All-Payer Graduate Medical Education Act
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.
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.