PROMOTING RURAL HOSPITAL GME FUNDING OPPORTUNITY.

SEC. 127. PROMOTING RURAL HOSPITAL GME FUNDING OPPORTUNITY. Section 1886(h)(4)(H)(iv) of the Social Security Act (42 U.S.C. 1395ww(h)(4)(iv)) is amended— (1) by striking “(iv) Nonrural Hospital Operating Training Programs in Rural Areas.—In the case of” and inserting the following: “(iv) Training programs in rural areas.— “(I) Cost reporting periods beginning before october 1, 2022.—For cost reporting periods beginning before October 1, 2022, in the case of” ; and (2) by adding at the end the following new subclause: “(II) Cost reporting periods beginning on or after october 1, 2022.—For cost reporting periods beginning on or after October 1, 2022, in the case of a hospital not located in a rural area that established or establishes a medical residency training program (or rural tracks) in a rural area or establishes an accredited program where greater than 50 percent of the program occurs in a rural area, the Secretary shall consistent with the principles of subparagraphs (F) and (G) and subject to paragraphs (7) and (8), prescribe rules for the application of such subparagraphs with respect to such a program and, in accordance with such rules, adjust in an appropriate manner the limitation under subparagraph (F) for such hospital and each such hospital located in a rural area that participates in such a training.” .