,i  #aacth ,,congress  #ast ,session    
,h4 ,r4 #aagh  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ad1 #bjac    
,ms4 ,castor of ,florida introduced the 
following bill2 which was referred to   
the ,committee on ,energy and ,commerce 
,a ,,bill  ,to amend the ,public ,health
 ,service ,act to authorize grants for  
graduate medical education partnerships 
in ,states with a low                   
physician-resident-to-general-population
 ratio4  #a4 ,short title ,this ,act may
 be cited as the ,creating ,access to   
,residency ,education ,act of #bjac4    
#b4 ,graduate medical education         
partnerships in ,states with a low      
physician-resident-to-general-population
 ratio ,part ,b of title ,,iii of the   
,public ,health ,service ,act is amended
 by inserting after section #cag,t 7#db 
,u4,s4,c4 #bdg;b-#bb7 the following3    
#cag,u4 ,graduate medical education     
partnerships in ,states with a low      
physician-resident-to-general-population
 ratio  7a7 ,in general ,the            

,administrator of the ,centers for      
,medicare  ,medicaid ,services 7in this 
section referred to as the              
,administrator7 shall make grants to1 or
 enter into contracts with1 eligible    
partnerships between ,state or local    
governments and private entities to     
support the creation of new medical     
residency training programs or slots    
within existing programs in underserved 
,states in which there is a low         
physician-resident-to-general-population
 ratio4  7b7 ,eligibility ,to be        
eligible to receive ,federal funding    
under this section1 a partnership must  
consist of--  7#a7 a ,state in which    
there are fewer than #be medical        
residents per population of #ajj1jjj or 
a local government within such a ,state2
 and  7#b7 a public or private entity   
consisting of a public or nonprofit     
teaching hospital or an accredited      
graduate medical education training     
program4  7c7 ,matching funding ,in     
awarding a grant or contract under this 

section1 the ,administrator shall       
include a requirement of matching funds 
as follows3  7#a7 ,the public or private
 entity must agree to provide one-third 
of the cost of the medical residency    
program or new slots in an existing     
program4  7#b7 ,the ,state or local     
government must agree to provide        
one-third of the cost of the medical    
residency program or new slots in an    
existing program4  7#c7 ,to the extent  
and in the amounts made available in    
advance in appropriations ,acts1 the    
,administrator shall agree to provide   
the remaining one-third of the cost of  
the medical residency program or slots  
in an existing program4  7d7            
,preferences ,in awarding grants and    
contracts under this section1 the       
,administrator shall give preference to 
the following3  7#a7 ,eligible          
partnerships in which the participating 
,state has #bj or fewer medical         
residents per population of #ajj1jjj or 
the participating local government is   

within such a ,state4  7#b7 ,eligible   
partnerships in which the ,state        
involved has a population exceeding     
#ae1jjj1jjj and has less than #aj       
percent of the ,nation's residency      
slots4  7#c7 ,eligible partnerships     
which fund new graduate medical         
education programs or slots within      
existing programs in the field of family
 medicine1 internal medicine and its    
subspecialties1 geriatrics1 or          
pediatrics4  7e7 ,requirements ,the     
,administrator may establish application
 processes and other requirements for   
partnerships to receive funding under   
this section including multiyear        
commitments to ensure the continued     
funding of graduate medical education   
slots for residents in training4  7f7   
,authorization of appropriations ,to    
carry out this section1 there are       
authorized to be appropriated           
#be1jjj1jjj for fiscal year #bjad1 and  
such sums as may be necessary for fiscal
 years #bjae through #bjai4  4