FAIR Act of 2025
Sponsored By: Senator Steve Daines
Introduced
Summary
Residency applicant reporting tied to Medicare payments. The bill would require hospitals with approved residency programs to report, by program, the numbers of applicants and accepted applicants from osteopathic and allopathic medical schools and affirm their consideration policies, and it would direct the Secretary to publish submitted data beginning with fiscal year 2025.
Show full summary
- Hospitals: Would need to submit per-program counts of applicants and accepted applicants split by osteopathic versus allopathic schools and confirm program policies and accepted exam scores. Hospitals that fail to provide the data would face a 2% reduction in Medicare inpatient payments for each prior fiscal year missed, applied to discharges on or after October 1, 2026.
- Medical students and residents: Would gain program-level transparency about how many applicants and slots come from osteopathic and allopathic schools and a stated assurance that programs consider both, and that required exam scores may be either the Comprehensive Osteopathic Medical Licensing Examination (COMLEX) or the United States Medical Licensing Examination (USMLE).
- Scope and authority: The bill expressly says it should not be read to federalize medical education or to require residency programs to accept students from either school type.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Hospitals must report residency data
This bill would require hospitals with approved residency programs to send yearly data to the Secretary of Health and Human Services. Reporting would start with fiscal year 2025. For each program, hospitals would report applicant counts and accepted counts, split by osteopathic versus allopathic schools, and confirm they consider both school types and, if an exam is required, accept either COMLEX‑USA or USMLE. The Secretary would publish those counts and confirmations on a public website. If a hospital did not submit required data for prior fiscal years beginning in 2025, the hospital’s Medicare payment for discharges on or after October 1, 2026 would be reduced by 2 percent for each prior noncompliant fiscal year. The bill would also say it does not federalize medical education or force programs to accept particular students.
Sponsors & CoSponsors
Sponsor
Steve Daines
MT • R
Cosponsors
Martin Heinrich
NM • D
Sponsored 9/4/2025
Angus King
ME • I
Sponsored 9/4/2025
Katie Britt
AL • R
Sponsored 9/29/2025
Tommy Tuberville
AL • R
Sponsored 12/3/2025
Tim Sheehy
MT • R
Sponsored 12/15/2025
Jeanne Shaheen
NH • D
Sponsored 12/15/2025
Jon Ossoff
GA • D
Sponsored 12/17/2025
Roll Call Votes
No roll call votes available for this bill.
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