HR1127119th CongressWALLET

Rural America Health Corps Act

Sponsored By: Representative Kustoff

Introduced

Summary

Expands loan repayment to recruit health professionals to rural areas. The Rural America Health Corps Act would create a National Health Service Corps Rural Provider Loan Repayment Demonstration that pays principal and interest on eligible loans for clinicians who agree to five years of full-time work in a rural health professional shortage area.

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  • Rural clinicians: Clinicians eligible for but not enrolled in the existing Loan Repayment Program could receive loan payments. Payments come as one-fifth of the outstanding principal and interest each year and the remainder after the fifth year, up to $200,000 per person.
  • Rural communities: The program aims to increase access to care by placing clinicians in rural shortage areas under five-year service commitments.
  • Program rules and oversight: The Secretary of Health and Human Services would apply existing loan repayment program rules to the demo, exclude participants from affecting shortage-area designations through fiscal years 2026–2030, and must submit a report evaluating effects on rural access five years after enactment.

*Would authorize $50.0 million per year for fiscal years 2026 through 2030 to carry out the demonstration.*

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Loan relief for rural health workers

This bill would start a loan repayment program for health workers in rural shortage areas. You would need to qualify for the usual NHSC loan program, not be in it now, and agree to five years of full-time work in a rural area. The program would pay 20% of your eligible loan balance each year, based on what you owed when you start. After year five, it would pay the rest, up to $200,000 total. Most NHSC rules would still apply. The bill would authorize $50 million each year for 2026–2030. If you leave early, the Department of Health and Human Services could charge set damages. Good-faith service for the years already paid would not count as a breach. The program and its providers would not affect shortage-area designations during 2026–2030. The Department would report results within five years of enactment.

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Sponsors & CoSponsors

Sponsor

Kustoff

TN • R

Cosponsors

  • Budzinski

    IL • D

    Sponsored 2/7/2025

  • Harshbarger

    TN • R

    Sponsored 2/13/2025

  • Davis (NC)

    NC • D

    Sponsored 4/9/2025

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov

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