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                    118TH CONGRESS                                    REPT. 118-960
                       2d Session    HOUSE   OF REPRESENTATIVES           Part 1







                       RURAL   PHYSICIAN WORKFORCE PRESERVATION ACT




                    DECEMBER 27, 2024.-Committed to the Committee of the Whole House on the State
                                     of the Union and ordered to be printed




                     Mr. SMITH  of Missouri, from the Committee on Ways  and Means,
                                        submitted  the following



                                            REPORT


                                              together with


                                          DISSENTING VIEWS

                                          [To accompany H.R. 8235]

                             [Including cost estimate of the Congressional Budget Office]

                      The Committee   on Ways  and Means,  to whom   was referred the
                    bill (H.R. 8235) to amend title XVIII of the Social Security Act to
                    modify the distribution of certain additional graduate medical edu-
                    cation positions under the Medicare  program,  having  considered
                    the same, reports favorably thereon with an  amendment   and rec-
                    ommends  that the bill as amended do pass.

                                                CONTENTS

                                                                                  Page
                      I. SUMMARY  AND BACKGROUND   ...............................................................  2
                            A. Purpose and  Sum m ary  .....................................................................  2
                            B. Background and Need for Legislation .................... 2
                            C. Legislative  H istory  ........................................................................... .  3
                                 B ackground ................................................................................ .  3
                                 Com m ittee  H earings  ...................................................................  3
                                 Com m ittee  A ction  .......................................................................  3
                            D . Designated  H earing  ..........................................................................  3
                     II. EXPLANATION     OF  THE  BILL   ..................................................................  4
                            A . Reasons  for  Change  ..........................................................................  4
                            B. Explanation  of Provisions  .................................................................  4
                            C . E ffective  D ate  ................................................................................... .  4
                     III. VOTES   OF  THE  COMM   ITTEE   ...................................................................  4
                     IV. BUDGET EFFECTS OF THE  BILL ............................................................  5
                            A. Committee Estimate of Budgetary Effects .................. 5
                            B. Statement Regarding New Budget Authority and Tax Expendi-
                               tures Budget Authority  ..................................................................  5


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