; and (2) on a HIPAA X12 837P transaction form or CMS 1500 form (or a successor transaction or form). . (3) Effective date The amendment made by paragraph (1) shall apply with respect to claims submitted for items and services furnished on or after January 1, 2025. 3. Payments for graduate nursing education costs (a) In general Title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ) is amended by adding at the end the following new section: 1899C. Payments for graduate nursing education costs (a) In general The Secretary shall provide for payments for qualified training costs in accordance with this section. Such payments shall be made from the Federal Supplementary Medical Insurance Trust Fund under section 1841. (b) Establishment of Hub structure (1) Application An eligible hospital seeking to operate as a Graduate Nursing Education Hub (in this section referred to as a Hub ) shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may specify. (2) Selection of eligible hospitals to operate as Hub (A) Establishment of regions The Secretary shall establish regions for Hubs based on hospital referral regions. (B) Selection of eligible hospitals For each hospital referral region, the Secretary shall select not more than one eligible hospital to operate as a Hub. (C) Limitation An eligible hospital may not be selected to operate, or participate as an eligible partner of, more than one Hub under this section. (D) Adjacent regions An eligible hospital may be selected to operate as a Hub for one or more adjacent hospital referral regions if no other qualifying eligible hospital submits an application for such regions, in which case the eligible hospital shall operate as a single Hub for such regions. (E) Multiple applications If more than one eligible hospital submits an application to operate as a Hub for a hospital referral region, the Secretary shall consider each application submitted, giving special consideration to the following: (i)