124 STAT. 674 PUBLIC LAW 111–148—MAR. 23, 2010 training program’ means a residency or other postgraduate medical training program— ‘‘(A) participation in which may be counted toward certification in a specialty or subspecialty and includes formal postgraduate training programs in geriatric medi- cine approved by the Secretary; and ‘‘(B) that meets criteria for accreditation (as established by the Accreditation Council for Graduate Medical Edu- cation, the American Osteopathic Association, or the Amer- ican Dental Association). ‘‘(2) PRIMARY CARE RESIDENCY PROGRAM.—The term ‘pri- mary care residency program’ has the meaning given that term in section 749A. ‘‘(3) QUALIFIED TEACHING HEALTH CENTER.—The term ‘qualified teaching health center’ has the meaning given the term ‘teaching health center’ in section 749A.’’. SEC. 5509. GRADUATE NURSE EDUCATION DEMONSTRATION. (a) IN GENERAL.— (1) ESTABLISHMENT.— (A) IN GENERAL.—The Secretary shall establish a grad- uate nurse education demonstration under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) under which an eligible hospital may receive payment for the hospital’s reasonable costs (described in paragraph (2)) for the provision of qualified clinical training to advance prac- tice nurses. (B) NUMBER.—The demonstration shall include up to 5 eligible hospitals. (C) WRITTEN AGREEMENTS.—Eligible hospitals selected to participate in the demonstration shall enter into written agreements pursuant to subsection (b) in order to reimburse the eligible partners of the hospital the share of the costs attributable to each partner. (2) COSTS DESCRIBED.— (A) IN GENERAL.—Subject to subparagraph (B) and sub- section (d), the costs described in this paragraph are the reasonable costs (as described in section 1861(v) of the Social Security Act (42 U.S.C. 1395x(v))) of each eligible hospital for the clinical training costs (as determined by the Secretary) that are attributable to providing advanced practice registered nurses with qualified training. (B) LIMITATION.—With respect to a year, the amount reimbursed under subparagraph (A) may not exceed the amount of costs described in subparagraph (A) that are attributable to an increase in the number of advanced practice registered nurses enrolled in a program that pro- vides qualified training during the year and for which the hospital is being reimbursed under the demonstration, as compared to the average number of advanced practice registered nurses who graduated in each year during the period beginning on January 1, 2006, and ending on December 31, 2010 (as determined by the Secretary) from the graduate nursing education program operated by the applicable school of nursing that is an eligible partner of the hospital for purposes of the demonstration. Time period. 42 USC 1395ww note.
