,i  #aae? ,,congress  #a/ ,session  ,h4 
,r4 #bcgc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #d1 #bjag,mr4    
,kelly ( ,p5nsylvania 7= himself & ,mr4 
,bu*anan7 introduc$ ! foll[+ bill2 :i* 0
 ref]r$ to ! ,committee on ,ways &      
,means1 & 9 addition to ! ,committee on 
,en]gy & ,comm]ce1 = 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 )    
respect to ! accr$itation ( o/eopa?ic   
resid5cy tra9+ programs = purposes (    
graduate m$ical education paym5ts "u !  
,m$ic>e program4  #a4 ,accr$itation (   
o/eopa?ic resid5cy tra9+ programs =     
purposes ( graduate m$ical education    
paym5ts "u ! ,m$ic>e program ,section   
#ahhf7;h77#e7 ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #acieww7h77#e77 is      
am5d$-- 7#a7 by am5d+ subp>agraph 7,a7  
to read z foll[s3  7,a7 ,approv$ m$ical 
resid5cy tra9+ program ,! t]m approv$   

m$ical resid5cy tra9+ program means a   
resid5cy or o!r po/graduate m$ical tra9+
 program1 includ+ an o/eopa?ic community
 resid5cy tra9+ program--  7i7          
p>ticipation 9 :i* may be c\nt$ t[>d    
c]tification 9 a specialty or           
subspecialty2 &  7ii7 :i* has be5       
approv$ by an accr$it+ body c]tifi$ by !
 ,secret>y4  2  7#b7 by am5d+           
subp>agraph 7,d7 to read z foll[s3  7,d7
 ,=eign m$ical graduate ,! t]m =eign    
m$ical graduate means a resid5t :o is n 
a graduate (--  7i7 an accr$it$ s*ool ( 
m$ic9e2  7ii7 an accr$it$ s*ool (       
o/eopa?y2 or  7iii7 an accr$it$ s*ool ( 
d5ti/ry or podiatry4  2  7#c7 9         
subp>agraph 7,g77iii71 by /rik+         
,accr$itation ,c\ncil on ,graduate      
,m$ical ,education & ins]t+ accr$itor2 &
  7#d7 by add+ at ! end ! foll[+ new    
subp>agraphs3  7,l7 ,o/eopa?ic community
 resid5cy tra9+ program ,! t]m o/eopa?ic
 community resid5cy tra9+ program means 
an o/eopa?ic m$ical resid5cy tra9+      
program t prim>ily relies on physicians 

:o tra9 resid5ts 9 ! resid5cy tra9+     
program on a volunte] basis :ile cont9u+
 to provide full-"t pati5t c>e s]vices4 
7,m7 ,multiple accr$it+ bodies =        
,allopa?ic & ,o/eopa?ic ,m$ical         
,resid5cy ,tra9+ ,programs ,! ,secret>y 
%all c]tify a m9imum ( two accr$it+     
bodies = ! purpose ( accr$it+ m$ical    
resid5cy tra9+ programs 9 allopa?ic &   
o/eopa?ic m$ic9e4  4