[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1775 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1775

  To amend title XVIII of the Social Security Act to include services 
provided by interns and residents at Federally-qualified health centers 
  that provide services in a rural area in determining the amount of 
   payment to hospitals under part A of the medicare program for the 
                  indirect costs of medical education.


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                    IN THE HOUSE OF REPRESENTATIVES

                             April 21, 1993

Mr. Payne of Virginia introduced the following bill; which was referred 
                   to the Committee on Ways and Means

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                                 A BILL


 
  To amend title XVIII of the Social Security Act to include services 
provided by interns and residents at Federally-qualified health centers 
  that provide services in a rural area in determining the amount of 
   payment to hospitals under part A of the medicare program for the 
                  indirect costs of medical education.

    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 ``Rural Federally-Qualified Health 
Center Resident Training Act of 1993''.

SEC. 2. MEDICARE PAYMENT FOR INDIRECT COSTS OF GRADUATE MEDICAL 
              EDUCATION PROVIDED IN CERTAIN RURAL FEDERALLY-QUALIFIED 
              HEALTH CENTERS.

    (a) In General.--Section 1886(d)(5)(B)(iv) of the Social Security 
Act (42 U.S.C. 1395ww(d)(5)(B)(iv)) is amended by inserting after ``the 
hospital'' the following: ``or providing services at any Federally-
qualified health center (as defined in section 1861(aa)(4)) that 
provides services in a rural area (if the hospital incurs all, or 
substantially all, of the costs of the services furnished to the 
hospital by such interns and residents)''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to cost reporting periods beginning on or after October 1, 1993.

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