TRAIN Act

II 117TH CONGRESS 1ST SESSION S. 1568 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. IN THE SENATE OF THE UNITED STATES MAY 11, 2021 Mr. BROWN (for himself, Mrs. CAPITO, Mr. MENENDEZ, Mr. PORTMAN, and Ms. DUCKWORTH) introduced the following bill; which was read twice and referred to the Committee on Finance 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. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Technical Reset to Ad- 4 vance the Instruction of Nurses Act’’ or the ‘‘TRAIN 5 Act’’. 6 VerDate Sep 11 2014 23:22 May 26, 2021 Jkt 019200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S1568.IS S1568 kjohnson on DSK79L0C42PROD with BILLS 2 •S 1568 IS SEC. 2. WAIVER OF CAP ON ANNUAL PAYMENTS FOR NURS- 1 ING AND ALLIED HEALTH EDUCATION PAY- 2 MENTS. 3 (a) IN GENERAL.—Section 1886(l)(2)(B) of the So- 4 cial Security Act (42 U.S.C. 1395ww(l)(2)(B)) is amend- 5 ed— 6 (1) by striking ‘‘PAYMENTS.—Such ratio’’ and 7 inserting ‘‘PAYMENTS.— 8 ‘‘(i) IN GENERAL.—Subject to clause 9 (ii), such ratio’’; and 10 (2) by adding at the end the following new 11 clause: 12 ‘‘(ii) EXCEPTION TO ANNUAL LIMITA- 13 TION FOR EACH OF 2010 THROUGH 2019.— 14 For each of 2010 through 2019, the limi- 15 tation under clause (i) on the total amount 16 of additional payments for nursing and al- 17 lied health education to be distributed to 18 hospitals under this subsection for portions 19 of cost reporting periods occurring in the 20 year shall not apply to such payments 21 made in such year.’’. 22 (b) NO AFFECT ON PAYMENTS FOR DIRECT GRAD- 23 UATE MEDICAL EDUCATION.—Section 1886(h)(3)(D)(iii) 24 of the Social Security Act (42 U.S.C. 25 1395ww(h)(3)(D)(iii)) is amended by adding at the end 26 VerDate Sep 11 2014 23:22 May 26, 2021 Jkt 019200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S1568.IS S1568 kjohnson on DSK79L0C42PROD with BILLS 3 •S 1568 IS the following sentence: ‘‘In applying the preceding sen- 1 tence for each of 2010 through 2019, the Secretary shall 2 not take into account any increase in the total amount 3 of such additional payment amounts for such nursing and 4 allied health education for portions of cost reporting peri- 5 ods occurring in the year pursuant to the application of 6 paragraph (2)(B)(ii) of such subsection.’’. 7 (c) RETROACTIVE APPLICATION.—The amendments 8 made by this section shall apply to payments made for 9 portions of cost reporting periods occurring in 2010 and 10 subsequent years. 11 Æ VerDate Sep 11 2014 23:22 May 26, 2021 Jkt 019200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S1568.IS S1568 kjohnson on DSK79L0C42PROD with BILLS