Amends the Public Health Service Act to increase, provide for, and make other specified funding-related changes with respect to certain geriatric matters.
[Congressional Bills 107th Congress]
[From the U.S. Government Publishing Office]
[S. 1362 Introduced in Senate (IS)]
107th CONGRESS
1st Session
S. 1362
To amend title XVIII of the Social Security Act and title VII of the
Public Health Service Act to expand medical residency training programs
in geriatrics, and for other purposes.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
August 3, 2001
Mr. Hutchinson (for himself and Mr. Craig) 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 and title VII of the
Public Health Service Act to expand medical residency training programs
in geriatrics, 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; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Advancement of
Geriatric Education Act of 2001''.
(b) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Disregard of certain geriatric residents and fellows against
graduate medical education limitations.
Sec. 3. Extension of eligibility periods for geriatric graduate medical
education.
Sec. 4. Study and report on improvement of graduate medical education.
Sec. 5. Improved funding for education and training relating to
geriatrics.
SEC. 2. DISREGARD OF CERTAIN GERIATRIC RESIDENTS AND FELLOWS AGAINST
GRADUATE MEDICAL EDUCATION LIMITATIONS.
(a) Direct GME.--Section 1886(h)(4)(F) of the Social Security Act
(42 U.S.C. 1395ww(h)(4)(F)) is amended by adding at the end the
following new clause:
``(iii) Increase in limitation for
geriatric residencies and fellowships.--For
cost reporting periods beginning on or after
the date that is 6 months after the date of
enactment of the Advancement of Geriatric
Education Act of 2001, in applying the
limitations regarding the total number of full-
time equivalent residents in the field of
allopathic or osteopathic medicine under clause
(i) for a hospital, the Secretary shall not
take into account a maximum of 5 residents
enrolled in a geriatric residency or fellowship
program approved by the Secretary for purposes
of paragraph (5)(A) to the extent that the
hospital increases the number of geriatric
residents or fellows above the number of such
residents or fellows for the hospital's most
recent cost reporting period ending before the
date that is 6 months after the date of
enactment of such Act.''.
(b) Indirect GME.--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:
``(ix) 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.''.
SEC. 3. EXTENSION OF ELIGIBILITY PERIODS FOR GERIATRIC GRADUATE MEDICAL
EDUCATION.
(a) Direct GME.--Section 1886(h)(5)(G) of the Social Security Act
(42 U.S.C. 1395ww(h)(5)(G)) is amended by adding at the end the
following new clause:
``(vi) Geriatric residency and fellowship
programs.--In the case of an individual
enrolled in a geriatric residency or fellowship
program approved by the Secretary for purposes
of subparagraph (A), the period of board
eligibility and the initial residency period
shall be the period of board eligibility for
the subspecialty involved, plus 1 year.''.
(b) Conforming Amendment.--Section 1886(h)(5)(F) of the Social
Security Act (42 U.S.C. 1395ww(h)(5)(F)) is amended by striking
``subparagraph (G)(v)'' and inserting ``clauses (v) and (vi) of
subparagraph (G)''.
(c) Effective Date.--The amendments made by this section shall
apply to cost reporting periods beginning on or after the date that is
6 months after the date of enactment of this Act.
SEC. 4. STUDY AND REPORT ON IMPROVEMENT OF GRADUATE MEDICAL EDUCATION.
(a) Study.--The Secretary of Health and Human Services shall
conduct a study to determine how to improve the graduate medical
education programs under subsections (d)(5)(B) and (h) of section 1886
of the Social Security Act (42 U.S.C. 1395ww) so that such programs
prepare the physician workforce to serve the aging population of the
United States. Such study shall include a determination of whether the
establishment of an initiative to encourage the development of
individuals as academic geriatricians would improve such programs.
(b) Report.--Not later than the date that is 6 months after the
date of enactment of this Act, the Secretary of Health and Human
Services shall submit to Congress a report on the study conducted under
subsection (a) together with such recommendations for legislative and
administrative action as the Secretary determines appropriate.
SEC. 5. IMPROVED FUNDING FOR EDUCATION AND TRAINING RELATING TO
GERIATRICS.
(a) Geriatric Faculty Fellowships.--Section of 753(c)(4) of the
Public Health Service Act (42 U.S.C. 294c(c)(4)) is amended--
(1) in subparagraph (A), by striking ``$50,000 for fiscal
year 1998'' and inserting ``$75,000 for fiscal year 2002''; and
(2) in subparagraph (B), by striking ``shall not exceed 5
years'' and inserting ``shall be 5 years''.
(b) Authorization of Appropriations.--Section 757 of the Public
Health Service Act (42 U.S.C. 294g) is amended--
(1) in subsection (a)--
(A) by striking ``In General.--There are
authorized'' and inserting ``Authorization.--
``(1) In general.--Except as provided in paragraph (2),
there are authorized''; and
(B) by adding at the end the following:
``(2) Education and training relating to geriatrics.--There
are authorized to be appropriated to carry out section 753 such
sums as may be necessary for each of fiscal years 2002 through
2006.''; and
(2) in subsection (b)--
(A) in paragraph (1)--
(i) in subparagraph (B), by striking
``and'' at the end; and
(ii) by striking subparagraph (C) and
inserting the following:
``(C) not less than $22,631,000 for awards of
grants and contracts under--
``(i) section 753 for fiscal years 1998
through 2001; and
``(ii) sections 754 and 755 for fiscal
years 1998 through 2002; and
``(D) for awards of grants and contracts under
section 753 after fiscal year 2001--
``(i) in 2002, not less than $20,000,000;
``(ii) in 2003, not less than $24,000,000;
``(iii) in 2004, not less than $28,000,000;
``(iv) in 2005, not less than $32,000,000;
and
``(v) in 2006, not less than
$36,000,000.'';
(B) in paragraph (2), by striking ``subparagraphs
(A) through (C)'' and inserting ``subparagraphs (A)
through (D)''; and
(C) in paragraph (3), by striking ``subparagraphs
(A) through (C) of paragraph (2)'' and inserting
``subparagraphs (A) through (D) of paragraph (1)''.
(c) Effective Date.--The amendments made by this section shall take
effect on October 1, 2001.
<all>
Introduced in Senate
Sponsor introductory remarks on measure. (CR S8931-8932, S8932-8933)
Read twice and referred to the Committee on Finance. (text of measure as introduced: CR S8932)
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