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hello everybody and welcome to our video discussing the nursing and allied health medicare advantage add-on and the gme graduate medical education medicare advantage payment reductions and how they are impacted by change request 11642 so first of all going through a little bit of a history of both of these items the nursing allied health medicare advantage payment and the gme payment reduction were first created in legislation by section 541 of the bbra back in 1999 and then it was amended slightly in section 512 of the bipa back in 2000 now the regulation where youll find these two issues is 42cfr41387 now note that this particular payment and the corresponding payment reduction on the gme side were effective first of all for cost reporting periods including portions of calendar year 2001 and on so what happens here is that were going to see certain qualifying hospitals that get a nursing allied health medicare advantage add-on payment this also by the way is referred to as in the p
