This legislation proposes amendments to the Social Security Act, specifically targeting the process for redistributing Medicare-funded residency slots following a hospital closure. The bill aims to enhance the efficiency and effectiveness of allocating these crucial training positions to other eligible hospitals. A key change involves modifying the criteria for hospitals seeking to receive redistributed slots. Under the revised provisions, hospitals must demonstrate a strong likelihood of starting to utilize the new positions within two years and fully filling them within five years. This update replaces previous, less specific language regarding the likelihood of filling positions, establishing clearer expectations for recipient institutions. The amendments will apply to all residency slot redistributions resulting from hospital closures occurring on or after the bill's enactment date.