The entitlement would be in the form of a grant equal to 75 percent of "annual net cost of patient care". not otherwise reimbursed by medicare. medicaid. or other third party insurers. and require that to be eligible for such grant. it be established that without such Federal assistance the local unit of government would otherwise be required to provide general revenue funding. The total operating expenses of a hospital are included in the term "annual net cost of patient care." but such cost cannot be more than the costs of the most efficient institutional provider of health care in the community which is providing an equivalent range of services. and it is less the amounts received by the hospital from patients. or third party payors on the patients behalf. for such care. but excludes from such reduction. first. payments from general revenues by local units of government or by other public agencies in support of the hospital or specifically for the care of lowincome or medically indigent persons. second. payments by the Secretary under title VI of this act. and third. charitable contributions to the hospital. Fourth. $150 million is authorized over 3 years as an entitlement to public and nonprofit private hospitals which adopt uniform cost accounting. utilization and reporting systems and procedures for training residents. interns. and individuals preparing for careers in nursing or the allied health professions in approved programs except noncitizen foreign medical graduates. Each hospital would receive the lesser of the product of $500 multiplied by the number of patient beds in such hospital. or $500.000. Urban public hospitals serve as the family doctor. specialist. nurse. and counselor.
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noncitizen