Page:United States Statutes at Large Volume 117.djvu/2359

 117 STAT. 2340

PUBLIC LAW 108–173—DEC. 8, 2003

‘‘(2)(A) Subject to subparagraphs (B), payment may be made with respect to services provided by such an institution only to such extent and under such conditions, limitations, and requirements (in addition to or in lieu of the conditions, limitations, and requirements otherwise applicable) as may be provided in regulations consistent with section 1821. ‘‘(B) Notwithstanding any other provision of this title, payment may not be made under subparagraph (A)— ‘‘(i) in a year insofar as such payments exceed $700,000; and ‘‘(ii) after December 31, 2006.’’.

Subtitle B—Graduate Medical Education SEC. 711. EXTENSION OF UPDATE LIMITATION ON HIGH COST PROGRAMS.

Section 1886(h)(2)(D)(iv) (42 U.S.C. 1395ww(h)(2)(D)(iv)) is amended— (1) in subclause (I)— (A) by inserting ‘‘AND 2004 THROUGH 2013’’ after ‘‘AND 2002’’; and (B) by inserting ‘‘or during the period beginning with fiscal year 2004 and ending with fiscal year 2013’’ after ‘‘during fiscal year 2001 or fiscal year 2002’’; and (2) in subclause (II)— (A) by striking ‘‘fiscal year 2004, or fiscal year 2005,’’ and (B) by striking ‘‘For a’’ and inserting ‘‘For the’’. 42 USC 1395ww note.

SEC. 712. EXCEPTION TO INITIAL RESIDENCY PERIOD FOR GERIATRIC RESIDENCY OR FELLOWSHIP PROGRAMS.

(a) CLARIFICATION OF CONGRESSIONAL INTENT.—Congress intended section 1886(h)(5)(F)(ii) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(F)(ii)), as added by section 9202 of the Consolidated Omnibus Budget Reconciliation Act of 1985 (Public Law 99–272), to provide an exception to the initial residency period for geriatric residency or fellowship programs such that, where a particular approved geriatric training program requires a resident to complete 2 years of training to initially become board eligible in the geriatric specialty, the 2 years spent in the geriatric training program are treated as part of the resident’s initial residency period, but are not counted against any limitation on the initial residency period. (b) INTERIM FINAL REGULATORY AUTHORITY AND EFFECTIVE DATE.—The Secretary shall promulgate interim final regulations consistent with the congressional intent expressed in this section after notice and pending opportunity for public comment to be effective for cost reporting periods beginning on or after October 1, 2003. 42 USC 1395ww note. Effective date. Applicability.

VerDate 11-MAY-2000

13:59 Aug 30, 2004

SEC. 713. TREATMENT OF VOLUNTEER SUPERVISION.

(a) MORATORIUM ON CHANGES IN TREATMENT.—During the 1year period beginning on January 1, 2004, for purposes of applying subsections (d)(5)(B) and (h) of section 1886 of the Social Security Act (42 U.S.C. 1395ww), the Secretary shall allow all hospitals to count residents in osteopathic and allopathic family practice programs in existence as of January 1, 2002, who are training

Jkt 019194

PO 00000

Frm 00276

Fmt 6580

Sfmt 6581

D:\STATUTES\2003\19194PT3.001

APPS10

PsN: 19194PT3

�