S. 1557: Children's Hospital GME Support Reauthorization Act of 2013

S. 1557

Children's Hospital GME Support Reauthorization Act of 2013

Sen. Robert P. Casey

April 1, 2014 (113th Congress, 2nd Session)

Staff Contact

Floor Situation

On Tuesday, April 1, 2014, the House will consider S. 1557, the Children’s Hospital GME Support Reauthorization Act of 2013, under a suspension of the rules.  S. 1557 was introduced on September 27, 2013 by Sen. Bob Casey, Jr. (D-PA) and passed the Senate by unanimous consent.  S. 1557 was referred to the House Committee on Energy and Commerce.

Bill Summary

S. 1557 amends the Public Health Service Act to extend and reauthorize appropriations through FY2018 for payments to children’s hospitals associated with graduate medical education (GME) residency training programs.  Moreover, the legislation authorizes the Secretary of HHS to make available up to 25 percent of the total amounts in excess of specified appropriations (but not to exceed $7 million) to hospitals that have: 1) a Medicare payment agreement and are excluded from the Medicare inpatient hospital prospective payment system; 2) a patient base that is predominantly under the age of 18; 3) an approved medical residency program; and 4) is not otherwise qualified to receive payments under this program or a similar program in the Social Security Act.  In addition, this legislation establishes a residency cap for qualifying hospitals.  If a cap has not already been determined, this legislation allows the Secretary establish one.  For any of the remaining funds from this program, HHS is authorized to establish a program that provides bonuses for hospitals meeting standards to be outlined by the Secretary of HHS.  S. 1557 would authorize $300 million annually from FY2014-2018.  


The House companion bill, H.R. 297, passed by a vote of 352-50 on February 4, 2013.[1]


CBO estimates that implementing this legislation would cost approximately $1.4 billion over the 2015-2019 period, assuming appropriation of the specified and necessary amounts.[1]  Enacting S. 1557 would not affect direct spending or revenues.

Additional Information

For questions or further information contact the GOP Conference at 5-5107.