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II
116TH CONGRESS
1ST SESSION
S. 1240
To amend title XVIII of the Social Security Act to count resident time
spent in a critical access hospital as resident time spent in a nonprovider
setting for purposes of making Medicare direct and indirect graduate
medical education payments.
IN THE SENATE OF THE UNITED STATES
APRIL 30, 2019
Mr. TESTER 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 count
resident time spent in a critical access hospital as resi-
dent time spent in a nonprovider setting for purposes
of making Medicare direct and indirect graduate medical
education payments.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Restoring Rural
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Residencies Act of 2019’’.
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•S 1240 IS
SEC. 2. COUNTING RESIDENT TIME SPENT IN A CRITICAL
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ACCESS HOSPITAL AS RESIDENT TIME SPENT
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IN A NONPROVIDER SETTING FOR PURPOSES
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OF MAKING MEDICARE DIRECT AND INDI-
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RECT GRADUATE MEDICAL EDUCATION PAY-
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MENTS.
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(a) GME.—Section 1886(h)(4) of the Social Security
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Act (42 U.S.C. 1395ww(h)(4)) is amended—
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(1) in subparagraph (E), by striking ‘‘subpara-
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graphs (J) and (K)’’ and inserting ‘‘subparagraphs
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(J), (K), and (L)’’; and
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(2) by adding at the end the following new sub-
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paragraph:
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‘‘(L) TREATMENT
OF
CRITICAL
ACCESS
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HOSPITALS.—Effective for cost reporting peri-
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ods beginning on or after July 1, 2020, such
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rules shall provide that a critical access hospital
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(as defined in section 1861(mm)(1)) is deemed
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to be a nonprovider setting for purposes of de-
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termining the hospital’s number of full-time
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equivalent residents under this subsection.’’.
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(b) IME.—Section 1886(d)(5)(B)(iv)(II) of the So-
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cial Security Act (42 U.S.C. 1395ww(d)(5)(B)(iv)(II)) is
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amended by adding at the end the following sentence: ‘‘Ef-
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fective for discharges occurring on or after July 1, 2020,
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for purposes of this subclause, a critical access hospital
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•S 1240 IS
(as defined in section 1861(mm)(1)) is deemed to be a
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nonprovider setting.’’.
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Æ
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