HR 4774 · 114th Congress 2015–2017, ended

Training Tomorrow's Doctors Today Act

Fact sheet

Latest action · Mar 21, 2016 Referred to the Subcommittee on Health.

Progress

Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.

  1. IntroducedMar 17, 2016
  2. Passed HouseNot reached
  3. Passed SenateNot reached
  4. To the PresidentNot reached
  5. Became lawNot reached

Summary

Training Tomorrow's Doctors Today Act

This bill amends title XVIII (Medicare) of the Social Security Act to require the Centers for Medicare & Medicaid Services (CMS) to increase, for purposes of Medicare payment, the otherwise applicable resident limit for qualifying hospitals. The bill establishes a process for distributing the new residency positions.

The bill eliminates the use of three-year rolling averages with respect to calculating, for purposes of Medicare payment, specified limits on certain new or redistributed residency positions.

With respect to specified hospitals, all of the time spent by an intern or resident in an approved medical residency training program, regardless of setting, shall be counted for purposes of determining a hospital's number of residents.

The bill revises payment rules for graduate medical education (GME) costs with respect to a hospital that establishes a new medical residency training program. With respect to a hospital that has not entered into a GME affiliation agreement, CMS shall establish the hospital's resident amount only after determining that the hospital trains more a specified number of residents. Similarly, CMS shall adjust a hospital's limitation on allopathic and osteopathic residents only after determining that the hospital trains more than a specified number of residents. In specified cases, CMS shall provide a hospital an opportunity to have its resident amount reestablished and its limitation adjustment re-determined.

The bill also revises provisions regarding: (1) aggregation rules relating to resident limits, and (2) the period of board eligibility for residents who change specialties.

CMS shall establish and implement procedures for adjusting a hospital's indirect medical education payments based on specified performance measures.

Cosponsors 14

Members who signed on, in the order they did. Signatures ran from Apr 26, 2016 to Jul 25, 2016.

SeatCosponsorSigned on
D-FLAlan GraysonApr 26, 2016
D-AZAnn KirkpatrickApr 26, 2016
D-PAMatt CartwrightApr 26, 2016
D-CAScott H. PetersApr 26, 2016
D-OHTim RyanApr 26, 2016
D-MNTimothy J. WalzApr 26, 2016
D-NVDina TitusApr 27, 2016
D-ILJanice D. SchakowskyApr 27, 2016
D-MNCollin C. PetersonApr 28, 2016
D-GADavid ScottApr 28, 2016
D-WADerek KilmerMay 10, 2016
D-WIMark PocanMay 10, 2016
D-NCG. K. ButterfieldMay 25, 2016
D-MEChellie PingreeJul 25, 2016

Actions 4

Everything that happened, newest first.

  1. Mar 21, 2016Referred to the Subcommittee on Health.
  2. Mar 18, 2016Referred to the Subcommittee on Health.
  3. Mar 17, 2016Introduced in House
  4. Mar 17, 2016Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and 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.

Related bills 2

Companion bills and other measures the record links to this one.

BillTitleRelationshipLatest action
S 2671Advancing Medical Resident Training in Community Hospitals Act of 2016Related billMar 14, 2016
HR 4732Advancing Medical Resident Training in Community Hospitals Act of 2016Related billMar 18, 2016

Subjects

Assigned by the Library of Congress. Policy area: Health.

Text 1

Each version as it was printed, newest first.

  1. Mar 17, 2016Introduced in House

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Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov.