Medical Education for a Diverse America Act

I 116TH CONGRESS 1ST SESSION H. R. 5432 To amend title XVIII of the Social Security Act to count toward the deter- mination of full time equivalency for graduate medical education under the Medicare program time spent in an approved medical residency training program for training in culturally and linguistically appropriate care. IN THE HOUSE OF REPRESENTATIVES DECEMBER 13, 2019 Ms. MUCARSEL-POWELL (for herself and Ms. PORTER) introduced the fol- lowing 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 consider- ation of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend title XVIII of the Social Security Act to count toward the determination of full time equivalency for graduate medical education under the Medicare program time spent in an approved medical residency training program for training in culturally and linguistically ap- propriate care. Be it enacted by the Senate and House of Representa- 1 tives of the United States of America in Congress assembled, 2 VerDate Sep 11 2014 01:41 Dec 21, 2019 Jkt 099200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H5432.IH H5432 dlhill on DSKBBY8HB2PROD with BILLS 2 •HR 5432 IH SECTION 1. SHORT TITLE. 1 This Act may be cited as the ‘‘Medical Education for 2 a Diverse America Act’’. 3 SEC. 2. TRAINING TOMORROW’S DOCTORS FOR CUL- 4 TURALLY AND LINGUISTICALLY APPRO- 5 PRIATE CARE: GRADUATE MEDICAL EDU- 6 CATION. 7 (a) DIRECT GME.—Section 1886(h)(4) of the Social 8 Security Act (42 U.S.C. 22 1395ww(h)(4)) is amended by 9 adding at the end the following new subparagraph : 10 ‘‘(L) TREATMENT OF CULTURAL COM- 11 PETENCY TRAINING.—In determining a hos- 12 pital’s number of full-time equivalent residents 13 for purposes of this subsection, all the time that 14 is spent by an intern or resident in an approved 15 medical residency training program for edu- 16 cation and training in cultural competency and 17 linguistically appropriate service delivery shall 18 be counted toward the determination of full 19 time equivalency.’’. 20 (b) INDIRECT MEDICAL EDUCATION.—Section 21 1886(d)(5)(B) of the Social Security Act (42 U.S.C. 22 1395ww(d)(5)(B)) is amended— 23 (1) by redesignating the clause (x) added by 24 section 5505(b) of the Patient Protection and Af- 25 fordable Care Act as clause (xi); and 26 VerDate Sep 11 2014 01:41 Dec 21, 2019 Jkt 099200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5432.IH H5432 dlhill on DSKBBY8HB2PROD with BILLS 3 •HR 5432 IH (2) by adding at the end the following new 1 clause: 2 ‘‘(xii) The provisions of subparagraph 3 (L) of subsection (h)(4) shall apply under 4 this subparagraph in the same manner as 5 they apply under such subsection.’’. 6 (c) EFFECTIVE DATE.—The amendments made by 7 subsections (a) and (b) shall apply with respect to pay- 8 ments made to hospitals on or after the date that is one 9 year after the date of the enactment of this Act. 10 Æ VerDate Sep 11 2014 01:41 Dec 21, 2019 Jkt 099200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\H5432.IH H5432 dlhill on DSKBBY8HB2PROD with BILLS