[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5574 Engrossed in House (EH)]
109th CONGRESS
2d Session
H. R. 5574
_______________________________________________________________________
AN ACT
To amend the Public Health Service Act to reauthorize support for
graduate medical education programs in children's hospitals.
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 ``Children's Hospital GME Support
Reauthorization Act of 2006''.
SEC. 2. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE
GRADUATE MEDICAL EDUCATION PROGRAMS.
(a) In General.--Section 340E of the Public Health Service Act (42
U.S.C. 256e) is amended--
(1) in subsection (a), by inserting ``and each of fiscal
years 2007 through 2011'' after ``for each of fiscal years 2000
through 2005'';
(2) in subsection (f)(1)(A)--
(A) in clause (ii), by striking ``and'' at the end;
(B) in clause (iii), by striking the period at the
end and inserting ``; and''; and
(C) by adding at the end the following:
``(iv) for each of fiscal years 2007
through 2011, $100,000,000.''; and
(3) in subsection (f)(2)--
(A) in the matter before subparagraph (A), by
striking ``subsection (b)(1)(A)'' and inserting
``subsection (b)(1)(B)'';
(B) in subparagraph (B), by striking ``and'' at the
end;
(C) in subparagraph (C), by striking the period at
the end and inserting ``; and''; and
(D) by adding at the end the following:
``(D) for each of fiscal years 2007 through 2011,
$200,000,000.''.
(b) Reduction in Payments for Failure to File Annual Report.--
Subsection (b) of section 340E of the Public Health Service Act (42
U.S.C. 256e) is amended--
(1) in paragraph (1), in the matter before subparagraph
(A), by striking ``paragraph (2)'' and inserting ``paragraphs
(2) and (3)''; and
(2) by adding at the end the following:
``(3) Annual reporting required.--
``(A) Reduction in payment for failure to report.--
``(i) In general.--The amount payable under
this section to a children's hospital for a
fiscal year (beginning with fiscal year 2008
and after taking into account paragraph (2))
shall be reduced by 25 percent if the Secretary
determines that--
``(I) the hospital has failed to
provide the Secretary, as an addendum
to the hospital's application under
this section for such fiscal year, the
report required under subparagraph (B)
for the previous fiscal year; or
``(II) such report fails to provide
the information required under any
clause of such subparagraph.
``(ii) Notice and opportunity to provide
missing information.--Before imposing a
reduction under clause (i) on the basis of a
hospital's failure to provide information
described in clause (i)(II), the Secretary
shall provide notice to the hospital of such
failure and the Secretary's intention to impose
such reduction and shall provide the hospital
with the opportunity to provide the required
information within a period of 30 days
beginning on the date of such notice. If the
hospital provides such information within such
period, no reduction shall be made under clause
(i) on the basis of the previous failure to
provide such information.
``(B) Annual report.--The report required under
this subparagraph for a children's hospital for a
fiscal year is a report that includes (in a form and
manner specified by the Secretary) the following
information for the residency academic year completed
immediately prior to such fiscal year:
``(i) The types of resident training
programs that the hospital provided for
residents described in subparagraph (C), such
as general pediatrics, internal medicine/
pediatrics, and pediatric subspecialties,
including both medical subspecialties certified
by the American Board of Pediatrics (such as
pediatric gastroenterology) and non-medical
subspecialties approved by other medical
certification boards (such as pediatric
surgery).
``(ii) The number of training positions for
residents described in subparagraph (C), the
number of such positions recruited to fill, and
the number of such positions filled.
``(iii) The types of training that the
hospital provided for residents described in
subparagraph (C) related to the health care
needs of different populations, such as
children who are underserved for reasons of
family income or geographic location, including
rural and urban areas.
``(iv) The changes in residency training
for residents described in subparagraph (C)
which the hospital has made during such
residency academic year (except that the first
report submitted by the hospital under this
subparagraph shall be for such changes since
the first year in which the hospital received
payment under this section), including--
``(I) changes in curricula,
training experiences, and types of
training programs, and benefits that
have resulted from such changes; and
``(II) changes for purposes of
training the residents in the
measurement and improvement of the
quality and safety of patient care.
``(v) The numbers of residents described in
subparagraph (C) who completed their residency
training at the end of such residency academic
year and care for children within the borders
of the service area of the hospital or within
the borders of the State in which the hospital
is located. Such numbers shall be disaggregated
with respect to residents who completed
residencies in general pediatrics or internal
medicine/pediatrics, subspecialty residencies,
and dental residencies.
``(C) Residents.--The residents described in this
subparagraph are those who--
``(i) are in full-time equivalent resident
training positions in any training program
sponsored by the hospital; or
``(ii) are in a training program sponsored
by an entity other than the hospital, but who
spend more than 75 percent of their training
time at the hospital.
``(D) Report to congress.--Not later than the end
of fiscal year 2011, the Secretary, acting through the
Administrator of the Health Resources and Services
Administration, shall submit a report to the Congress--
``(i) summarizing the information submitted
in reports to the Secretary under subparagraph
(B);
``(ii) describing the results of the
program carried out under this section; and
``(iii) making recommendations for
improvements to the program.''.
(c) Technical Amendments.--Section 340E of the Public Health
Service Act (42 U.S.C. 256e) is further amended--
(1) in subsection (c)(2)(E)(ii), by striking ``described in
subparagraph (C)(ii)'' and inserting ``applied under section
1886(d)(3)(E) of the Social Security Act for discharges
occurring during the preceding fiscal year'';
(2) in subsection (e)(2), by striking the first sentence;
and
(3) in subsection (e)(3), by striking ``made to pay'' and
inserting ``made and pay''.
Passed the House of Representatives June 21, 2006.
Attest:
Clerk.
109th CONGRESS
2d Session
H. R. 5574
_______________________________________________________________________
AN ACT
To amend the Public Health Service Act to reauthorize support for
graduate medical education programs in children's hospitals.