S.Amdt. 2872

SA 2872. Mr. BROWN submitted an amendment intended to be proposed to
amendment SA 2786 proposed by Mr. Reid (for himself, Mr. Baucus, Mr.
Dodd, and Mr. Harkin) to the bill H.R. 3590, to amend the Internal
Revenue Code of 1986 to modify the first-time homebuyers credit in the
case of members of the Armed Forces and certain other Federal
employees, and for other purposes; which was ordered to lie on the
table; as follows:

On page 1465, between lines 12 and 13, insert the
following:

SEC. 5506. COUNTING RESIDENT TIME IN CERTAIN HOSPITALS.

(a) GME.--Section 1886(h)(4) of the Social Security Act (42
U.S.C. 1395ww(h)(4)), as amended by sections 5504 and 5505,
is amended--
(1) in subparagraph (E), by striking ``and (K)'' and
inserting ``, (K), and (L)''; and
(2) by adding at the end the following new subparagraph:
``(L) Counting resident time in certain hospitals.--
``(i) In general.--Such rules shall provide that all the
time spent by a resident under an approved medical training
program in a hospital described in clause (ii) shall be
counted toward the determination of full-time equivalency by
the hospital that incurs the costs of the stipends and fringe
benefits of the resident during the time the resident spends
in the hospital described in clause (ii).
``(ii) Hospital described.--A hospital described in this
clause is a hospital that--

``(I) trains 3 or fewer full-time equivalent residents
annually;
``(II) consents, not later than 1 year after the date on
which the residents involved begin training under such
approved medical training program (and annually thereafter),
to forgo payments for direct graduate medical education costs
under this subsection for such residents; and
``(III) has not had an approved FTE resident amount
determined for the hospital under paragraph (2) as of the
date on which such residents begin such training.''.

(b) IME.--Section 1886(d)(5)(B) of such Act (42 U.S.C.
1395ww(d)(5)(B)), as amended by section 5505, is amended by
adding at the end the following new clause:
``(xi) The provisions of subparagraph (L) of subsection
(h)(4) shall apply under this subparagraph in the same manner
as they apply under such subsection.''.
(c) Conforming Amendment.--Section 1886(h)(2) of such Act
(42 U.S.C. 1395 ww(h)(2)) is amended by adding at the end the
following new subparagraph:
``(G) Exception to determination of per resident amount.--
The Secretary shall not determine an approved FTE resident
amount under this paragraph for any hospital described in
paragraph (4)(L)(ii).''.
(d) Effective Date.--The amendments made by this section
shall apply to cost reporting periods beginning on or after
January 1, 2009.
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