,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #cgee  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #i1 #bjae ,ms4
 ,titus 7= h]self1 ,mr4 ,takano1 & ,mr4 
,bec]ra7 introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,ways &       
,means1 & 9 addition to ! ,committees on
 ,en]gy & ,comm]ce & ,vet]ans' ,affairs1
 = a p]iod to be subsequ5tly det]m9$ by 
! ,speak]1 9 ea* case = consid]ation (  
su* provisions z fall )9 ! jurisdiction 
( ! committee conc]n$  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to provide = ! disreg>d ( c]ta9   
resid5t slots t include ,dep>tm5t (     
,vet]ans ,affairs tra9+ 9 det]m9+       
paym5ts = direct graduate m$ical        
education co/s1 & = o!r purposes4  #a4  
,disreg>d ( resid5t slots t include ,,va
 tra9+ aga9/ ! ,m$ic>e graduate m$ical  
education limitations  7a7  ,direct     
,,gme  ,section #ahhf7;h77#d77;,f7 ( !  
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7h77#d77;,f77 is am5d$ by add+ at
 ! end ! foll[+ new clause3  7iii7      

,disreg>d ( c]ta9 resid5t slots t       
include ,,va tra9+ ,= portions ( co/    
report+ p]iods beg9n+ on or aft] ,july  
#a1 #bjaf1 9 apply+ ! limitations reg>d+
 ! total numb] ( full-"t equival5t      
resid5ts 9 ! field ( allopa?ic or       
o/eopa?ic m$ic9e "u clause 7i7 9 a      
hospital's approv$ m$ical resid5cy tra9+
 program1 ! ,secret>y %all n take into  
acc\nt any resid5t )9 su* program t     
c\nts t[>ds meet+ ! obligation ( !      
,secret>y ( ,vet]ans ,affairs "u section
 #cja7;b77#b7 ( ! ,vet]ans ,access1     
,*oice1 & ,acc\ntability ,act ( #bjad   
7,public ,law #aac-adf2 #ch ,u4,s4,c4   
#gcjb note74  4  7b7 ,indirect ,,gme    
,section #ahhf7;d77#e77;,b77v7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#e77;,b77v77 is am5d$1 9 !   
second s5t5ce1 by /rik+ subsection      
7h77#d77;,f77ii7 & ins]t+ clauses 7ii7 &
 7iii7 ( subsection 7h77#d77;,f74  #b4  
,ext5sion ( p]iod = increase 9 graduate 
m$ical education resid5cy positions at  
m$ical facilities ( ! ,dep>tm5t (       

,vet]ans ,affairs  7a7 ,9 g5]al         
,p>agraph 7#b7 ( section #cja7;b7 ( !   
,vet]ans ,access1 ,*oice1 &             
,acc\ntability ,act ( #bjad 7,public    
,law #aac-adf2 #ch ,u4,s4,c4 #gcjb note7
 is am5d$--  7#a7 9 ! p>agraph head+1 by
 /rik+ ,five-ye> & ins]t+ ,t5-ye>2 &    
7#b7 9 subp>agraph 7,a71 by /rik+ #e-ye>
 p]iod & ins]t+ #aj-ye> p]iod4  7b7     
,report ,p>agraph 7#c77;,a7 ( su*       
section is am5d$ by /rik+ #bjai & ins]t+
 #bjbd4