fiscal year. (II) The associated number of residents training in a pre-requisite program, such as internal medicine, necessary for the number of full-time residents for the programs described in subclause (I). (iii) Additional positions for expansion of existing program If a hospital demonstrates to the Secretary that the hospital is planning to increase the number of full-time-equivalent residents in existing programs described in clause (i), the Secretary may increase the number of positions a hospital is eligible to receive under clause (ii) in order to accommodate that expansion, as determined by the Secretary. (iv) Considerations in distribution The Secretary shall distribute additional residency positions under this subparagraph based on— (I) in the case of positions made available under clause (ii), the demonstrated likelihood of the hospital filling such positions by July 1, 2019