Resident Physician Shortage Reduction Act of 2025
Sponsored By: Representative Sewell
Introduced
Summary
Would expand Medicare-funded residency slots to ease the physician shortage by creating a new, prioritized distribution of additional resident positions for 2026–2032. It sets rules on who gets slots, how many, and training and reporting requirements for hospitals that receive them.
Show full summary
- Hospitals and residency programs would get a new allocation process that can add up to 2,000 positions per year from 2026 through 2032. Hospitals must sign an "increase agreement" to add the same number of full-time equivalent residents they receive, and there is a per-hospital cap of 75 additional FTEs for the period.
- The bill prioritizes underserved places and program types. At least 10% of annual slots go to rural, Health Professional Shortage Area hospitals, new accredited medical schools, and hospitals already over their resident limit. Over-limit hospitals must show at least a 10-position excess and train at least 25% of residents in primary care and general surgery.
- It expands the Secretary's authority to adjust the indirect medical education (IME) payment factor for residents added under the plan and requires a Government Accountability Office study on boosting diversity in the health workforce. The study must recommend legislative and administrative actions within two years.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More Medicare residency slots nationwide
This bill would add about 2,000 Medicare-funded residency slots each year from 2026 to 2032. It could reach up to 14,000 total slots and may continue until that total is met. One-third of yearly slots would go to hospitals already over their cap, and no hospital would get more than 75 extra slots unless the Secretary lifts that cap. At least 10% would go to rural hospitals, qualifying over-cap hospitals with a strong primary care/general surgery mix, hospitals in states with new medical schools or branches, and hospitals serving shortage areas. Hospitals would apply each year, get notice by January 1, and slots would start for cost-reporting periods that begin on or after July 1. Hospitals would need to agree to increase training positions, and some must keep at least 25% of residents in primary care and general surgery. Medicare teaching payments (IME) could be adjusted for these new slots starting July 1, 2027.
Sponsors & CoSponsors
Sponsor
Sewell
AL • D
Cosponsors
Fitzpatrick
PA • R
Sponsored 7/23/2025
Lawler
NY • R
Sponsored 8/29/2025
Davis (NC)
NC • D
Sponsored 8/29/2025
Ryan
NY • D
Sponsored 8/29/2025
Case
HI • D
Sponsored 8/29/2025
Mrvan
IN • D
Sponsored 8/29/2025
Kennedy (NY)
NY • D
Sponsored 8/29/2025
Carbajal
CA • D
Sponsored 8/29/2025
Dexter
OR • D
Sponsored 8/29/2025
Malliotakis
NY • R
Sponsored 9/10/2025
Thompson (MS)
MS • D
Sponsored 9/10/2025
Castor (FL)
FL • D
Sponsored 9/30/2025
Scholten
MI • D
Sponsored 9/30/2025
Velazquez
NY • D
Sponsored 9/30/2025
Nadler
NY • D
Sponsored 9/30/2025
Bresnahan
PA • R
Sponsored 9/30/2025
Rescom. Hernández, Pablo Jose [D-PR-At Large]
PR • D
Sponsored 10/6/2025
Levin
CA • D
Sponsored 10/6/2025
Riley (NY)
NY • D
Sponsored 10/6/2025
Clarke (NY)
NY • D
Sponsored 10/6/2025
Garbarino
NY • R
Sponsored 10/6/2025
Suozzi
NY • D
Sponsored 10/6/2025
Swalwell
CA • D
Sponsored 10/10/2025
Mullin
CA • D
Sponsored 10/10/2025
Torres (NY)
NY • D
Sponsored 10/10/2025
Quigley
IL • D
Sponsored 10/10/2025
Zinke
MT • R
Sponsored 10/10/2025
Hayes
CT • D
Sponsored 10/10/2025
Tlaib
MI • D
Sponsored 10/10/2025
DelBene
WA • D
Sponsored 10/10/2025
Goldman (NY)
NY • D
Sponsored 10/10/2025
Scanlon
PA • D
Sponsored 10/10/2025
Doggett
TX • D
Sponsored 10/10/2025
Bacon
NE • R
Sponsored 10/10/2025
Lieu
CA • D
Sponsored 10/10/2025
Del. Norton, Eleanor Holmes [D-DC-At Large]
DC • D
Sponsored 10/10/2025
McCollum
MN • D
Sponsored 10/10/2025
DeSaulnier
CA • D
Sponsored 10/10/2025
Castro (TX)
TX • D
Sponsored 10/10/2025
Dingell
MI • D
Sponsored 10/10/2025
Smith (WA)
WA • D
Sponsored 10/10/2025
Bishop
GA • D
Sponsored 10/10/2025
Davids (KS)
KS • D
Sponsored 10/10/2025
McGarvey
KY • D
Sponsored 10/10/2025
Meuser
PA • R
Sponsored 10/10/2025
Moulton
MA • D
Sponsored 10/10/2025
Harder (CA)
CA • D
Sponsored 10/10/2025
Trahan
MA • D
Sponsored 10/14/2025
Lynch
MA • D
Sponsored 10/14/2025
Krishnamoorthi
IL • D
Sponsored 10/14/2025
Horsford
NV • D
Sponsored 10/14/2025
Panetta
CA • D
Sponsored 10/14/2025
Schrier
WA • D
Sponsored 10/24/2025
Brownley
CA • D
Sponsored 10/24/2025
Jackson (IL)
IL • D
Sponsored 10/24/2025
Ross
NC • D
Sponsored 10/24/2025
Stevens
MI • D
Sponsored 11/4/2025
McBath
GA • D
Sponsored 11/4/2025
Budzinski
IL • D
Sponsored 11/4/2025
Norcross
NJ • D
Sponsored 11/12/2025
Tonko
NY • D
Sponsored 11/12/2025
Schneider
IL • D
Sponsored 11/12/2025
Himes
CT • D
Sponsored 11/12/2025
Pingree
ME • D
Sponsored 11/12/2025
Garamendi
CA • D
Sponsored 11/12/2025
Leger Fernandez
NM • D
Sponsored 11/17/2025
Magaziner
RI • D
Sponsored 11/17/2025
Conaway
NJ • D
Sponsored 12/1/2025
Houlahan
PA • D
Sponsored 12/9/2025
McBride
DE • D
Sponsored 12/9/2025
Walkinshaw
VA • D
Sponsored 12/9/2025
Johnson (TX)
TX • D
Sponsored 12/9/2025
Simon
CA • D
Sponsored 12/9/2025
Stanton
AZ • D
Sponsored 12/9/2025
Rogers (AL)
AL • R
Sponsored 12/9/2025
Foster
IL • D
Sponsored 12/11/2025
Matsui
CA • D
Sponsored 12/11/2025
Bera
CA • D
Sponsored 12/15/2025
Chu
CA • D
Sponsored 12/15/2025
Gottheimer
NJ • D
Sponsored 12/15/2025
Correa
CA • D
Sponsored 12/18/2025
Peters
CA • D
Sponsored 12/18/2025
Vargas
CA • D
Sponsored 12/18/2025
Casten
IL • D
Sponsored 1/7/2026
Adams
NC • D
Sponsored 1/7/2026
Aguilar
CA • D
Sponsored 1/22/2026
Cohen
TN • D
Sponsored 1/22/2026
Morelle
NY • D
Sponsored 1/22/2026
Titus
NV • D
Sponsored 1/22/2026
Stansbury
NM • D
Sponsored 1/22/2026
Sanchez
CA • D
Sponsored 1/22/2026
Morrison
MN • D
Sponsored 2/2/2026
Pocan
WI • D
Sponsored 2/2/2026
Bonamici
OR • D
Sponsored 2/2/2026
Barragan
CA • D
Sponsored 2/2/2026
Vasquez
NM • D
Sponsored 2/2/2026
Jayapal
WA • D
Sponsored 2/2/2026
Tokuda
HI • D
Sponsored 2/2/2026
Dean (PA)
PA • D
Sponsored 2/2/2026
Pettersen
CO • D
Sponsored 2/3/2026
Frankel, Lois
FL • D
Sponsored 2/3/2026
Kelly (IL)
IL • D
Sponsored 2/25/2026
Fletcher
TX • D
Sponsored 2/25/2026
Thompson (CA)
CA • D
Sponsored 2/25/2026
Tenney
NY • R
Sponsored 3/5/2026
Gonzalez, V.
TX • D
Sponsored 3/5/2026
Garcia (IL)
IL • D
Sponsored 3/5/2026
Wilson (SC)
SC • R
Sponsored 3/26/2026
Latimer
NY • D
Sponsored 3/26/2026
LaLota
NY • R
Sponsored 3/26/2026
Meng
NY • D
Sponsored 3/26/2026
Roll Call Votes
No roll call votes available for this bill.
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