21st Century Rural Health Care Act

21st Century Rural Health Care Act - Amends the Public Health Service Act to reauthorize appropriations for the National Health Service Corps for FY2009-FY2013.

Amends title XVIII (Medicare) of the Social Security Act to define "accredited training program with an integrated rural track" to mean an accredited medical residency training program that is located in an urban area which offers a curriculum for family practice for all residents in the program and that meets certain requirements, including: (1) four month-long rotations in rural public health and community health settings; and (2) specified minimum training in obstetrics, pediatrics, and emergency medicine.

[Congressional Bills 110th Congress]
[From the U.S. Government Printing Office]
[H.R. 6351 Introduced in House (IH)]







110th CONGRESS
  2d Session
                                H. R. 6351

  To amend the Public Health Service Act to reauthorize the National 
         Health Service Corps Program, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 23, 2008

Mr. Space (for himself and Mr. Childers) introduced the following bill; 
  which was referred to the Committee on Energy and Commerce, and in 
    addition to the Committee on Ways and Means, 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 the Public Health Service Act to reauthorize the National 
         Health Service Corps Program, and for other purposes.

    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 ``21st Century Rural Health Care 
Act''.

SEC. 2. REAUTHORIZATION OF NATIONAL HEALTH SERVICE CORPS PROGRAM.

    Section 338(a) of the Public Health Service Act (42 U.S.C. 254k(a)) 
is amended by striking ``such sums as may be necessary for each of the 
fiscal years 2002 through 2006'' and inserting ``$250,000,000 for each 
of the fiscal years 2009 through 2013''.

SEC. 3. DEFINITION OF ACCREDITED TRAINING PROGRAMS WITH AN INTEGRATED 
              RURAL TRACK FOR PURPOSES OF MEDICARE GRADUATE MEDICAL 
              EDUCATION PAYMENTS.

    (a) In General.--Section 1886(h)(4)(H)(iv) of the Social Security 
Act (42 U.S.C. 1395ww(h)(4)(H)(iv)) is amended by adding at the end the 
following new sentence: ``For purposes of this clause, the term 
`accredited training program with an integrated rural track' means an 
accredited medical residency training program located in an urban area 
which offers a curriculum for family practice for all residents in the 
program that meets the following requirements:
                                    ``(I) A minimum of 4 block months 
                                of rural rotations in rural public 
                                health and community health settings, 
                                during each of which, the resident is 
                                in a rural area for 4 weeks or a month.
                                    ``(II) A minimum of 3 months of 
                                obstetrical training, or an equivalent 
                                longitudinal experience.
                                    ``(III) A minimum of 4 months of 
                                pediatric training that includes 
                                neonatal, ambulatory, inpatient, and 
                                emergency department experiences 
                                through rotations, or an equivalent 
                                longitudinal experience.
                                    ``(IV) A minimum of 2 months of 
                                emergency medicine rotations, or an 
                                equivalent longitudinal experience.''.
    (b) Effective Date.--The amendments made by this section shall 
apply with respect to payments to hospitals for cost reporting periods 
beginning on or after January 1, 2010.
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