United States · Bill · S
S. 541 (106th)
Graduate Medical Education Technical Amendments of 1999
Introduced
4 March 1999
Last action
4 March 1999 · Introduced
Status
Read twice and referred to the Committee on Finance.
Sponsors
Susan Collins, Sen. Murkowski, Frank H. [R-AK], Rep. Roberts, Pat [R-KS-1], Chuck Grassley, Rep. Cochran, Thad [R-MS-4], Rep. Snowe, Olympia J. [R-ME-2], Sen. Hutchinson, Tim [R-AR], Sen. Daschle, Thomas A. [D-SD], Sen. Rockefeller, John D., IV [D-WV], Sen. Mikulski, Barbara A. [D-MD], Sen. Lincoln, Blanche L. [D-AR], Rep. Johnson, Tim [D-SD-At Large]
Subjects
Healthcare, Education, Budget
Source updated
10 February 2026
Healthcare · Education · Budget
Summary
Graduate Medical Education Technical Amendments of 1999 - Amends part D (Miscellaneous) of title XVIII (Medicare) of the Social Security Act, as amended by the Balanced Budget Act of 1997 (BBA '97), with respect to the ceiling on the total number of full-time equivalent interns and residences in allopathic and osteopathic medicine in either a hospital or nonhospital setting for purposes of indirect and direct graduate medical education (GME) payments. Repeals the current limitation on program residents in a hospital with respect to the hospital's most recent cost reporting period ending on or before December 31, 1996. Replaces such limitation with one based on the number of residents who were appointed by a hospital's approved medical residency training program for such reporting period. Provides that beginning on or after January 1, 1997, in the case of a hospital that sponsors only one allopathic or osteopathic residency program, the new limit determined above for such hospital may, at the hospital's discretion, be increased by one for each calendar year but shall not exceed a total of three more than such limit. Limits to programs established between January 1, 1995, and September 30, 1999, (currently, programs established on or after January 1, 1995) the mandate for special rules applying limitations on interns and residents in any kind of medical residence training program. Requires the Secretary of Health and Human Services, in promulgating such rules, to include in the special consideration for facilities meeting the needs of underserved rural areas any facility not located in an underserved rural area which has established a separately accredited rural training track. Makes this Act's amendments effective as if included in the enactment of BBA '97.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
4 March 1999
Introduced
Read twice and referred to the Committee on Finance.
Source: IntroReferral
4 March 1999
Introduced
Sponsor introductory remarks on measure. (CR S2316-2317)
Source: IntroReferral
4 March 1999
Introduced
Introduced in Senate
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in Senate · 4 March 1999 · Official file
Documents
3 official files
Introduced in Senate (text)
Introduced in Senate · EN · 4 March 1999
Introduced in Senate (PDF)
Introduced in Senate · EN · 4 March 1999
Introduced in Senate
summary · EN · 4 March 1999
Sponsors
- Susan Collins · R · Sponsor
- Sen. Murkowski, Frank H. [R-AK] · R · Sponsor
- Rep. Roberts, Pat [R-KS-1] · R · Sponsor
- Chuck Grassley · R · Cosponsor
- Rep. Cochran, Thad [R-MS-4] · R · Cosponsor
- Rep. Snowe, Olympia J. [R-ME-2] · R · Cosponsor
- Sen. Hutchinson, Tim [R-AR] · R · Cosponsor
- Sen. Daschle, Thomas A. [D-SD] · D · Cosponsor
- Sen. Rockefeller, John D., IV [D-WV] · D · Cosponsor
- Sen. Mikulski, Barbara A. [D-MD] · D · Cosponsor
- Sen. Lincoln, Blanche L. [D-AR] · D · Cosponsor
- Rep. Johnson, Tim [D-SD-At Large] · D · Cosponsor
- · ssfi00 · Standing
Related records
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/106th-congress/senate-bill/541
- Open data entity: https://api.congress.gov/v3/bill/106/s/541
- us · 106-s-541 · source updated 10 February 2026