Sec. 223. 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, as appropriate— maintenance of filled positions at 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. In making payments under paragraph (1), the Secretary shall consider the cost of training residents at teaching health centers and the implications of the per resident amount on approved graduate medical residency training programs at teaching health centers. In making payments under 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). . Paragraph
(1)of section 340H(g) of the Public Health Service Act ( 42 U.S.C. 256h(g) ), as amended by section 3101 of Public Law 115–96 , is amended by striking and $30,000,000 for the period of the first and second quarters of fiscal year 2018 and inserting and $126,500,000 for each of fiscal years 2018 and 2019 . Subsection (h)(1) of 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, 2019, 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 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)). . Subsection
(f)of section 340H ( 42 U.S.C. 256h ) is amended by striking hospital each place it appears and inserting teaching health center . The provisions of 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 Public Law 115–96 , shall continue to apply with respect to payments under such section for fiscal years before fiscal year 2018.
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Sec. 223
Reauthorization of program of payments to teaching health centers that operate graduate medical education programs
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