Skip to main content
HR 2600 105th Congress House Health Economics and Public Finance Education Employee health benefits Federal aid to medical education Health insurance Higher education Hospitals Kidney diseases Labor and Employment Medical residents Medicare Prospective payment systems (Medical care) Social Welfare

To amend title XVIII of the Social Security Act and section 4626 of the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from providing any incentive payments to…

Show full title

To amend title XVIII of the Social Security Act and section 4626 of the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from providing any incentive payments to hospitals to reduce the number of residents in graduate medical education programs, and for other purposes.

Introduced: October 1, 1997 See on congress.gov
Sign in to write a letter Sign in to watch
This bill died when the 105th Congress ended
It never became law before the 105th Congress (1997–1998) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 8 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Oct 23, 1997
Referred to the Subcommittee on Employer-Employee Relations.
Oct 15, 1997
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Oct 6, 1997
Referred to the Subcommittee on Health.
Oct 1, 1997
Referred to House Education and the Workforce
Oct 1, 1997
Referred to House Commerce
Oct 1, 1997
Referred to the Committee on Ways and Means, and in addition to the Committees on Commerce, and Education and the Workforce, 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.
Oct 1, 1997
Referred to House Ways and Means
Oct 1, 1997
Introduced in House
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Plain-English summary Congressional Research Service

Amends title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Balanced Budget Act of 1997, to repeal the authority and mandate for incentive payments under plans for voluntary reduction in the number of residents in a graduate medical education residency training program.

Amends the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from approving or providing any payments for any demonstration project that provides for additional Medicare payments in connection with such a reduction for any residency training year beginning on or after July 1, 1998 (currently before July 1, 2006).

Provides that the April 1995 Health Care Financing Administration interpretation of Medicare secondary payer requirements for group health plans with regard to individuals with end stage renal disease (ESRD) shall not apply retroactively to a group health plan that paid benefits primary to SSA title XVIII (but would have paid benefits secondary to such title in the absence of such requirements) on or after August 10, 1993, and before April 24, 1995, on behalf of certain individuals who became entitled or eligible for the ESRD program.

Amends the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act to extend COBRA continuation coverage for qualified ESRD Medicare beneficiaries for 36 months.

Amends SSA title XVIII to provide for an extension of the Medicare ESRD secondary payer period from 30 to 36 months.

What's happening now October 23, 1997

Referred to the Subcommittee on Employer-Employee Relations.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 6
 Cosponsors 1
All 1 Republican 1
R
Moran, Jerry
Kansas · Oct 1, 1997
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 2600: To amend title XVIII of the Social Security Act and section 4626 of the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from providing any incentive payments to hospitals to reduce the number of residents in graduate medical education programs, and for other purposes.. 105th Congress. Open America. https://openamerica.io/bill/105-HR-2600/
MLA
"H.R. 2600: To amend title XVIII of the Social Security Act and section 4626 of the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from providing any incentive payments to hospitals to reduce the number of residents in graduate medical education programs, and for other purposes.." 105th Congress, 2026, Open America, https://openamerica.io/bill/105-HR-2600/.
Bluebook (legal)
H.R. 2600, 105th Cong. (2026), https://openamerica.io/bill/105-HR-2600/.
Markdown link
[H.R. 2600: To amend title XVIII of the Social Security Act and section 4626 of the Balanced Budget Act of 1997 to prohibit the Secretary of Health and Human Services from providing any incentive payments to hospitals to reduce the number of residents in graduate medical education programs, and for other purposes.](https://openamerica.io/bill/105-HR-2600/)
Report a problem