Page:United States Statutes at Large Volume 111 Part 1.djvu/505

 PUBLIC LAW 105-33 —AUG. 5, 1997 111 STAT. 481 "(i) Individual hospitals operating one or more approved medical residency training programs. "(ii) Two or more hospitals that operate such programs and apply for treatment under this paragraph as a single qualifying entity. "(iii) A qualifying consortium (as described in section 4628 of the Balanced Budget Act of 1997). " (D) RESIDENCY REDUCTION REQUIREMENTS.— "(i) INDIVIDUAL HOSPITAL APPLICANTS.— In the case of a qualifying entity described in subparagraph (C)(i), the number of full-time equivalent residents in all the approved medical residency training programs operated by or through the entity shall be reduced as follows: "(I) If the base number of residents exceeds 750 residents, by a number equal to at least 20 percent of such base number. "(II) Subject to subclause (IV), if the base number of residents exceeds 600 but is less than 750 residents, by 150 residents. " (Ill) Subject to subclause (IV), if the base number of residents does not exceed 600 residents, by a number equal to at least 25 percent of such base number. "(IV) In the case of a qualifying entity which is described in clause (v) and which elects treatment under this subclause, by a number equal to at least 20 percent of the base number. "(ii) JOINT APPLICANTS. —In the case of a qualifying entity described in subparagraph (C)(ii), the number of full-time equivalent residents in the aggregate for all the approved medical residency training programs operated by or through the entity shall be reduced as follows: "(I) Subject to subclause (II), by a number equal to at least 25 percent of the base number. "(II) In the case of such a qualifying entity which is described in clause (v) and which elects treatment under this subclause, by a number equal to at least 20 percent of the base number. "(iii) CONSORTIA. —In the case of a qualifying entity described in subparagraph (C)(iii), the number of fulltime equivalent residents in the aggregate for all the approved medical residency training programs operated by or through the entity shall be reduced by a number equal to at least 20 percent of the base number. "(iv) MANNER OF REDUCTION.— The reductions specified under the preceding provisions of this subparagraph for a qualifying entity shall be below the base number of residents for that entity and shall be fully effective not later than the 5th residency training year in which the application under subparagraph (B) is effective. "(v) ENTITIES PROVIDING ASSURANCE OF INCREASE IN PRIMARY CARE RESIDENTS. —An entity is described in this clause if—

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