; and (3) by adding at the end the following new subsection: (k) Funding for additional qualified teaching health centers (1) Payments In addition to making payments pursuant to subsection (a), the Secretary shall make payments under this subsection for direct expenses and for indirect expenses to additional qualified teaching health centers (as defined in paragraph (5)) that are listed as sponsoring institutions by the relevant accrediting body for expansion of existing or establishment of additional approved graduate medical residency training programs. (2) Application of program rules Except as otherwise provided in the succeeding paragraphs of this subsection, subsections (b), (c), (d), (e), (f), (h), and (i) shall apply to payments made pursuant to this subsection in the same manner, and to the same extent, that such subsections apply with respect to payments made pursuant to subsection (a). (3) Limitation The number of full-time equivalent residents for which a qualified teaching health center receives payments pursuant to this subsection for a fiscal year shall not exceed by more than six the number of full-time equivalent residents for which the center received such payments for the preceding fiscal year. (4) Appropriations To carry out this subsection, there are appropriated such sums as may be necessary, not to exceed— (A) $19,000,000 for fiscal year 2019