Page:United States Statutes at Large Volume 111 Part 1.djvu/507

 PUBLIC LAW 105-33—AUG. 5, 1997 111 STAT. 483 42 USC 1395WW note. "(G) TREATMENT OF ROTATING RESIDENTS.—In applying Rules, this paragraph, the Secretary shall establish rules regarding the counting of residents who are assigned to institutions the medical residency training programs in which are not covered under approved applications under this paragraph.". (b) RELATION TO DEMONSTRATION PROJECTS AND AUTHORITY.— (1) Section 1886(h)(6) of the Social Security Act, added by subsection (a), other than subparagraph (F)(ii) thereof, shall not apply to any residency training program with respect to which a demonstration project described in paragraph (3) has been approved by the Health Care Financing Administration as of May 27, 1997. (2) Effective May 27, 1997, the Secretary of Health and EflFective date. Human Services is not authorized to approve any demonstration project described in paragraph (3) for any residency training year beginning before July 1, 2006. (3) A demonstration project described in this paragraph is a project that primarily provides for additional payments under title XVIII of the Social Security Act in connection with a reduction in the number of residents in a medical residency training program. (c) INTERIM, FINAL REGULATIONS.—In order to carry out the amendment made by subsection (a) in a timely manner, the Secretary of Health and Human Services may first promulgate regulations, that take effect on an interim basis, after notice and pending opportunity for public comment, by not later than 6 months after the date of the enactment of this Act. SEC. 4627. MEDICARE SPECIAL REIMBURSEMENT RULE FOR PRIMARY CARE COMBINED RESIDENCY PROGRAMS. (a) IN GENERAL. —Section 1886(h)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(G)) is amended— (1) in clause (i), by striking "and (iii)" and inserting ", (iii), and (iv)"; and (2) by adding at the end the following: "(iv) SPECIAL RULE FOR CERTAIN PRIMARY CARE COMBINED RESIDENCY PROGRAMS. — (I) In the case of a resident enrolled in a combined medical residency training program in which all of the individual programs (that are combined) are for training a primary care resident (as defined in subparagraph (H)), the period of board eligibility shall be the minimum number of years of formal training required to satisfy the requirements for initial board eligibility in the longest of the individual programs plus one additional year. "(II) A resident enrolled in a combined medical residency training progrgim that includes an obstetrics and gynecology program shall qualify for the period of board eligibility under subclause (I) if the other programs such resident combines with such obstetrics and gynecology program are for training a primary care resident.". (b) EFFECTIVE DATE. —The amendments made by subsection 42 USC I395ww (a) apply to combined medical residency training programs in effect ^ote. for residency years beginning on or after July 1, 1997.

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