Resident Physician Shortage Reduction Act of 2007 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to increase, over five cost reporting periods, the Medicare caps on the total number of full-time equivalent residents in the field of allopathic or osteopathic medicine (graduate medical education (GME) positions) for states with a shortage of residents.
Requires the aggregate number of such increases for a state to be at least 15, but no more than the state resident cap increase.
[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1093 Introduced in House (IH)]
110th CONGRESS
1st Session
H. R. 1093
To amend title XVIII of the Social Security Act to increase the
Medicare caps on graduate medical education positions for States with a
shortage of residents.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
February 15, 2007
Mr. Meek of Florida (for himself, Mr. Porter, and Ms. Castor)
introduced the following bill; which was referred to the Committee on
Ways and Means, and in addition to the Committee on Energy and
Commerce, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To amend title XVIII of the Social Security Act to increase the
Medicare caps on graduate medical education positions for States with a
shortage of residents.
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 ``Resident Physician Shortage
Reduction Act of 2007''.
SEC. 2. INCREASING THE MEDICARE CAPS ON GRADUATE MEDICAL EDUCATION
POSITIONS FOR STATES WITH A SHORTAGE OF RESIDENTS.
(a) Direct Graduate Medical Education.--Section 1886(h)(4)(F) of
the Social Security Act (42 U.S.C. 1395ww(h)(4)(F)) is amended--
(1) in clause (i), by inserting ``clause (iii) and'' after
``subject to''; and
(2) by adding at the end the following new clause:
``(iii) Increase in caps on graduate
medical education positions for states with a
shortage of residents.--
``(I) In general.--For cost
reporting periods beginning on or after
the date that is 16 months after the
date of enactment of the Resident
Physician Shortage Reduction Act of
2007, the Secretary shall increase the
otherwise applicable limit on the total
number of full-time equivalent
residents in the field of allopathic or
osteopathic medicine determined under
clause (i) with respect to a qualifying
hospital in an eligible State by an
amount determined appropriate by the
Secretary. Such increase shall be
phased-in over a period of 5 cost
reporting periods beginning with the
first cost reporting period in which
the increase is applied under the
previous sentence to the hospital. For
each eligible State the aggregate
number of such increases shall be--
``(aa) not less than 15;
and
``(bb) not greater than the
State resident cap increase.
``(II) Qualifying hospital.--In
this clause, the term `qualifying
hospital' means a hospital located in
an eligible State that the Secretary
determines should receive an increase
under this clause in the otherwise
applicable limit on the total number of
full-time equivalent residents in the
field of allopathic or osteopathic
medicine.
``(III) Eligible state.--In this
clause, the term `eligible State' means
a State for which the National median
medical resident ratio exceeds the
State medical resident ratio.
``(IV) State resident cap
increase.--In this clause, the term
`State resident cap increase' means,
with respect to a State, \1/4\ of the
product of--
``(aa) the difference
between the National median
medical resident ratio and the
State medical resident ratio;
and
``(bb) the State population
(as determined for purposes of
subclause (VI)).
``(V) National median medical
resident ratio.--In this clause, the
term `National median medical resident
ratio' means the median of all State
medical resident ratios.
``(VI) State medical resident
ratio.--In this clause, the term `State
medical resident ratio' means, with
respect to any State, the ratio of
full-time equivalent residents in the
State in approved medical residency
training programs as of the date of
enactment of the Resident Physician
Shortage Reduction Act of 2007 to the
population of the State as of such
date, as determined by the Secretary.
``(VII) State.--In this clause, the
term `State' means a State and the
District of Columbia.
``(VIII) Considerations in
determining resident cap increases.--In
determining whether a hospital is a
qualifying hospital, and how much of an
increase in the resident cap a
qualifying hospital shall receive under
subclause (I), the Secretary shall take
into consideration the demonstrated
likelihood of the hospital filling
resident positions that would be made
available as a result of such increase
within the first 3 cost reporting
periods beginning on or after the date
that is 16 months after the date of
enactment of the Resident Physician
Shortage Reduction Act of 2007. The
Secretary shall also take into
consideration whether the new resident
positions will be in primary care,
preventive medicine, or geriatrics
programs.''.
(b) Indirect Medical Education.--Section 1886(d)(5)(B) of the
Social Security Act (42 U.S.C. 1395ww(d)(5)(B)) is amended by adding at
the end the following new clause:
``(x) Clause (iii) of subsection (h)(4)(F) shall apply to
clause (v) in the same manner and for the same period as such
clause (iii) applies to clause (i) of such subsection.''.
<all>
Introduced in House
Introduced in House
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to the Subcommittee on Health.
Referred to the Subcommittee on Health.
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