II 119THCONGRESS 1 STSESSION S. 1044 To amend title XVIII of the Social Security Act to make improvements to the redistribution of residency slots under the Medicare program after a hospital closes. IN THE SENATE OF THE UNITED STATES MARCH13, 2025 Ms. R OSEN(for herself and Mr. BOOZMAN) introduced the following bill; which was read twice and referred to the Committee on Finance A BILL To amend title XVIII of the Social Security Act to make improvements to the redistribution of residency slots under the Medicare program after a hospital closes. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Physicians for Under-4 served Areas Act’’. 5 VerDate Sep 11 2014 00:08 Mar 27, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S1044.IS S1044 ssavage on LAPJG3WLY3PROD with BILLS 2 •S 1044 IS SEC. 2. IMPROVEMENTS TO THE REDISTRIBUTION OF RESI-1 DENCY SLOTS UNDER THE MEDICARE PRO-2 GRAM AFTER A HOSPITAL CLOSES. 3 (a) I NGENERAL.—Section 1886(h)(4)(H)(vi) of the 4 Social Security Act (42 U.S.C. 1395ww(h)(4)(H)(vi)) is 5 amended— 6 (1) in subclause (II)— 7 (A) by striking item (cc) and redesignating 8 item (dd) as item (cc); and 9 (B) in item (cc), as redesignated under 10 subparagraph (A)— 11 (i) by striking ‘‘Fourth’’ and inserting 12 ‘‘Third’’; and 13 (ii) by striking ‘‘item (cc)’’ and insert-14 ing ‘‘item (bb)’’; and 15 (2) in subclause (III), by striking ‘‘likelihood of 16 filling’’ and all that follows and inserting the fol-17 lowing: ‘‘likelihood of— 18 ‘‘(aa) starting to utilize the 19 positions made available under 20 this clause within 2 years; and 21 ‘‘(bb) filling the positions 22 made available under this clause 23 within 5 years.’’. 24 (b) E FFECTIVEDATE.—The amendments made by 25 subsection (a) shall apply to the redistribution of residency 26 VerDate Sep 11 2014 00:08 Mar 27, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S1044.IS S1044 ssavage on LAPJG3WLY3PROD with BILLS 3 •S 1044 IS slots with respect to hospitals that close on or after the 1 date of enactment of this Act. 2 Æ VerDate Sep 11 2014 00:08 Mar 27, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6301 E:\BILLS\S1044.IS S1044 ssavage on LAPJG3WLY3PROD with BILLS