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HR 1224 106th Congress House

All-Payer Graduate Medical Education Act

Official title: To amend the Internal Revenue Code of 1986 and title XVIII of the Social Security Act to provide for comprehensive financing for graduate medical education.

Introduced: June 23, 1999 See on congress.gov
Health Access to health careCommerceCongressCongressional reporting requirements
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Economics and Public FinanceEducationEmployee health benefitsFederal aid to hospitalsFederal aid to medical educationFederal employeesFeesFinance and Financial SectorFringe benefitsGovernment Operations and PoliticsGovernment employees' health insuranceGovernment paperworkGovernment trust fundsHealth insuranceHealth insurance industry
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This bill died when the 106th Congress ended
It never became law before the 106th Congress (1999–2000) 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 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Apr 12, 1999
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Apr 9, 1999
Referred to the Subcommittee on Health.
Mar 23, 1999
Referred to the Committee on Ways and Means, and in addition to the Committee on 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.
Mar 23, 1999
Sponsor introductory remarks on measure. (CR E524-525)
Mar 23, 1999
Introduced in House
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 Latest action April 12, 1999

Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.

 Plain-English summary Congressional Research Service

TABLE OF CONTENTS:

Title I: Health Care Workforce Trust Fund; Payments to Teaching

Teaching Hospitals

Subtitle A: Establishment and Financing of Fund

Subtitle B: Additional Payments to Teaching Hospitals

Subtitle C: Conforming Changes in Medicare Payment for

Directs Costs of Graduate Medical Education

Title II: Health Workforce Priorities

Title III: Modification in Medicare Payment for IME and DSH

Title IV: Additional Payments for Graduate Education For Non-

Physician Health Professionals

All-Payer Graduate Medical Education Act - Title I: Health Care Workforce Trust Fund; Payments to Teaching Hospitals - Subtitle A: Establishment and Financing of Fund - Amends the Internal Revenue Code to establish the Health Care Workforce Trust Fund to provide for the financing of graduate medical education. Appropriates to the Fund amounts from: (1) specified fees imposed on health insurance; (2) the Federal Hospital Insurance Trust Fund; and (3) the Federal Supplementary Medical Insurance Trust Fund.

Subtitle B: Additional Payments to Teaching Hospitals - Provides for payments to eligible teaching hospitals. Requires a study of this title's impact.

Subtitle C: Conforming Changes in Medicare Payment for Direct Costs of Graduate Medical Education - Amends title XVIII (Medicare) of the Social Security Act to revise provisions concerning the formula for graduate medical education costs.

(Sec. 122) Excepts rural and underserved urban areas from certain limitations on the number of medical residents.

(Sec. 123) Directs the Secretary of Health and Human Services to study and report to specified congressional committees on the appropriateness of the level of documentation that should be required in a patient's medical record of professional services of a teaching physician, as a condition of payment under Medicare part B for such services

Title II: Health Workforce Priorities - Requires a plan to reduce medical residency training positions in the United States to 110 percent of the annual number of students graduating from a U.S. medical school.

Title III: Modification in Medicare Payment for IME and DSH - Modifies specified Medicare payments for the indirect costs of graduate medical education (IME) and disproportionate share (DSH) hospitals. Requires the Secretary to develop and implement a plan for IME hospitals to report annually on how they contribute to education, improvements in clinical services and research infrastructure, and community services operated by or in such hospitals.

Title IV: Additional Payments for Graduate Education for Non- Physician Health Professionals - Requires the Secretary to develop a plan followed by the making of payments to support institutions providing graduate medical education to non-physician health professionals.

 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
 Cosponsors 3
All 3 Democratic 3
D
Davis, Danny K.
Illinois · Jun 23, 1999
 D
Larson, John B.
Connecticut · Jun 23, 1999
 D
Kaptur, Marcy
Ohio · Apr 20, 1999
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 1224: All-Payer Graduate Medical Education Act. 106th Congress. Open America. https://openamerica.io/bill/106-HR-1224/
MLA
"H.R. 1224: All-Payer Graduate Medical Education Act." 106th Congress, 2026, Open America, https://openamerica.io/bill/106-HR-1224/.
Bluebook (legal)
H.R. 1224, 106th Cong. (2026), https://openamerica.io/bill/106-HR-1224/.
Markdown link
[H.R. 1224: All-Payer Graduate Medical Education Act](https://openamerica.io/bill/106-HR-1224/)
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