[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5574 Enrolled Bill (ENR)]
H.R.5574
One Hundred Ninth Congress
of the
United States of America
AT THE SECOND SESSION
Begun and held at the City of Washington on Tuesday,
the third day of January, two thousand and six
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 (e)(1), by striking ``26'' and inserting
``12'';
(3) 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,
$110,000,000.''; and
(4) 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,
$220,000,000.''.
(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''.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.