119-hr2314

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2314 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 H. R. 2314

 To amend title XVIII of the Social Security Act to require hospitals 
 with approved medical residency training programs to submit to the 
 Secretary of Health and Human Services certain information regarding 
 osteopathic and allopathic candidates for such programs.

_______________________________________________________________________

 IN THE HOUSE OF REPRESENTATIVES

 March 25, 2025

Mrs. Harshbarger (for herself, Ms. Pingree, Mr. Graves, Mrs. Miller of 
 West Virginia, and Mr. Davis of North Carolina) introduced the 
 following bill; which was referred to the Committee on Ways and Means

_______________________________________________________________________

 A BILL

 To amend title XVIII of the Social Security Act to require hospitals 
 with approved medical residency training programs to submit to the 
 Secretary of Health and Human Services certain information regarding 
 osteopathic and allopathic candidates for such programs.

 Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Fair Access In Residency Act of 
2025'' or the ``FAIR Act of 2025''.

SEC. 2. ENCOURAGING MORE EQUITABLE TREATMENT OF OSTEOPATHIC AND 
 ALLOPATHIC CANDIDATES IN RESIDENCY APPLICATION AND REVIEW 
 PROCESS.

    (a) In General.--

Section 1886
            (d) (5)
        (B) of the Social Security Act 
(42 U.S.C. 1395ww
            (d) (5)
        (B) ) is amended--

    (1) in clause
            (i) , by inserting at the end the following 
 new sentence: ``For discharges occurring on or after October 1, 
 2026, the amount determined under the previous sentence for a 
 hospital shall be reduced by 2 percent for each prior fiscal 
 year (beginning with fiscal year 2025) for which the hospital 
 has not submitted to the Secretary the information described in 
 subclause
            (xiv) .''; and

    (2) by adding at the end the following new clause:
 ``
            (xiv) For purposes of clause
            (i) , the information 
 described in this clause is, with respect to a hospital and a 
 fiscal year, the following:
 ``
            (I) The number of applicants for residency in 
 each of the hospital's approved medical residency 
 training programs beginning in such fiscal year--
 ``

    (aa) from osteopathic medical schools; 
 and
 ``

    (bb) from allopathic medical schools.
 ``
            (II) The number of such applicants accepted into 
 each such program beginning in such fiscal year from 
 each such type of medical school.
 ``
            (III) An affirmation that--
 ``

    (aa) the policy of the hospital is to 
 consider for acceptance to each such program 
 applicants from both osteopathic and allopathic 
 medical schools; and
 ``

    (bb) in the case that the hospital 
 requires applicants to submit an examination 
 score as a prerequisite for acceptance in such 
 a program, the hospital accepts scores from, at 
 the election of the applicant, either the 
 Comprehensive Osteopathic Medical Licensing 
 Examination of the United States or the United 
 States Medical Licensing Examination.''.

    (b) Publication.--The Secretary of Health and Human Services shall 
publish on a public website the information described in subclauses
            (I) and
            (II) of 

section 1886
            (d) (5)
        (B)
            (xiv) of the Social Security Act, as 
added by subsection

    (a) , and the affirmation described in subclause
            (III) of such section, that is submitted by a hospital with respect to 
an approved medical residency training program (as defined in 

section 1886
            (d) (h)
        (A) of the Social Security Act (42 U.S.C. 1395ww
            (d) (h)
        (A) ) 
for each fiscal year (beginning with fiscal year 2025).
            (c) Rule of Construction.--Nothing in this Act shall be construed 
as federalizing medical education, or as establishing a mandate for an 
approved medical residency training program (as defined in 

section 1886
            (d) (h)
        (A) of the Social Security Act (42 U.S.C. 1395ww
            (d) (h)
        (A) ) to 
accept students (or to accept a certain number of students) from 
osteopathic or allopathic medical schools.
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