Page:United States Statutes at Large Volume 100 Part 1.djvu/211

 PUBLIC LAW 99-272—APR. 7, 1986

100 STAT. 175

"(ii) a period, of not more than two years, during which an individual is in a geriatric residency or fellowship program which meets such criteria as the Secretary may establish, shall be treated as part of the initial residency period, but shall not be counted against any limitation on the initial residency period. The initial residency period shall be determined, with respect to a resident, as of the time the resident enters the residency training program. "(G) PERIOD OF BOARD ELIGIBILITY.— "(i) GENERAL RULE.—Subject to clauses (ii) and (iii),

the term 'period of board eligibility' means, for a resident, the minimum number of years of formal training necessary to satisfy the requirements for initial board eligibility in the particular specialty for which the resident is training. "(ii) APPLICATION OF 1985 - I 9 8 6 DIRECTORY.—Except as

provided in clause (iii), the period of board eligibility shall be such period specified in the 1985-1986 Directory of Residency Training Programs published by the Accreditation Council on Graduate Medical Education. "(iii) CHANGES IN PERIOD OF BOARD ELIGIBILITY.—On or after July 1, 1989, if the Accreditation Council on Graduate Medical Education, in its Directory of Residency Training Programs— "(I) increases the minimum number of years of formal training necessary to satisfy the require-i.L, ments for a specialty, above the period specified in its 1985-1986 Directory, the Secretary may increase the period of board eligibility for that specialty, but not to exceed the period of board eligibility specified in that later Directory, or "(II) decreases the minimum number of years of formal training necessary to satisfy the requirements for a specialty, below the period specified in its 1985-1986 Directory, the Secretary may decrease the period of board eligibility for that specialty, but not below the period of board eligibility
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specified in that later Directory. "(H) RESIDENT.—The term 'resident' includes an intern or other participant in an approved medical residency training program.". (b) EFFECTIVE DATE.—The amendment made by subsection (a) 42 USC 1395WW shall apply to hospital cost reporting periods beginning on or after note. July 1, 1985. (c) STUDIES BY SECRETARY.—(1) The Secretary of Health and 42 USC 1395WW Human Services shall conduct a study with respect to approved note. educational activities relating to nursing and other health professions for which reimbursement is made to hospitals under title XVIII of the Social Security Act. The study shall address— 42 USC 1395. (A) the types and numbers of such programs, and number of students supported or trained under each program; (B) the fiscal and administrative relationships between the hospitals involved and the schools with which the programs and students are affiliated; and (C) the types and amounts of expenses of such programs for which reimbursement is made, and the financial and other

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