HRSA Creates Database to Track Medical Residents at Children's Hospitals
Published Date: 5/19/2026
Notice
Summary
Starting May 19, 2026, the Health Resources and Services Administration is launching a new system to track medical and dental residents training at children’s hospitals and teaching health centers. This helps make sure hospitals get the right amount of funding without any double payments. Comments on the system can be sent until June 18, 2026, so everyone affected has a chance to weigh in!
Analyzed Economic Effects
3 provisions identified: 1 benefits, 2 costs, 0 mixed.
Agency collects residents' personal data
Starting May 19, 2026, HRSA will maintain a new system of records (09-15-0070) that stores personal and training information about medical and dental residents at participating children's hospitals and teaching health centers. The records include name and Social Security number, residency program and years completed, rotation and assignment dates, employer, percentage of time worked, and other assignment details, and they will be retained indefinitely until a National Archives and Records Administration schedule authorizes disposal.
Records used to set GME reimbursements
HRSA will use the system's resident records to determine the number of full-time equivalent (FTE) residents reported by participating children's hospitals and teaching health centers to calculate Graduate Medical Education (GME) reimbursement payments, and to perform the yearly reconciliation required by 42 U.S.C. 256e(e)(3) and 256h(f) to avoid duplicative reimbursements.
Records may be disclosed to contractors and agencies
Records in the new system may be disclosed without the individual's consent to HHS contractors (including the fiscal intermediary conducting the FTE Resident Assessment), participating hospitals or teaching health centers (when records relate to their trainees), law enforcement or other agencies for suspected violations, the Department of Justice or courts in litigation, and to other agencies to respond to or prevent breaches; these routine uses are effective June 18, 2026.
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