,,ii  #aai? ,,congress  #b;d ,session   
,s4 #efab  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #cj1         
#bjbf,mrs4 ,moody introduc$ ! foll[+    
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,f9ance  ,a ,,bill  ,to   
am5d title ,,xviii ( ! ,social ,security
 ,act to require hospitals receiv+      
paym5t = direct graduate m$ical         
education co/s "u ! ,m$ic>e program to  
report in=mation ) respect to !         
citiz5%ip /atus ( resid5ts 9 an approv$ 
m$ical resid5cy tra9+ program4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,,gme ,transp>5cy ,act ( #bjbf4  #b4    
,requir+ hospitals receiv+ paym5t =     
direct graduate m$ical education co/s "u
 ,m$ic>e to report on citiz5%ip /atus ( 
resid5ts  7a7 ,9 g5]al ,section         
#ahhf7;h7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acieww7h77 is am5d$--   
7#a7 9 p>agraph 7#e77;,a71 by add+ at ! 
end ! foll[+ new s5t5ce3 ,su* t]m does n
 include any resid5cy or o!r po/graduate
 m$ical tra9+ program ( a hospital t    

does n submit to ! ,secret>y ! in=mation
 requir$ "u p>agraph 7#aa77;,a7 9       
accordance ) su* p>agraph42 &  7#b7 by  
add+ at ! end ! foll[+ new p>agraph3    
7#aa7 ,requirem5t to submit c]ta9       
citiz5%ip in=mation ) respect to        
resid5ts2 ,,cms report  7,a7 ,9 g5]al ,n
 lat] ?an #ahj days aft] ! end ( ea*    
fiscal ye> 7beg9n+ ) ! fir/ fiscal ye> t
 beg9s aft] ! date ( ! enactm5t ( ?is   
p>agraph71 a hospital receiv+ paym5t "u 
?is subsection = direct graduate m$ical 
education co/s %all submit to !         
,secret>y su* deid5tifi$ in=mation )    
respect to resid5ts enroll$ 9 an approv$
 m$ical resid5cy tra9+ program ( !      
hospital z ! ,secret>y det]m9es necess>y
 = purposes ( ! report requir$ "u       
subp>agraph 7,b74  7,b7 ,report to      
,congress ,n lat] ?an #bgj days aft] !  
end ( ea* fiscal ye> 7beg9n+ ) ! fir/   
fiscal ye> t beg9s aft] ! date ( !      
enactm5t ( ?is p>agraph71 ! ,secret>y   
%all submit to ,congress a report t     
includes1 ) respect to all approv$      

m$ical resid5cy tra9+ programs = :i*    
in=mation 0 receiv$ pursuant to         
subp>agraph 7,a7 = su* fiscal ye>1      
in=mation reg>d+ ! numb] 7& p]c5tage7 ( 
resid5ts enroll$ 9 all su* programs     
7disaggregat$ by ,/ate7 :o are-- 7i7    
citiz5s ( ! ,unit$ ,/ates2  7ii7        
lawfully admitt$ = p]man5t resid5ce 9 ! 
,unit$ ,/ates2  7iii7 ali5s ) /atus "u  
section #aja7;a77#ae77;,j77i7 ( !       
,immigration & ,nationality ,act2  7iv7 
ali5s ) nonimmigrant /atus "u section   
#aja7;a77#ae77;,h77i77b7 ( !            
,immigration & ,nationality ,act2 or    
7v7 o!rwise lawfully pres5t 9 ! ,unit$  
,/ates4  7,c7 ,/&>diz$ report+ =m ,!    
,secret>y %all make available to ea*    
subsection 7d7 hospital ) a resid5cy or 
o!r po/graduate m$ical tra9+ program    
describ$ 9 ! fir/ s5t5ce ( p>agraph     
7#e77;,a7 a /&>diz$ =m = purposes (     
report+ ! in=mation requir$ "u          
subp>agraph 7,a74  4