,,ii  #aafth ,,congress  #ast ,session  
,s4 #abdj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,april #cj1    
#bjai,mr4 ,tester introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,a ,,bill  ,to amend title ,,xviii of   
the ,social ,security ,act to count     
resident time spent in a critical access
 hospital as resident time spent in a   
nonprovider setting for purposes of     
making ,medicare direct and indirect    
graduate medical education payments4    
#a4 ,short title ,this ,act may be cited
 as the ,restoring ,rural ,residencies  
,act of #bjai4  #b4 ,counting resident  
time spent in a critical access hospital
 as resident time spent in a nonprovider
 setting for purposes of making         
,medicare direct and indirect graduate  
medical education payments  7a7 ,,gme   
,section #ahhf7;h77#d7 of the ,social   
,security ,act 7#db ,u4,s4,c4           
#acieww7h77#d77 is amended-- 7#a7 in    
subparagraph 7,e71 by striking          

subparagraphs 7,j7 and 7,k7 and         
inserting subparagraphs 7,j71 7,k71 and 
7,l72 and  7#b7 by adding at the end the
 following new subparagraph3  7,l7      
,treatment of critical access hospitals 
,effective for cost reporting periods   
beginning on or after ,july #a1 #bjbj1  
such rules shall provide that a critical
 access hospital 7as defined in section 
#ahfa7mm77#a77 is deemed to be a        
nonprovider setting for purposes of     
determining the hospital's number of    
full-time equivalent residents under    
this subsection4  4  7b7 ,,ime ,section 
#ahhf7;d77#e77;,b77iv77,,ii7 of the     
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#e77;,b77iv77,,ii77 is       
amended by adding at the end the        
following sentence3 ,effective for      
discharges occurring on or after ,july  
#a1 #bjbj1 for purposes of this         
subclause1 a critical access hospital   
7as defined in section #ahfa7mm77#a77 is
 deemed to be a nonprovider setting44