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CIVIC HERALD
HR 4731 · 119th Congress · HouseIn committee

Resident Physician Shortage Reduction Act of 2025

In plain language: This bill provides Medicare funding for 14,000 new doctor residency training positions, releasing 2,000 spots per year from 2026 through 2032. The funding targets regions facing doctor shortages, reserving positions for rural facilities, hospitals already training more doctors than their federal caps allow, and areas with new medical schools or ties to historically Black medical colleges. In addition, federal officials must study and recommend strategies to increase diversity in the healthcare workforce, particularly among rural, low-income, and minority professionals.

Provisional: our plain-language summary, pending review.

Provisionalunreviewed: impact, issue tags, provisions, stakeholders, summary
People affected14,000provisional · pending reviewSec. 2(a)(4)(11)(A) mandates the distribution of 2,000 full-time equivalent resident physician positions per fiscal year from FY 2026 through FY 2032, totaling 14,000 resident positions.
Fiscal magnitudeno CBO estimate published
Reach54provisional · pending reviewrigor: heuristic llm
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Issues

What this bill touches.

Spending vs. restraint+30Race-conscious policy+25Government role in coverage+20

The sign shows the bill's direction on each issue (+ toward, − away); the number is its magnitude. Color never encodes good or bad, and never party.

Who it affects

Who it helps · who it burdens.

Who it helps

  • Teaching hospitalsReceive up to 14,000 additional Medicare-funded residency training positions between fiscal years 2026 and 2032, including Direct Graduate Medical Education (DGME) per-resident funding and Indirect Medical Education (IME) payment adjustments.provisional
  • Prospective medical residentsGain access to 14,000 new Medicare-supported residency training positions distributed nationwide, expanding opportunities for graduate medical training.provisional
  • Historically Black medical schools and minority-serving institutionsReceive statutory priority for health professional shortage area residency allocations for their affiliated teaching hospitals.provisional

Who it burdens

  • Teaching hospitals receiving new residency slotsMust formally commit to increasing total resident counts by the number of positions awarded, and hospitals receiving certain over-cap slots must maintain at least 25 percent of residents in primary care and general surgery for at least five years.provisional
  • Government Accountability OfficeRequired to conduct a study and submit a report to Congress within two years evaluating strategies to increase healthcare workforce diversity from rural, lower-income, and underrepresented minority communities.provisional

Who backs it

  • Medicare programFinances DGME per-resident payments and IME payment adjustments for up to 2,000 new residency slots annually from FY 2026 through FY 2032 (totaling 14,000 slots).provisional

Dollar-level funding (FEC sector totals) is coming in a later phase.

What it does

The provisions, in plain language.

  1. Directs the Department of Health and Human Services to distribute 2,000 additional Medicare-funded doctor residency training slots each year from fiscal years 2026 through 2032 (totaling 14,000 slots), carrying forward any unused positions until all are distributed.

    Sec. 2(a)(4)(11)(A)provisional
  2. Reserves one-third of the new residency slots for teaching hospitals currently training at least 10 residents above their Medicare payment caps, requiring them to train at least 25 percent of their residents in primary care and general surgery for at least five years.

    Sec. 2(a)(4)(11)(B)provisional
  3. Requires at least 10 percent of the remaining residency positions to go to each of four hospital groups: rural hospitals, hospitals operating above their resident caps, hospitals in states with new medical schools or branch campuses, and hospitals serving health professional shortage areas.

    Sec. 2(a)(4)(11)(C)(i)-(ii)provisional
  4. Prioritizes shortage-area residency slot awards to teaching hospitals affiliated with historically Black medical schools or other designated minority-serving colleges.

    Sec. 2(a)(4)(11)(C)(iii)provisional
  5. Directs the Government Accountability Office to submit a study to Congress within two years assessing strategies to increase healthcare workforce diversity from rural, lower-income, and underrepresented minority communities.

    Sec. 3provisional

How your members of Congress line up

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Timeline

How it moved.

  1. Jul 23, 2025Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  2. Jul 23, 2025Introduced in House
  3. Jul 23, 2025Introduced in House

The original text

Read it for yourself.

Sources & provenance

Congress.govrefreshed 17 days ago

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