagraph, the
Secretary shall ensure that the total amount of
payments made to all hospitals under subsection
(d)(5)(B) for discharges in a fiscal year is
equal to the total amount of payments that
would have been made to such hospitals under
such subsection for discharges in such fiscal
year if this subsection had not been enacted.
''(9) No effect in subsequent fiscal years.--Any adjustment
under subparagraph (A) or (B) of paragraph (8) shall apply only
with respect to the fiscal year involved, and the Secretary
shall not take into account any such adjustment in making
payments to a hospital under this section in a subsequent
fiscal year.
''(10) Evaluation of submission of performance measures.--
Not later January 1, 2017, the Secretary shall submit to
Congress a report on the implementation of this subsection,
including--
''(A) the measure development procedures, including
any barriers to measure development;
''(B) the compliance with reporting on the
performance measures, including any barriers to such
compliance; and
''(C) recommendations to address any barriers
described in subparagraph (A) or (B).
''(11) Definition of hospital.--In this subsection, the
term 'hospital' means a hospital the receives payments under
subsection (d)(5)(B).''.

SEC. 3. INCREASING GRADUATE MEDICAL EDUCATION TRANSPARENCY.

(a) In General.--Not later than 2 years after the date of the
enactment of this Act, and annually thereafter, the Secretary of Health
and Human Services shall submit to Congress and the National Health
Care Workforce Commission a report on the graduate medical education
payments that hospitals receive under the Medicare program. The report
shall include the following information with respect to each hospital
that receives such payments:
(1) The direct graduate medical education payments made to
the hospital under section 1886(h) of the Social Security Act
(42 U.S.C. 1395ww(h)).
(2) The total costs of direct graduate medical education to
the hospital as reported on the annual Medicare Cost Reports.
(3) The indirect medical education payments made to the
hospital under section 1886(d)(5)(B) of such Act (42 U.S.C.
1395ww(d)(1)(B)).
(4) The number of full-time-equivalent residents counted
for purposes of making the payments described in paragraph (1).
(5) The number of full-time-equivalent residents counted
for purposes of making the payments described in paragraph (3).
(6) The number of full-time-equivalent residents, if any,
that are not counted for purposes of making payments described
in paragraph (1).
(7) The number of full-time-equivalent residents, if any,
that are not counted for purposes of making payments described
in paragraph (3).
(8) The factors contributing to the higher costs of patient
care provided by the hospital, including--
(A) the costs of trauma, burn, other standby
services;
(B) translation services for disabled or non-
english speaking patients;
(C) the cost of uncompensated care;
(D) financial losses with respect to Medicaid
patients; and
(E) uncompensated costs of clinical research.

Answer:
Graduate Medical Education Reform Act of 2012 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services (HHS) to establish and implement procedures under which, beginning in FY2017, the amount of payments that a hospital would otherwise receive for indirect graduate medical education (GME) costs for discharges during a fiscal year is adjusted based on the hospital's performance on measures of patient care priorities.

Requires the Secretary to specify measures of patient care priorities, including the extent of training provided in: (1) the delivery of services categorized as evaluation and management codes by the Centers for Medicare and Medicaid Services, (2) a variety of settings and systems, (3) the coordination of patient care across settings, (4) the relevant cost and value of various diagnostic and treatment options, (5) interprofessionality and multidisciplinary care teams, (6) methods for identifying system errors and implementing system solutions, and (7) the use of health information technology.

Requires such measures of patient care to be: (1) adopted or endorsed by an accrediting organization, and (2) consensus-based. Allows such measures to include any submitted by teaching hospitals, medical schools, and other stakeholders.

Directs the Secretary to report to Congress and the National Health Care Workforce Commission on the GME payments hospitals receive under Medicare.