S. 1240Senate116th Congress (2019-2021)In Committee

Restoring Rural Residencies Act of 2019

Sponsored by Jon TesterSen. Jon Tester (D-MT)
Introduced April 30, 2019

AI-Generated Summary

Updated April 14, 2026 at 4:28 AM UTC

The Restoring Rural Residencies Act of 2019 changes how Medicare counts resident training time at critical access hospitals. By treating these small, rural hospitals as "non‑provider" settings, the bill allows them to be included when calculating the number of full‑time‑equivalent residents for both direct and indirect graduate medical education (GME) payments. This adjustment is intended to support residency programs in rural areas and affect hospitals that receive Medicare GME funding.

Key Provisions

  • Amends the Social Security Act to add a new subparagraph (L) that designates critical access hospitals as non‑provider settings for determining a hospital’s full‑time‑equivalent resident count used in Medicare direct GME payments, effective for cost reporting periods starting July 1, 2020.
  • Adds language to the indirect GME payment formula stating that, for discharges on or after July 1, 2020, a critical access hospital is also considered a non‑provider setting, allowing those hospitals to receive indirect GME payments based on resident time.

Legislative Activity

Stay on top of the latest movement without scrolling through every action

1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Finance.

April 30, 2019

View full timeline
SenateIntro Referral

Introduced in Senate

April 30, 2019

SenateIntro Referral

Read twice and referred to the Committee on Finance.

April 30, 2019

Floor Debate

1 member

What members said about S. 1240 on the floor

1 Republican
Chuck Grassley
Sen. Chuck GrassleyR-IA · Jan 30, 2019

Mr. President, this year marks the 100th anniversary of the establishment of the Legislative Drafting Service, which we now know as the Office of the Legislative Counsel. In recognition of the…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in SenateIssued April 30, 2019

II

116th CONGRESS

1st Session

S. 1240

IN THE SENATE OF THE UNITED STATES

April 30, 2019

Mr. Tester introduced the following bill; which was read twice and referred to the Committee on Finance

A BILL

To amend title XVIII of the Social Security Act to count resident time spent in a critical access hospital as resident time spent in a nonprovider setting for purposes of making Medicare direct and indirect graduate medical education payments.

1.

Short title

This Act may be cited as the Restoring Rural Residencies Act of 2019.

2.

Counting resident time spent in a critical access hospital as resident time spent in a nonprovider setting for purposes of making Medicare direct and indirect graduate medical education payments

(a)

GME

Section 1886(h)(4) of the Social Security Act (42 U.S.C. 1395ww(h)(4)) is amended—

(1)

in subparagraph (E), by striking subparagraphs (J) and (K) and inserting subparagraphs (J), (K), and (L); and

(2)

by adding at the end the following new subparagraph:

(L)

Treatment of critical access hospitals

Effective for cost reporting periods beginning on or after July 1, 2020, such rules shall provide that a critical access hospital (as defined in section 1861(mm)(1)) is deemed to be a nonprovider setting for purposes of determining the hospital's number of full-time equivalent residents under this subsection.

.

(b)

IME

Section 1886(d)(5)(B)(iv)(II) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)(iv)(II)) is amended by adding at the end the following sentence: Effective for discharges occurring on or after July 1, 2020, for purposes of this subclause, a critical access hospital (as defined in section 1861(mm)(1)) is deemed to be a nonprovider setting..