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Senate Bill 1240
116th Congress(2019-2020)
Restoring Rural Residencies Act of 2019
Introduced
Introduced
Introduced in Senate on Apr 30, 2019
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Introduced in Senate 
Apr 30, 2019
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Introduced in Senate(Apr 30, 2019)
Apr 30, 2019
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S. 1240 (Introduced-in-Senate)


116th CONGRESS
1st Session
S. 1240


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.

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.

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 “Restoring Rural Residencies Act of 2019”.

SEC. 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.”.