PL106-310
Children's Health Act of 2000 Title XX. Signed by the
President October 17, 2000. Reauthorizes Children's Hospital
Graduate Medical Education program through 2005. [Adobe
Acrobatâ„¢]
S.580
Healthcare Research and Quality Act of 1999
Section 4. Program of Payments to Children's Hospitals
that Operate Graduate Medical Education Programs.
Part D of title III of the Public Health Service
Act (42 U.S.C. 254b et seq.) is amended by adding at the end
of the following subpart:
Subpart IX--Support of
Graduate Medical Education Programs in Children's Hospitals
SEC. 340E. PROGRAM OF PAYMENTS
TO CHILDREN'S HOSPITALS THAT OPERATE GRADUATE MEDICAL EDUCATION
PROGRAMS.
(a) PAYMENTS- The Secretary shall make two
payments under this section to each children's hospital for each
of fiscal years 2000 and 2001, one for the direct expenses and
the other for indirect expenses associated with operating approved
graduate medical residency training programs.
(A) IN GENERAL- The total of the payments
made to children's hospitals under paragraph (1)(A) or paragraph
(1)(B) in a fiscal year shall not exceed the funds appropriated
under paragraph (1) or (2), respectively, of subsection (f)
for such payments for that fiscal year.
(B) PRO RATA REDUCTIONS OF PAYMENTS FOR
DIRECT EXPENSES- If the Secretary determines that the amount
of funds appropriated under subsection (f)(1) for a fiscal
year is insufficient to provide the total amount of payments
otherwise due for such periods under paragraph (1)(A), the
Secretary shall reduce the amounts so payable on a pro rata
basis to reflect such shortfall.
(D) DETERMINATION OF NATIONAL AVERAGE-
The Secretary shall compute a national average per resident
amount equal to the average of the standardized per resident
amounts computed under subparagraph (C) for such hospitals,
with the amount for each hospital weighted by the average
number of full-time equivalent residents at such hospital.
(1) INTERIM PAYMENTS- The Secretary shall
determine, before the beginning of each fiscal year involved
for which payments may be made for a hospital under this section,
the amounts of the payments for direct graduate medical education
and indirect medical education for such fiscal year and shall
(subject to paragraph (2)) make the payments of such amounts
in 26 equal interim installments during such period.
(3) RECONCILIATION- At the end of each fiscal
year for which payments may be made under this section, the
hospital shall submit to the Secretary such information as
the Secretary determines to be necessary to determine the percent
(if any) of the total amount withheld under paragraph (2) that
is due under this section for the hospital for the fiscal year.
Based on such determination, the Secretary shall recoup any
overpayments made, or pay any balance due. The amount so determined
shall be considered a final intermediary determination for
purposes of applying section 1878 of the Social Security Act
and shall be subject to review under that section in the same
manner as the amount of payment under section 1886(d) of such
Act is subject to review under such section.
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