,i  #aacth ,,congress  #b;d ,session    
,h4 ,r4 #dbhb  ,,in ,,the ,,house ,,of  
,,representatives  ,march #ba1 #bjad    
,ms4 ,castor of ,florida 7for herself   
and ,mr4 ,heck of ,nevada7 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 ratio of medical residents relative
 to the general population4  #a4 ,short 
title ,this ,act may be cited as the    
,creating ,access to ,residency         
,education ,act of #bjad4  #b4 ,graduate
 medical education partnerships in      
,states with a low ratio of medical     
residents relative to general population
 ,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 ratio

 of medical residents relative to       
general population  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    
entities to support the creation of new 
medical residency training programs or  
slots within existing programs in       
,states in which there is a low ratio of
 medical residents relative to the      
general population4  7b7 ,eligibility   
,to be eligible to receive ,federal     
funding under this section1 an entity   
must--  7#a7 be located in a ,state in  
which there are fewer than #be medical  
residents per population of #ajj1jjj2   
and  7#b7 be a public or nonprofit      
teaching hospital or an accredited      
graduate medical education training     
program4  7c7 ,partnerships ,in         
supporting the creation of new medical  
residency training programs or slots    
through a grant or contract under this  

section1 an eligible entity may enter   
into a partnership with a ,state1 local 
government1 community health center1    
local health department1 hospital1 or   
other organization deemed by the entity 
to be appropriate4  7d7 ,matching funds 
,an agreement awarding a grant or       
contract under this section shall--     
7#a7 in the case of a new or existing   
medical residency training program in   
the field of primary care--  7,a7       
require the entity awarded such grant or
 contract to provide one-third of the   
cost of the slots to be funded through  
the agreement2 and  7,b7 to the extent  
and in the amounts made available in    
advance in appropriations ,acts1 require
 the ,administrator to provide the      
remaining two-thirds of the cost of such
 slots2 and  7#b7 in the case of a new  
or existing medical residency training  
program in any other field--  7,a7      
require the award recipient to provide  
one-half of the cost of the slots to be 
funded through the agreement2 and  7,b7 

to the extent and in the amounts made   
available in advance in appropriations  
,acts1 require the ,administrator to    
provide the remaining one-half of the   
cost of such slots4  7e7 ,requirements  
,the ,administrator shall establish     
application processes for eligible      
entities to receive funding under this  
section1 including multiyear commitments
 to ensure the continued funding of     
graduate medical education slots for    
residents in training4  7f7 ,definition 
,for purposes of this section1 the      
,administrator shall define the term    
primary care4  7g7 ,authorization of    
appropriations ,to carry out this       
section1 there are authorized to be     
appropriated #be1jjj1jjj for fiscal year
 #bjae1 and such sums as may be         
necessary for fiscal years #bjaf through
 #bjbj4  4