PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Congressional Research Service
Version 00 · Introduced in House · Mar 23, 1999
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.
People & committees
Rep. Cardin, Benjamin L. [D-MD-3] · D–MD
Legislative record
A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.
Referred to the Subcommittee on Health and Environment, for a period to be subsequently determined by the Chairman.
Referred to the Subcommittee on Health.
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.
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.
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.
Sponsor introductory remarks on measure. (CR E524-525)
Introduced in House
Introduced in House
Primary sources
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Source last updated: Jun 3, 2026. Consult Congress.gov for the current record.
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