S. Amdt. 5073 - To Provide a Complete Substitute.

109th Congress (2005-2006) View amendment details
Sponsor:
This is an amendment to H.R. 5574 - Children's Hospital GME Support Reauthorization Act of 2006
Senate Vote: Amendment SA 5073 agreed to in Senate by Unanimous Consent.

PASSED by voice vote on September 26, 2006.

Children's Hospital GME Support Reauthorization Act of 2006

H.R. 5574 — 109th Congress (2005–2006)

Summary
This bill amends the Public Health Service Act to require payments for FY2007-FY2011 to children's hospitals. (by CRS)
Learn More
At OpenCongress
Title
To amend the Public Health Service Act to reauthorize support for graduate medical education programs in children's hospitals.
Other Titles
  • Children's Hospital GME Support Reauthorization Act of 2006
  • Children's Hospital GME Support Reauthorization Act of 2006
  • Children's Hospital GME Support Reauthorization Act of 2006
  • Children's Hospital GME Support Reauthorization Act of 2006
  • Children's Hospital GME Support Reauthorization Act of 2006
Sponsor
Nathan Deal
Co-Sponsors
Subjects
  • Medicine
  • Authorization
  • Budgets
  • Child health
  • Children
  • Congress
  • Congressional reporting requirements
  • Curricula
  • Department of Health and Human Services
  • Education
  • Executive departments
  • Federal aid to child health services
  • Federal aid to education
  • Federal aid to health facilities
  • Fines (Penalties)
  • Government information
  • Government paperwork
  • Graduate education
  • Health policy
  • Higher education
  • Hospitals
  • Medical care
  • Medical education
  • Medical residents
  • Quality of care
Related Bills
Major Actions
Introduced6/09/2006
Referred to Committee
Amendments (1 proposed)
Passed House6/21/2006
Passed Senate9/26/2006
Signed by President10/06/2006
Bill History
Chamber/CommitteeMotionDateResult
select this voteHouseOn Passage - House - H.R. 5574 To amend the Public Health Service Act to reauthorize support for graduate medical education programs in children’s hospitals - Under Suspension of the Rules6/21/2006This bill PASSED the House
421 voted YES 4 voted NO 7 voted present/not voting
select this voteSenatePassed Senate with an amendment by Unanimous Consent.9/26/2006PASSED by voice vote
currently selectedSenateAmendment SA 5073 agreed to in Senate by Unanimous Consent.9/26/2006PASSED by voice vote
ActionDateDescription
Introduced6/09/2006
6/09/2006Referred to the House Committee on Energy and Commerce.
6/12/2006Referred to the Subcommittee on Health.
6/15/2006Committee Consideration and Mark-up Session Held.
Put on a legislative calendar6/15/2006Ordered to be Reported (Amended).
6/20/2006Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 109-508.
Put on a legislative calendar6/20/2006Placed on the Union Calendar, Calendar No. 284.
6/21/2006At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
6/21/2006Considered as unfinished business.
select this voteHouse Vote on Passage6/21/2006On Passage - House - H.R. 5574 To amend the Public Health Service Act to reauthorize support for graduate medical education programs in children’s hospitals - Under Suspension of the Rules
6/22/2006Mr. Deal (GA) moved to suspend the rules and pass the bill, as amended.
6/22/2006Considered under suspension of the rules.
6/22/2006DEBATE - The House proceeded with forty minutes of debate on H.R. 5574.
6/22/2006Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
9/26/2006Senate Committee on Health, Education, Labor, and Pensions discharged by Unanimous Consent.
9/26/2006Measure laid before Senate by unanimous consent.
9/26/2006Message on Senate action sent to the House.
select this voteSenate Vote on Passage9/26/2006Passed Senate with an amendment by Unanimous Consent.
9/26/2006Amendment SA 5073 proposed by Senator McConnell for Senator Enzi.
currently selectedVote9/26/2006Amendment SA 5073 agreed to in Senate by Unanimous Consent.
Presented to President9/28/2006Cleared for White House.
9/28/2006Mr. Deal (GA) moved that the House suspend the rules and agree to the Senate amendment.
9/28/2006DEBATE - The House proceeded with forty minutes of debate on the motion to suspend the rules and agree to the Senate amendment to H.R. 5574.
9/28/2006On motion that the House suspend the rules and agree to the Senate amendment Agreed to by voice vote.
Presented to President9/29/2006Presented to President.
Signed10/06/2006Signed by President.
Enacted10/06/2006Became Public Law No: 109-307.
NumberSponsorDate OfferedStatus
currently selectedS. Amdt. 5073Enzi, Michael [R-WY]September 26, 2006Passed by voice vote on September 26, 2006.

To provide a complete substitute.

Actions

September 26, 2006, 12:00 am ET - Amendment SA 5073 proposed by Senator McConnell for Senator Enzi.
September 26, 2006, 12:00 am ET - Amendment SA 5073 agreed to in Senate by Unanimous Consent.

Full Text of this Amendment

SA 5073. Mr. McCONNELL (for Mr. Enzi) proposed an amendment to the bill H.R. 5574, to amend the Public Health Service Act to reauthorize support for graduate medical education programs in children's hospitals; as follows:

Strike all after the enacting clause and insert the following:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Children's Hospital GME Support Reauthorization Act of 2006''.
SEC. 2. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE GRADUATE MEDICAL EDUCATION PROGRAMS.
(a) In General.--Section 340E of the Public Health Service Act (42 U.S.C. 256e) is amended--
(1) in subsection (a), by inserting ``and each of fiscal years 2007 through 2011'' after ``for each of fiscal years 2000 through 2005'';
(2) in subsection (e)(1), by striking ``26'' and inserting ``12'';
(3) in subsection (f)(1)(A)--
(A) in clause (ii), by striking ``and'' at the end;
(B) in clause (iii), by striking the period at the end and inserting ``; and''; and
(C) by adding at the end the following:
``(iv) for each of fiscal years 2007 through 2011, $110,000,000.''; and
(4) in subsection (f)(2)--
(A) in the matter before subparagraph (A), by striking ``subsection (b)(1)(A)'' and inserting ``subsection (b)(1)(B)'';
(B) in subparagraph (B), by striking ``and'' at the end;
(C) in subparagraph (C), by striking the period at the end and inserting ``; and''; and
(D) by adding at the end the following:
``(D) for each of fiscal years 2007 through 2011, $220,000,000.''.
(b) Reduction in Payments for Failure to File Annual Report.--Subsection (b) of section 340E of the Public Health Service Act (42 U.S.C. 256e) is amended--
(1) in paragraph (1), in the matter before subparagraph (A), by striking ``paragraph (2)'' and inserting ``paragraphs (2) and (3)''; and
(2) by adding at the end the following:
``(3) ANNUAL REPORTING REQUIRED.--
``(A) REDUCTION IN PAYMENT FOR FAILURE TO REPORT.--
``(i) IN GENERAL.--The amount payable under this section to a children's hospital for a fiscal year (beginning with fiscal year 2008 and after taking into account paragraph (2)) shall be reduced by 25 percent if the Secretary determines that--
``(I) the hospital has failed to provide the Secretary, as an addendum to the hospital's application under this section for such fiscal year, the report required under subparagraph (B) for the previous fiscal year; or
``(II) such report fails to provide the information required under any clause of such subparagraph.
``(ii) NOTICE AND OPPORTUNITY TO PROVIDE MISSING INFORMATION.--Before imposing a reduction under clause (i) on the basis of a hospital's failure to provide information described in clause (i)(II), the Secretary shall provide notice to the hospital of such failure and the Secretary's intention to impose such reduction and shall provide the hospital with the opportunity to provide the required information within a period of 30 days beginning on the date of such notice. If the hospital provides
such information within such period, no reduction shall be made under clause (i) on the basis of the previous failure to provide such information.
``(B) ANNUAL REPORT.--The report required under this subparagraph for a children's hospital for a fiscal year is a report that includes (in a form and manner specified by the Secretary) the following information for the residency academic year completed immediately prior to such fiscal year:
``(i) The types of resident training programs that the hospital provided for residents described in subparagraph (C), such as general pediatrics, internal medicine/pediatrics, and pediatric subspecialties, including both medical subspecialties certified by the American Board of Pediatrics (such as pediatric gastroenterology) and non-medical subspecialties approved by other medical certification boards (such as pediatric surgery).
``(ii) The number of training positions for residents described in subparagraph (C), the number of such positions recruited to fill, and the number of such positions filled.
``(iii) The types of training that the hospital provided for residents described in subparagraph (C) related to the health care needs of different populations, such as children who are underserved for reasons of family income or geographic location, including rural and urban areas.
``(iv) The changes in residency training for residents described in subparagraph (C) which the hospital has made during such residency academic year (except that the first report submitted by the hospital under this subparagraph shall be for such changes since the first year in which the hospital received payment under this section), including--
``(I) changes in curricula, training experiences, and types of training programs, and benefits that have resulted from such changes; and
``(II) changes for purposes of training the residents in the measurement and improvement of the quality and safety of patient care.
``(v) The numbers of residents described in subparagraph (C) who completed their residency training at the end of such residency academic year and care for children within the borders of the service area of the hospital or within the borders of the State in which the hospital is located. Such numbers shall be disaggregated with respect to residents who completed residencies in general pediatrics or internal medicine/pediatrics, subspecialty residencies, and dental residencies.
``(C) RESIDENTS.--The residents described in this subparagraph are those who--
``(i) are in full-time equivalent resident training positions in any training program sponsored by the hospital; or
``(ii) are in a training program sponsored by an entity other than the hospital, but who spend more than 75 percent of their training time at the hospital.
``(D) REPORT TO CONGRESS.--Not later than the end of fiscal year 2011, the Secretary, acting through the Administrator of the Health Resources and Services Administration, shall submit a report to the Congress--
``(i) summarizing the information submitted in reports to the Secretary under subparagraph (B);
``(ii) describing the results of the program carried out under this section; and
``(iii) making recommendations for improvements to the program.''.
(c) Technical Amendments.--Section 340E of the Public Health Service Act (42 U.S.C. 256e) is further amended--
(1) in subsection (c)(2)(E)(ii), by striking ``described in subparagraph (C)(ii)'' and inserting ``applied under section 1886(d)(3)(E) of the Social Security Act for discharges occurring during the preceding fiscal year'';
(2) in subsection (e)(2), by striking the first sentence; and
(3) in subsection (e)(3), by striking ``made to pay'' and inserting ``made and pay''.


(As printed in the Congressional Record for the Senate on Sep 26, 2006.)

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