Sec. 5. Permitting hospitals with approved residency programs in emergency medicine to include time spent by interns and residents in the emergency department of a rural hospital in full-time equivalent count
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Section 1886(d)(5)(B)(iv) of the Social Security Act ( 42 U.S.C. 1395ww(d)(5)(B)(iv) ) is amended by adding at the end the following new subclause: Effective for discharges occurring on or after October 1, 2015, all of the time spent in patient care activities in the emergency department of a rural hospital by interns and residents in emergency medicine from a hospital with an approved medical residency training program (as defined in subsection (h)(5)(A)) in such specialty shall be included in determining the number of full-time equivalent interns and residents in such program if the hospital with such program incurs the costs of the stipends and fringe benefits of the interns or residents during the time the interns or residents spend in that rural hospital in accordance with subclause (II).
In this subclause, the term rural hospital means a hospital that is located in a rural area (as defined for purposes of paragraph (2)(D)). . Section 1886(h)(4)(E) of the Social Security Act ( 42 U.S.C. 1395(h)(4) ) is amended— in clause (ii), by striking the period at the end and inserting ; and ; by inserting after clause
(ii)the following new clause: effective for cost reporting periods beginning on or after July 1, 2015, all of the time so spent in the emergency department of a rural hospital by residents in emergency medicine from a hospital with an approved medical residency training program in such specialty shall be counted towards the determination of full-time equivalency in such program if the hospital with such program bears all, or substantially all, of the costs of training such residents in the rural hospital. In this subparagraph, the term rural hospital means a hospital that is located in a rural area (as defined for purposes of subsection (d)(2)(D)). ; and by adding at the end the following new sentence: For purposes of this subparagraph, the emergency department of a rural hospital described in clause
(iii)is a nonprovider setting. .
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Sec. 5
Permitting hospitals with approved residency programs in emergency medicine to include time spent by interns and residents in the emergency department of a rural hospital in full-time equivalent count
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