H.R. 5204

To amend section 340E of the Public Health Service Act (relating to children's hospitals) to modify provisions regarding the determination of the amount of payments for indirect expenses associated with operating approved graduate medical residency training programs.

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[H.R. 5204 Enrolled Bill (ENR)]

H.R.5204

One Hundred Eighth Congress

of the

United States of America

AT THE SECOND SESSION

Begun and held at the City of Washington on Tuesday,
the twentieth day of January, two thousand and four

An Act

To amend section 340E of the Public Health Service Act (relating to
children's hospitals) to modify provisions regarding the determination
of the amount of payments for indirect expenses associated with
operating approved graduate medical residency training programs.

Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,

SECTION 1. DISREGARD OF NEWBORN BASSINETS IN CALCULATING CASE MIX FOR
RECEIPT BY CHILDREN'S HOSPITALS OF FUNDING FOR GRADUATE
MEDICAL EDUCATION PROGRAMS.

(a) In General.--Section 340E(d) of the Public Health Service Act
(42 U.S.C. 256e(d)) is amended--
(1) in paragraph (1), by striking ``related to'' and inserting
``associated with''; and
(2) in paragraph (2)(A)--
(A) by inserting ``ratio of the'' after ``hospitals and
the''; and
(B) by inserting at the end before the semicolon ``to beds
(but excluding beds or bassinets assigned to healthy newborn
infants)''.
(b) Effective Date.--The amendments made by subsection (a) shall
apply to payments for periods beginning with fiscal year 2005.

Speaker of the House of Representatives.

Vice President of the United States and
President of the Senate.