; and (2) by inserting after paragraph (1) the following: (2) Payments to approved graduate medical residency training programs To carry out this section, for payments to approved graduate medical residency programs (as defined in paragraph (j)(1) of this section), there are appropriated $126,500,000 for fiscal year 2020, $128,000,000 for fiscal year 2021, $130,000,000 for fiscal year 2022, $133,000,000 for fiscal year 2023, and $136,000,000 for fiscal year 2024, to remain available until expended. (3) Payments to new approved graduate medical residency training programs To carry out this section, for payments to new approved graduate medical residency training programs (as defined in paragraph (j)(2) of this section), there are appropriated $8,500,000 for fiscal year 2021, $17,000,000 for fiscal year 2022, $34,500,000 for fiscal year 2023, and $44,000,000 for fiscal year 2024, to remain available until expended. . (b) Number of residents In calculating the level of payments to each approved graduate medical residency training program pursuant to subsection (g)(2) of section 340H of the Public Health Service Act ( 42 U.S.C. 256h ), the Secretary of Health and Human Services shall pay for the number of residents at a program at a number that is no lower than the highest number of residents in their programs for the period of fiscal years 2016 through 2018. (c) Limitations The number of full-time equivalent residents for which a qualified teaching health center receives payments pursuant to subsection (a)(1)(C) of section 340H of the Public Health Service Act ( 42 U.S.C. 256h ) for a fiscal year shall not exceed by more than 6 the number of full-time equivalent residents for which the center received such payments for the preceding fiscal year. (d) Report on expansion and training costs Not later than September 30, 2022, the Secretary of Health and Human Services shall submit to the Congress a report on the establishment of new approved graduate medical residency programs and expansion of existing approved graduate