,,ii  #aai? ,,congress  #a/ ,session    
,s4 #ajhg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #ad1 #bjbe ,ms4   
,klobu*> 7= h]self & ,mr4 ,tillis7      
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,f9ance  ,a ,,bill  ,to am5d title      
,,xviii ( ! ,social ,security ,act to   
adju/ all[able direct & indirect co/s = 
nurs+ & alli$ heal? education programs4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,rebuild ,am]ica's ,heal? ,c>e ,s*ools
 ,act ( #bjbe4  #b4 ,adju/+ all[able    
direct & indirect co/s = nurs+ & alli$  
heal? education programs  7a7 ,9 g5]al  
,section #ahfa7v77#a7 ( ! ,social       
,security ,act 7#db ,u4,s4,c4           
#aciex7v77#a77 is am5d$ by add+ at ! end
 ! foll[+ new subp>agraph3  7,x7  7i7 ,9
 det]m9+ su* reasonable co/s = nurs+ &  
alli$ heal? education furni%$ by a      
hospital1 beg9n+ ) respect to co/       
report+ p]iods beg9n+ on or aft] ! date 
( ! enactm5t ( ! ,rebuild ,am]ica's     
,heal? ,c>e ,s*ools ,act ( #bjbe1 !     

,secret>y %all include z reasonable co/s
 all direct & indirect co/s incurr$ by a
 hospital p>ticipat+ 9 a nurs+ & alli$  
heal? education program lic5s$ by ,/ate 
law or accr$it$ by a national or        
regional pr(essional organization1      
includ+ co/s t-- 7,i7 7 directly incurr$
 by ! hospital2  7,,ii7 7 allocat$ to ! 
hospital by a relat$ entity hold+ !     
applicable ,/ate lic5se or accr$itation 
by a national or regional pr(essional   
organization2  7,,iii7 7 associat$ ) !  
tra9+ or advanc$ cl9ical tra9+ ( a      
program p>ticipant at ! hospital or at a
 relat$ entity2  7,,iv7 7 associat$ )   
contracts to provide = faculty = !      
program :5 su* faculty are employ$ by an
 educational in/itution t is n a relat$ 
entity2 or  7,v7 7 associat$ ) %>$      
s]vices1 su* z %>$ payroll &            
adm9i/rative s]vices1 to support !      
op]ation ( an approv$ nurs+ or alli$    
heal? education program1 provid$ by an  
educational in/itution or a cl9ical site
 t is a relat$ entity4  7ii7 ,= purposes

 ( clause 7i71 ! t]m relat$ entity      
means1 ) respect to a hospital1 any     
entity t is relat$ by common own]%ip or 
control to-- 7,i7 ! hospital itself2 or 
7,,ii7 an entity-- 7aa7 9 :i* ! hospital
 7or ano!r entity t is a relat$ entity )
 respect to ! hospital7 is ! sole       
corporate memb]2  7bb7 t is ! sole      
corporate memb] ( ! hospital2  7cc7 t is
 "p ( ! same legal entity z ! hospital2 
or  7dd7 t %>es a bo>d ) ! hospital4  4 
7b7 ,all[+ heal? sy/ems & hospital-,bas$
 s*ools ,to provide cl9ical tra9+ &     
support ,n lat] ?an #abj days aft] !    
date ( ! enactm5t ( ?is section1 !      
,secret>y ( ,heal? & ,human ,s]vices    
%all issue su* rules z are necess>y to  
c>ry out ! am5dm5ts made by subsection  
7a74  7c7 ,prohibit+ rec\pm5t ( c]ta9   
co/s "u ,m$ic>e  7#a7 ,9 g5]al ,beg9n+  
on ! date ( ! enactm5t ( ?is section1 ! 
,secret>y ( ,heal? & ,human ,s]vices may
 n rec\p or r$uce paym5ts made to a     
hospital "u "p ,a ( title ,,xviii ( !   
,social ,security ,act 7#db ,u4,s4,c4   

#acie;c et seq47 = co/s relat$ to an    
approv$ nurs+ or alli$ heal? education  
program t are includ$ on ! ,m$ic>e co/  
report = su* hospital if su* co/s w\ld  
be all[able aft] ! am5dm5ts made by     
subsection 7a7 take effect4  7#b7       
,refund ( am\nts rec\p$ ,if1 dur+ !     
#f-ye> p]iod end+ on ! date ( ! enactm5t
 ( ?is section1 ! ,secret>y rec\p$ or   
r$uc$ paym5ts made to a hospital "u su* 
"p ,a = co/s describ$ 9 p>agraph 7#a71 !
 ,secret>y %all refund to ! hospital !  
am\nt s rec\p$ or r$uc$4