,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #edcb  ,,in ,,the ,,house ,,of  
,,representatives  ,december #ac1       
#bjai,ms4 ,mucarsel-,powell 7for herself
 and ,ms4 ,porter7 introduced the       
following bill2 which was referred to   
the ,committee on ,ways and ,means1 and 
in addition to the ,committee on ,energy
 and ,commerce1 for a period to be      
subsequently determined by the ,speaker1
 in each case for consideration of such 
provisions as fall within the           
jurisdiction of the committee concerned 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to count     
toward the determination of full time   
equivalency for graduate medical        
education under the ,medicare program   
time spent in an approved medical       
residency training program for training 
in culturally and linguistically        
appropriate care4  #a4 ,short title     
,this ,act may be cited as the ,medical 
,education for a ,diverse ,america ,act4
  #b4 ,training tomorrow's doctors for  

culturally and linguistically           
appropriate care3 graduate medical      
education  7a7 ,direct ,,gme ,section   
#ahhf7;h77#d7 of the ,social ,security  
,act 7#db ,u4,s4,c4 #bb #acieww7h77#d77 
is amended by adding at the end the     
following new subparagraph 3  7,l7      
,treatment of cultural competency       
training ,in determining a hospital's   
number of full-time equivalent residents
 for purposes of this subsection1 all   
the time that is spent by an intern or  
resident in an approved medical         
residency training program for education
 and training in cultural competency and
 linguistically appropriate service     
delivery shall be counted toward the    
determination of full time equivalency4 
4  7b7 ,indirect medical education      
,section #ahhf7;d77#e77;,b7 of the      
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#e77;,b77 is amended-- 7#a7  
by redesignating the clause 7x7 added by
 section #eeje7;b7 of the ,patient      
,protection and ,affordable ,care ,act  

as clause 7xi72 and  7#b7 by adding at  
the end the following new clause3  7xii7
 ,the provisions of subparagraph 7,l7 of
 subsection 7h77#d7 shall apply under   
this subparagraph in the same manner as 
they apply under such subsection4  4    
7c7 ,effective date ,the amendments made
 by subsections 7a7 and 7b7 shall apply 
with respect to payments made to        
hospitals on or after the date that is  
one year after the date of the enactment
 of this ,act4