Sec. 9. Payments for graduate medical education under the Medicaid program
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Section 1905 of the Social Security Act ( 42 U.S.C. 1396d ), is amended by adding at the end the following new subsection: The term medical assistance includes payment for costs of graduate medical education consistent with this subsection, whether provided in or outside of a hospital. Notwithstanding subsection (b), with respect to amounts expended by an Expansion State for medical assistance for targeted graduate medical education that is above the level of expenditures made by the Expansion State for such graduate medical education for 2014, the Federal medical assistance percentage shall be equal to— 100 percent for amounts expended in calendar quarters in 2015, 2016, or 2017; 95 percent for amounts expended in calendar quarters in 2018; 94 percent for amounts expended in calendar quarters in 2019; 93 percent for amounts expended in calendar quarters in 2020; and 90 percent for amounts expended in calendar quarters in 2021 or in each year thereafter.
In this subsection: The term Expansion State means a State that elects in accordance with the amendments made by the Patient Protection and Affordable Care Act ( Public Law 111–148 ) to this title to provide medical assistance to individuals described in subclause
(VIII)of section 1902(a)(10)(A)(i). The term targeted graduate medical education means graduate medical education for community-based, interprofessional primary care residents and other health care students, located in a rural area or an area that is designated (under section 332(a)(1)(A) of the Public Health Service Act) as a health professional shortage area, or for other workforce needs identified by State and regional centers for workforce analysis established under the National Center for Health Workforce Analysis. The term primary care means family medicine, general internal medicine, general pediatrics, preventive medicine, obstetrics and gynecology, psychiatry, and any other specialty which provides integrated, accessible health care services and is accountable for addressing a large majority of health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. . The amendments made by this section shall take effect on January 1, 2015. Nothing in this section shall be construed as affecting payments made before such date under a State plan under title XIX of the Social Security Act for graduate medical education.
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- Pub. L. 111-148
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Sec. 9
Payments for graduate medical education under the Medicaid program
Pub. L.Pub. L. 111-148
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