# 119-hr-2314: FAIR Act

119-hr-2314, FAIR Act, is a 119th Congress bill sponsored by Rep. Harshbarger, Diana [R-TN-1] (R-TN); status introduced; PRIA reads it as touching household money (as of 2026-10-07).

- Canonical: https://policyrisk.com/legislation/119-hr-2314
- As of: 2026-10-07
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2314
- Congress: 119
- Title: FAIR Act
- Status: introduced
- Introduced: 2025-03-25
- Sponsor: Rep. Harshbarger, Diana [R-TN-1] (R-TN)
- Cosponsors: 21
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-07

## Summary

**Promote equitable treatment of osteopathic and allopathic residency candidates.** This bill would require hospitals to report residency applicant and acceptance counts by medical-school type and affirm that their admissions policies consider both osteopathic and allopathic applicants. It ties a hospital's Medicare payment adjustment to compliance. - Hospitals: For discharges on or after October 1, 2026, a hospital's current Medicare payment adjustment would be reduced by 2 percent for each prior fiscal year, beginning with fiscal year 2025, that it failed to submit the required information. - Reporting details: Hospitals would have to submit, for each approved residency program and fiscal year, the number of applicants from osteopathic and allopathic medical schools, the number of accepted applicants from each school type, and an affirmation that the hospital considers both types and, if it requires an exam score, accepts either the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) or the United States Medical Licensing Examination (USMLE). - Public transparency: The Secretary would publish the submitted applicant and acceptance counts and the affirmations on a public website for each fiscal year beginning with fiscal year 2025.

## Cosponsors (21)

- Rep. Norman, Ralph [R-SC-5] (R-SC), 2026-09-28T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2026-10-05T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-03-25T00:00:00.000Z
- Rep. Graves, Sam [R-MO-6] (R-MO), 2025-03-25T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-03-25T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-03-25T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2025-05-20T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2025-06-02T00:00:00.000Z
- Rep. Rogers, Mike D. [R-AL-3] (R-AL), 2025-06-09T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2025-06-10T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-06-17T00:00:00.000Z
- Rep. Burchett, Tim [R-TN-2] (R-TN), 2025-08-22T00:00:00.000Z
- Rep. Cline, Ben [R-VA-6] (R-VA), 2025-09-03T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-09-08T00:00:00.000Z
- Rep. McGuire, John J. [R-VA-5] (R-VA), 2025-09-15T00:00:00.000Z
- Rep. Owens, Burgess [R-UT-4] (R-UT), 2025-11-18T00:00:00.000Z
- Rep. Crawford, Eric A. "Rick" [R-AR-1] (R-AR), 2026-01-12T00:00:00.000Z
- Rep. Goldman, Craig A. [R-TX-12] (R-TX), 2026-04-16T00:00:00.000Z
- Rep. Bean, Aaron [R-FL-4] (R-FL), 2026-05-13T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2026-06-08T00:00:00.000Z
- Rep. Evans, Gabe [R-CO-8] (R-CO), 2026-08-06T00:00:00.000Z

## Provisions PRIA read

- Residency reporting tied to Medicare payments: cost, high. Hospitals with approved residency programs would have to report data each year starting in fiscal year 2025. They would report applicants and acceptances by school type: osteopathic and allopathic. They would also affirm they consider both and, if they require an exam score, accept COMLEX-USA or US…

## Related bills

- 119-hr-8800: National Defense Authorization Act for Fiscal Year 2027
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-7567: Farm, Food, and National Security Act of 2026
- 119-hr-452: Miracle on Ice Congressional Gold Medal Act
- 119-hres-1511: Recognizing the 25th anniversary of the terrorist attacks of September 11, 2001, honoring the memory of the victims, recognizing the courage and sacrifice of t…
- 119-hr-1502: North Platte Canteen Congressional Gold Medal Act

## Sources
- [119-hr-2314 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2314)

## Related
- [119-hr-8800: National Defense Authorization Act for Fiscal Year 2027](https://policyrisk.com/legislation/119-hr-8800)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-7567: Farm, Food, and National Security Act of 2026](https://policyrisk.com/legislation/119-hr-7567)
- [119-hr-452: Miracle on Ice Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-452)
- [119-hres-1511: Recognizing the 25th anniversary of the terrorist attacks of September 11, 2001…](https://policyrisk.com/legislation/119-hres-1511)
- [119-hr-1502: North Platte Canteen Congressional Gold Medal Act](https://policyrisk.com/legislation/119-hr-1502)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2314 (as of 2026-10-07).