113 STAT. 1674 PUBLIC LAW 106-129—DEC. 6, 1999 "(2) WITHHOLDING. —The Secretary shall withhold up to 25 percent from each interim installment for direct graduate medical education paid under paragraph (1). "(3) RECONCILIATION.— At the end of each fiscal year for which payments may be made under this section, the hospital shall submit to the Secretary such information as the Secretary determines to be necessary to determine the percent (if any) of the total amount withheld under paragraph (2) that is due under this section for the hospital for the fiscal year. Based on such determination, the Secretary shall recoup any overpay- ments made, or pay any balance due. The amount so determined shall be considered a final intermediary determination for purposes of applying section 1878 of the Social Security Act and shall be subject to review under that section in the same manner as the amount of payment under section 1886(d) of such Act is subject to review under such section. "(f) AUTHORIZATION OF APPROPRIATIONS.— "(1) DIRECT GRADUATE MEDICAL EDUCATION.— "(A) IN GENERAL.— There are hereby authorized to be appropriated, out of any money in the Treasury not otherwise appropriated, for payments under subsection (b)(1)(A)— " (i) for fiscal year 2000, $90,000,000; and " (ii) for fiscal year 2001, $95,000,000. "(B) CARRYOVER OF EXCESS.— The amounts appropriated under subparagraph (A) for fiscal year 2000 shall remain available for obligation through the end of fiscal year 2001. "(2) INDIRECT MEDICAL EDUCATION. —T here are hereby authorized to be appropriated, out of any money in the Treasury not otherwise appropriated, for payments under subsection (b)(1)(A)- " (A) for fiscal year 2000, $190,000,000; and " (B) for fiscal year 2001, $190,000,000. "(g) DEFINITIONS. —In this section: " (1) APPROVED GRADUATE MEDICAL RESIDENCY TRAINING PROGRAM.— The term 'approved graduate medical residency training program' has the meaning given the term 'approved medical residency training program' in section 1886(n)(5)(A) of the Social Security Act. "(2) CHILDREN'S HOSPITAL.— The term 'children's hospital' means a hospital described in section 1886(d)(l)(B)(iii) of the Social Security Act. "(3) DIRECT GRADUATE MEDICAL EDUCATION COSTS.— The term 'direct graduate medical education costs' has the mesining given such term in section 1886(h)(5)(C) of the Social Security Act.".
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