,,ii  #aaith ,,congress  #ast ,session  
,s4 #bgae  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #d1 
#bjbe ,mr4 ,daines 7for himself1 ,mr4   
,heinrich1 and ,mr4 ,king7 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
 require hospitals with approved medical
 residency training programs to submit  
to the ,secretary of ,health and ,human 
,services certain information regarding 
osteopathic and allopathic candidates   
for such programs4  #a4  ,short title   
,this ,act may be cited as the ,fair    
,access ,in ,residency ,act of #bjbe or 
the ,,fair ,act of #bjbe4  #b4          
,encouraging more equitable treatment of
 osteopathic and allopathic candidates  
in residency application and review     
process  7a7  ,in general  ,section     
#ahhf7;d77#e77;,b7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acieww7d77#e77;,b77 is amended--  7#a7 

in clause 7i71 by inserting at the end  
the following new sentence3 ,for        
discharges occurring on or after        
,october #a1 #bjbf1 the amount          
determined under the previous sentence  
for a hospital shall be reduced by #b   
percent for each prior fiscal year      
7beginning with fiscal year #bjbe7 for  
which the hospital has not submitted to 
the ,secretary the information described
 in subclause 7xiv742 and  7#b7 by      
adding at the end the following new     
clause3  7xiv7 ,for purposes of clause  
7i71 the information described in this  
clause is1 with respect to a hospital   
and a fiscal year1 the following3  7,i7 
,the number of applicants for residency 
in each of the hospital's approved      
medical residency training programs     
beginning in such fiscal year--  7aa7   
from osteopathic medical schools2 and   
7bb7 from allopathic medical schools4   
7,,ii7 ,the number of such applicants   
accepted into each such program         
beginning in such fiscal year from each 

such type of medical school4  7,,iii7   
,an affirmation that-- 7aa7 the policy  
of the hospital is to consider for      
acceptance to each such program         
applicants from both osteopathic and    
allopathic medical schools2 and  7bb7 in
 the case that the hospital requires    
applicants to submit an examination     
score as a prerequisite for acceptance  
in such a program1 the hospital accepts 
scores from1 at the election of the     
applicant1 either the ,comprehensive    
,osteopathic ,medical ,licensing        
,examination of the ,united ,states or  
the ,united ,states ,medical ,licensing 
,examination4  4  7b7  ,publication     
,the ,secretary of ,health and ,human   
,services shall publish on a public     
website the information described in    
subclauses 7,i7 and 7,,ii7 of section   
#ahhf7;d77#e77;,b77xiv7 of the ,social  
,security ,act1 as added by subsection  
7a71 and the affirmation described in   
subclause 7,,iii7 of such section1 that 
is submitted by a hospital with respect 

to an approved medical residency        
training program 7as defined in section 
#ahhf7;h77#e77;,a7 of the ,social       
,security ,act 7#db ,u4,s4,c4           
#acieww7h77#e77;,a777 for each fiscal   
year 7beginning with fiscal year #bjbe74
  7c7  ,rule of construction  ,nothing  
in this ,act shall be construed as      
federalizing medical education1 or as   
establishing a mandate for an approved  
medical residency training program 7as  
defined in section #ahhf7;h77#e77;,a7 of
 the ,social ,security ,act 7#db        
,u4,s4,c4 #acieww7h77#e77;,a777 to      
accept students 7or to accept a certain 
number of students7 from osteopathic or 
allopathic medical schools4