Sec. 3. Reauthorization of program of payments to teaching health centers that operate graduate medical education programs
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Subsection
(a)of section 340H of the Public Health Service Act ( 42 U.S.C. 256h ) is amended to read as follows: Subject to subsection (h)(2), the Secretary shall make payments under this section for direct expenses and indirect expenses to qualified teaching health centers that are listed as sponsoring institutions by the relevant accrediting body for— maintenance of existing approved graduate medical residency training programs; expansion of existing approved graduate medical residency training programs; and establishment of new approved graduate medical residency training programs. The Secretary shall make payments under paragraph (1)(C)— for fiscal year 2019, for a total of up to 60 full-time equivalent residents at new approved graduate medical residency programs; and for fiscal year 2020, for a total of up to 120 full-time equivalent residents at the new approved graduate medical residency programs that received payments pursuant to clause (i). Subject to subparagraph (C), in making payments pursuant to paragraph (1)(C), the Secretary shall give priority to qualified teaching health centers that— serve a health professional shortage area with a designation in effect under section 332 or a medically underserved community (as defined in section 799B); or are located in a rural area (as defined in section 1886(d)(2)(D) of the Social Security Act). The number of full-time equivalent residents for which a qualified teaching health center receives payments pursuant to paragraph (1)(C) for a fiscal year shall not exceed by more than six the number of full-time equivalent residents for which the center received such payments for the preceding fiscal year. . Subsection
(g)of the first section 340H of the Public Health Service Act ( 42 U.S.C. 256h ) is amended to read as follows: Out of any money in the Treasury not otherwise appropriated, there are appropriated for payments under subparagraphs
(A)and
(B)of subsection (a)(1) $116,500,000 for each of fiscal years 2018, 2019, and 2020, to remain available until expended. Out of any money in the Treasury not otherwise appropriated, there are appropriated for payments under subsection (a)(1)(C), $10,000,000 for fiscal year 2019 and $19,000,000 for fiscal year 2020, to remain available until expended. Of the amount made available to carry out this section for any fiscal year, the Secretary may not use more than 5 percent of such amount for the expenses of administering this section. . Paragraph
(1)of subsection
(h)of the first section 340H of the Public Health Service Act ( 42 U.S.C. 256h ) is amended— by redesignating subparagraph
(D)as subparagraph (H); and by inserting after subparagraph
(C)the following: The number of patients treated by residents described in paragraph (4). The number of visits by patients treated by residents described in paragraph (4). Of the number of residents described in paragraph
(4)who completed their residency training at the end of such residency academic year, the number and percentage of such residents entering primary care practice (meaning any of the areas of practice listed in the definition of a primary care residency program in section 749A). Of the number of residents described in paragraph
(4)who completed their residency training at the end of such residency academic year, the number and percentage of such residents who entered practice at a health care facility— primarily serving a health professional shortage area with a designation in effect under section 332 or a medically underserved community (as defined in section 799B); or located in a rural area (as defined in section 1886(d)(2)(D) of the Social Security Act). . Not later than March 31, 2020, the Secretary of Health and Human Services shall submit to the Congress a report on the direct graduate expenses of approved graduate medical residency training programs, and the indirect expenses associated with the additional costs of teaching residents, of qualified teaching health centers (as such terms are used or defined in section 340H of the Public Health Service Act ( 42 U.S.C. 256h )). Subsection
(j)of the first section 340H of the Public Health Service Act ( 42 U.S.C. 256h ) is amended— by redesignating paragraphs
(2)and
(3)as paragraphs
(3)and (4), respectively; and by inserting after paragraph
(1)the following: The term new approved graduate medical residency training program means an approved graduate medical residency training program for which the sponsoring qualified teaching health center has not received a payment under this section for a previous fiscal year (other than pursuant to subsection (a)(1)(C)). . Part D of title III of the Public Health Service Act ( 42 U.S.C. 254b et seq.) is amended— in subsection
(f)of the first section 340H ( 42 U.S.C. 256h ), by striking hospital each place it appears and inserting teaching health center ; by redesignating the second subpart XI (relating to a community-based collaborative care network program) as subpart XII; and by redesignating the second section 340H ( 42 U.S.C. 256i ) as section 340I. The provisions of the first section 340H of the Public Health Service Act ( 42 U.S.C. 256h ), as in effect on the day before the date of enactment of this Act, shall continue to apply with respect to payments under such section for fiscal years before fiscal year 2018.
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Sec. 3
Reauthorization of program of payments to teaching health centers that operate graduate medical education programs
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