text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Children's Hospital GME Support 
  Reauthorization Act of 2006''.
  
  SEC. 2. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE 
                GRADUATE MEDICAL EDUCATION PROGRAMS.
  
      (a) In General.--Section 340E of the Public Health Service Act (42 
  U.S.C. 256e) is amended--
          (1) in subsection (a), by inserting ``and each of fiscal years 
      2007 through 2011'' after ``for each of fiscal years 2000 through 
      2005'';
          (2) in subsection (e)(1), by striking ``26'' and inserting 
      ``12'';
          (3) in subsection (f)(1)(A)--
              (A) in clause (ii), by striking ``and'' at the end;
              (B) in clause (iii), by striking the period at the end and 
          inserting ``; and''; and
              (C) by adding at the end the following:
                  ``(iv) for each of fiscal years 2007 through 2011, 
              $110,000,000.''; and
          (4) in subsection (f)(2)--
              (A) in the matter before subparagraph (A), by striking 
          ``subsection (b)(1)(A)'' and inserting ``subsection 
          (b)(1)(B)'';
              (B) in subparagraph (B), by striking ``and'' at the end;
              (C) in subparagraph (C), by striking the period at the end 
          and inserting ``; and''; and
              (D) by adding at the end the following:
              ``(D) for each of fiscal years 2007 through 2011, 
          $220,000,000.''.
      (b) Reduction in Payments for Failure To File Annual Report.--
  Subsection (b) of section 340E of the Public Health Service Act (42 
  U.S.C. 256e) is amended--
          (1) in paragraph (1), in the matter before subparagraph (A), by 
      striking ``paragraph (2)'' and inserting ``paragraphs (2) and 
      (3)''; and
          (2) by adding at the end the following:
          ``(3) Annual reporting required.--
              ``(A) Reduction in payment for failure to report.--
                  ``(i) In general.--The amount payable under this 
              section to a children's hospital for a fiscal year 
              (beginning with fiscal year 2008 and after taking into 
              account paragraph (2)) shall be reduced by 25 percent if 
              the Secretary determines that--
  
                      ``(I) the hospital has failed to provide the 
                  Secretary, as an addendum to the hospital's application 
                  under this section for such fiscal year, the report 
                  required under subparagraph (B) for the previous fiscal 
                  year; or
                      ``(II) such report fails to provide the information 
                  required under any clause of such subparagraph.
  
                  ``(ii) Notice and opportunity to provide missing 
              information.--Before imposing a reduction under clause (i) 
              on the basis of a hospital's failure to provide information 
              described in clause (i)(II), the Secretary shall provide 
              notice to the hospital of such failure and the Secretary's 
              intention to impose such reduction and shall provide the 
              hospital with the opportunity to provide the required 
              information within a period of 30 days beginning on the 
              date of such notice. If the hospital provides such 
              information within such period, no reduction shall be made 
              under clause (i) on the basis of the previous failure to 
              provide such information.
              ``(B) Annual report.--The report required under this 
          subparagraph for a children's hospital for a fiscal year is a 
          report that includes (in a form and manner specified by the 
          Secretary) the following information for the residency academic 
          year completed immediately prior to such fiscal year:
                  ``(i) The types of resident training programs that the 
              hospital provided for residents described in subparagraph 
              (C), such as general pediatrics, internal medicine/
              pediatrics, and pediatric subspecialties, including both 
              medical subspecialties certified by the American Board of 
              Pediatrics (such as pediatric gastroenterology) and non-
              medical subspecialties approved by other medical 
              certification boards (such as pediatric surgery).
                  ``(ii) The number of training positions for residents 
              described in subparagraph (C), the number of such positions 
              recruited to fill, and the number of such positions filled.
                  ``(iii) The types of training that the hospital 
              provided for residents described in subparagraph (C) 
              related to the health care needs of different populations, 
              such as children who are underserved for reasons of family 
              income or geographic location, including rural and urban 
              areas.
                  ``(iv) The changes in residency training for residents 
              described in subparagraph (C) which the hospital has made 
              during such residency academic year (except that the first 
              report submitted by the hospital under this subparagraph 
              shall be for such changes since the first year in which the 
              hospital received payment under this section), including--
  
                      ``(I) changes in curricula, training experiences, 
                  and types of training programs, and benefits that have 
                  resulted from such changes; and
                      ``(II) changes for purposes of training the 
                  residents in the measurement and improvement of the 
                  quality and safety of patient care.
  
                  ``(v) The numbers of residents described in 
              subparagraph (C) who completed their residency training at 
              the end of such residency academic year and care for 
              children within the borders of the service area of the 
              hospital or within the borders of the State in which the 
              hospital is located. Such numbers shall be disaggregated 
              with respect to residents who completed residencies in 
              general pediatrics or internal medicine/pediatrics, 
              subspecialty residencies, and dental residencies.
              ``(C) Residents.--The residents described in this 
          subparagraph are those who--
                  ``(i) are in full-time equivalent resident training 
              positions in any training program sponsored by the 
              hospital; or
                  ``(ii) are in a training program sponsored by an entity 
              other than the hospital, but who spend more than 75 percent 
              of their training time at the hospital.
              ``(D) Report to congress.--Not later than the end of fiscal 
          year 2011, the Secretary, acting through the Administrator of 
          the Health Resources and Services Administration, shall submit 
          a report to the Congress--
                  ``(i) summarizing the information submitted in reports 
              to the Secretary under subparagraph (B);
                  ``(ii) describing the results of the program carried 
              out under this section; and
                  ``(iii) making recommendations for improvements to the 
              program.''.
      (c) Technical Amendments.--Section 340E of the Public Health 
  Service Act (42 U.S.C. 256e) is further amended--
          (1) in subsection (c)(2)(E)(ii), by striking ``described in 
      subparagraph (C)(ii)'' and inserting ``applied under section 
      1886(d)(3)(E) of the Social Security Act for discharges occurring 
      during the preceding fiscal year'';
          (2) in subsection (e)(2), by striking the first sentence; and
          (3) in subsection (e)(3), by striking ``made to pay'' and 
      inserting ``made and pay''.
  
                                 Speaker of the House of Representatives.
  
                              Vice President of the United States and    
                                                 President of the Senate.
target: Children's Hospital GME Support Reauthorization Act of 2006 - Amends the Public Health Service Act to: (1) require the Secretary of Health and Human Services to make payments for FY2007-FY2011 (currently, through FY2005) to children's hospitals for expenses associated with operating approved graduate medical residency training programs; and (2) decrease from 26 to 12 the number of interim payments to hospitals per fiscal year.
  
  Requires a 25% reduction in the amount payable for residency training programs for children's hospitals that do not provide an annual report to the Secretary for the previous fiscal year or that do not provide an annual report that includes all of the required information. Requires an annual report to include: (1) the types of residency training programs that the hospital provided for residents; (2) the number of training positions for residents; (3) the changes the hospital made in residency training for residents during the academic year; and (4) the number of residents who completed their residency training at the end of the academic year and care for children within the borders of the service area of the hospital or within the state. Requires the Secretary to provide notice and an opportunity for a hospital to provide additional information before imposing the reduction.
  
  Requires the Secretary, acting through the Administrator of the Health Resources and Services Administration (HRSA), to report to Congress on the residency training programs.
feat_title: To amend the Public Health Service Act to reauthorize support for graduate medical education programs in children's hospitals.