,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #hhib  ,,in ,,the ,,house ,,of  
,,representatives  ,december #g1        
#bjbj,mr4 ,wenstrup 7for himself and    
,ms4 ,sewell of ,alabama7 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 support   
rural residency training funding and    
promote partnerships with urban teaching
 hospitals4  #a4 ,short title ,this ,act
 may be cited as the ,rural-,urban      
,physician ,workforce ,act of #bjbj4    
#b4 ,promoting ,rural ,hospital ,,gme   
,funding ,opportunity ,section          
#ahhf7;h77#d77;,h77iv7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acieww7h77#d77;iv77 is amended-- 7#a7  

by striking 7iv7 ,nonrural hospital     
operating training programs in rural    
areas4--,in the case of and inserting   
the following3  7iv7 ,training programs 
in rural areas  7,i7 ,cost reporting    
periods beginning before ,october #a1   
#bjbb ,for cost reporting periods       
beginning before ,october #a1 #bjbb1 in 
the case of  2 and  7#b7 by adding at   
the end the following new subclause3    
7,,ii7 ,cost reporting periods beginning
 on or after ,october #a1 #bjbb ,for    
cost reporting periods beginning on or  
after ,october #a1 #bjbb1 in the case of
 a hospital not located in a rural area 
but establishes approved medical        
residency training programs 7or rural   
tracks7 in a rural area1 the ,secretary 
shall1 subject to paragraphs 7#g7 and   
7#h7 and in a manner consistent with the
 principles of subparagraphs 7,f71 7,g71
 and 7,h77i71 promulgate rules for the  
application of such subparagraphs with  
respect to such a program and1 in       
accordance with such rules1 adjust in an

 appropriate manner the limitation under
 subparagraph 7,f7 for such hospital and
 each such hospital located in a rural  
area that participates in such a        
training4  4