[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4680 Introduced in House (IH)]

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118th CONGRESS
  1st Session
                                H. R. 4680

 To amend title XVIII of the Social Security Act to extend the period 
   for certain teaching hospitals to establish full-time equivalent 
  residency caps for new residency training programs impacted by the 
               COVID-19 pandemic, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 17, 2023

   Mr. Harder of California 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 extend the period 
   for certain teaching hospitals to establish full-time equivalent 
  residency caps for new residency training programs impacted by the 
               COVID-19 pandemic, 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 ``Train More Doctors Act of 2023''.

SEC. 2. TWO-YEAR EXTENSION OF GRADUATE MEDICAL EDUCATION FTE RESIDENT 
              CAP BUILDING PERIOD FOR CERTAIN TEACHING HOSPITALS 
              IMPACTED BY THE COVID-19 PUBLIC HEALTH EMERGENCY.

    Section 1886(h)(4)(H)(i) of the Social Security Act (42 U.S.C. 
1395ww(h)(4)(H)(i)) is amended by adding at the end the following new 
subclause:
                            ``(VI)(aa) In applying this clause in the 
                        case of a hospital that first began training 
                        residents in a new approved medical residency 
                        training program or programs on or after July 
                        1, 2018, and before July 1, 2021, in 
                        determining the limitation on the number of 
                        total full time equivalent residents under 
                        subparagraphs (F) and (G) and under clauses (v) 
                        and (vi)(I) of subsection (d)(5)(B) with 
                        respect to such new approved medical residency 
                        training program or programs of such hospital, 
                        the Secretary shall extend by two years the cap 
                        building period (as defined in item (bb)) 
                        applicable to such new approved medical 
                        residency training program or programs of such 
                        hospital to take into account the impact of the 
                        COVID-19 public health emergency on such 
                        program or programs.
                            ``(bb) For purposes of item (aa), the term 
                        `cap building period' means the 5-year period 
                        used to calculate the total adjustment of the 
                        limitation under subparagraph (F) for a 
                        hospital for a new approved medical residency 
                        training program under the relevant provisions 
                        of paragraphs (d) and (e) of section 413.79 of 
                        title 42, Code of Federal Regulations, and such 
                        other relevant provisions of such regulations 
                        (as in effect on the date of the enactment of 
                        this subclause).''.
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