[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 1897 Introduced in Senate (IS)]
108th CONGRESS
1st Session
S. 1897
To amend title XVIII of the Social Security Act to provide a
clarification of congressional intent regarding the counting of
residents in a nonprovider setting for purposes making payment for
medical education under the medicare program.
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IN THE SENATE OF THE UNITED STATES
November 20, 2003
Ms. Snowe introduced the following bill; which was read twice and
referred to the Committee on Finance
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A BILL
To amend title XVIII of the Social Security Act to provide a
clarification of congressional intent regarding the counting of
residents in a nonprovider setting for purposes making payment for
medical education under the medicare program.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Medicare Education Payment
Clarification Act of 2003''.
SEC. 2. CLARIFICATION OF CONGRESSIONAL INTENT REGARDING THE COUNTING OF
RESIDENTS IN A NONPROVIDER SETTING.
(a) D-GME.--Section 1886(h)(4)(E) of the Social Security Act (42
U.S.C. 1395ww(h)(4)(E)) is amended by adding at the end the following
new sentence: ``For purposes of the preceding sentence time shall only
be counted from the effective date of a written agreement between the
hospital and the entity owning or operating a nonprovider setting. The
effective date of such written agreement shall be determined in
accordance with generally accepted accounting principles. All, or
substantially all, of the costs for the training program in that
setting shall be defined as the residents' stipends and benefits and
other costs, if any, as determined by the parties.''.
(b) IME.--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 sentence: ``For purposes of the preceding sentence time
shall only be counted from the effective date of a written agreement
between the hospital and the entity owning or operating a nonprovider
setting. The effective date of such written agreement shall be
determined in accordance with generally accepted accounting principles.
All, or substantially all, of the costs for the training program in
that setting shall be defined as the residents' stipends and benefits
and other costs, if any, as determined by the parties.''.
(c) Application.--The amendments made by this section shall only
apply with respect to approved medical residency training programs in
the fields of allopathic and osteopathic medicine.
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