# 119-hr-4731: Resident Physician Shortage Reduction Act of 2025

119-hr-4731, Resident Physician Shortage Reduction Act of 2025, is a 119th Congress bill sponsored by Rep. Sewell, Terri A. [D-AL-7] (D-AL); status introduced; PRIA reads it as touching household money (as of 2026-10-31).

- Canonical: https://policyrisk.com/legislation/119-hr-4731
- As of: 2026-10-31
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4731
- Congress: 119
- Title: Resident Physician Shortage Reduction Act of 2025
- Status: introduced
- Introduced: 2025-07-23
- Sponsor: Rep. Sewell, Terri A. [D-AL-7] (D-AL)
- Cosponsors: 139
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-31

## 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. - 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.

## Cosponsors (139)

- Rep. Hill, J. French [R-AR-2] (R-AR), 2026-09-28T00:00:00.000Z
- Rep. Grijalva, Adelita S. [D-AZ-7] (D-AZ), 2026-09-28T00:00:00.000Z
- Rep. Pressley, Ayanna [D-MA-7] (D-MA), 2026-10-05T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-07-23T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-08-29T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-08-29T00:00:00.000Z
- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2025-08-29T00:00:00.000Z
- Rep. Case, Ed [D-HI-1] (D-HI), 2025-08-29T00:00:00.000Z
- Rep. Mrvan, Frank J. [D-IN-1] (D-IN), 2025-08-29T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2025-08-29T00:00:00.000Z
- Rep. Carbajal, Salud O. [D-CA-24] (D-CA), 2025-08-29T00:00:00.000Z
- Rep. Dexter, Maxine [D-OR-3] (D-OR), 2025-08-29T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2025-09-10T00:00:00.000Z
- Rep. Thompson, Bennie G. [D-MS-2] (D-MS), 2025-09-10T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-09-30T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2025-09-30T00:00:00.000Z
- Rep. Velázquez, Nydia M. [D-NY-7] (D-NY), 2025-09-30T00:00:00.000Z
- Rep. Nadler, Jerrold [D-NY-12] (D-NY), 2025-09-30T00:00:00.000Z
- Rep. Bresnahan, Robert P. [R-PA-8] (R-PA), 2025-09-30T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2025-10-06T00:00:00.000Z
- Rep. Levin, Mike [D-CA-49] (D-CA), 2025-10-06T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2025-10-06T00:00:00.000Z
- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-10-06T00:00:00.000Z
- Rep. Garbarino, Andrew R. [R-NY-2] (R-NY), 2025-10-06T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-10-06T00:00:00.000Z
- Rep. Swalwell, Eric [D-CA-14] (D-CA), 2025-10-10T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2025-10-10T00:00:00.000Z
- Rep. Torres, Ritchie [D-NY-15] (D-NY), 2025-10-10T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-10-10T00:00:00.000Z
- Rep. Zinke, Ryan K. [R-MT-1] (R-MT), 2025-10-10T00:00:00.000Z
- Rep. Hayes, Jahana [D-CT-5] (D-CT), 2025-10-10T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-10-10T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2025-10-10T00:00:00.000Z
- Rep. Goldman, Daniel S. [D-NY-10] (D-NY), 2025-10-10T00:00:00.000Z
- Rep. Scanlon, Mary Gay [D-PA-5] (D-PA), 2025-10-10T00:00:00.000Z
- Rep. Doggett, Lloyd [D-TX-37] (D-TX), 2025-10-10T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-10-10T00:00:00.000Z
- Rep. Lieu, Ted [D-CA-36] (D-CA), 2025-10-10T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-10-10T00:00:00.000Z
- Rep. McCollum, Betty [D-MN-4] (D-MN), 2025-10-10T00:00:00.000Z
- Rep. DeSaulnier, Mark [D-CA-10] (D-CA), 2025-10-10T00:00:00.000Z
- Rep. Castro, Joaquin [D-TX-20] (D-TX), 2025-10-10T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2025-10-10T00:00:00.000Z
- Rep. Smith, Adam [D-WA-9] (D-WA), 2025-10-10T00:00:00.000Z
- Rep. Bishop, Sanford D. [D-GA-2] (D-GA), 2025-10-10T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-10-10T00:00:00.000Z
- Rep. McGarvey, Morgan [D-KY-3] (D-KY), 2025-10-10T00:00:00.000Z
- Rep. Meuser, Daniel [R-PA-9] (R-PA), 2025-10-10T00:00:00.000Z
- Rep. Moulton, Seth [D-MA-6] (D-MA), 2025-10-10T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-10-10T00:00:00.000Z
- Rep. Trahan, Lori [D-MA-3] (D-MA), 2025-10-14T00:00:00.000Z
- Rep. Lynch, Stephen F. [D-MA-8] (D-MA), 2025-10-14T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-10-14T00:00:00.000Z
- Rep. Horsford, Steven [D-NV-4] (D-NV), 2025-10-14T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-10-14T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2026-09-24T00:00:00.000Z
- Rep. McClellan, Jennifer L. [D-VA-4] (D-VA), 2026-09-24T00:00:00.000Z
- Rep. Frost, Maxwell [D-FL-10] (D-FL), 2026-10-29T00:00:00.000Z
- Rep. Lee, Summer L. [D-PA-12] (D-PA), 2026-10-22T00:00:00.000Z
- Rep. Schrier, Kim [D-WA-8] (D-WA), 2025-10-24T00:00:00.000Z
- Rep. Brownley, Julia [D-CA-26] (D-CA), 2025-10-24T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-10-24T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2025-10-24T00:00:00.000Z
- Rep. Stevens, Haley M. [D-MI-11] (D-MI), 2025-11-04T00:00:00.000Z
- Rep. McBath, Lucy [D-GA-6] (D-GA), 2025-11-04T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2025-11-04T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2025-11-12T00:00:00.000Z
- Rep. Tonko, Paul [D-NY-20] (D-NY), 2025-11-12T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-11-12T00:00:00.000Z
- Rep. Himes, James A. [D-CT-4] (D-CT), 2025-11-12T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-12T00:00:00.000Z
- Rep. Garamendi, John [D-CA-8] (D-CA), 2025-11-12T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-11-17T00:00:00.000Z
- Rep. Magaziner, Seth [D-RI-2] (D-RI), 2025-11-17T00:00:00.000Z
- Rep. Conaway, Herbert C. [D-NJ-3] (D-NJ), 2025-12-01T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2025-12-09T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-12-09T00:00:00.000Z
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA), 2025-12-09T00:00:00.000Z
- Rep. Johnson, Julie [D-TX-32] (D-TX), 2025-12-09T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-12-09T00:00:00.000Z
- Rep. Stanton, Greg [D-AZ-4] (D-AZ), 2025-12-09T00:00:00.000Z
- Rep. Rogers, Mike D. [R-AL-3] (R-AL), 2025-12-09T00:00:00.000Z
- Rep. Foster, Bill [D-IL-11] (D-IL), 2025-12-11T00:00:00.000Z
- Rep. Matsui, Doris O. [D-CA-7] (D-CA), 2025-12-11T00:00:00.000Z
- Rep. Bera, Ami [D-CA-6] (D-CA), 2025-12-15T00:00:00.000Z
- Rep. Chu, Judy [D-CA-28] (D-CA), 2025-12-15T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-12-15T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2025-12-18T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2025-12-18T00:00:00.000Z
- Rep. Vargas, Juan [D-CA-52] (D-CA), 2025-12-18T00:00:00.000Z
- Rep. Casten, Sean [D-IL-6] (D-IL), 2026-01-07T00:00:00.000Z
- Rep. Adams, Alma S. [D-NC-12] (D-NC), 2026-01-07T00:00:00.000Z
- Rep. Aguilar, Pete [D-CA-33] (D-CA), 2026-01-22T00:00:00.000Z
- Rep. Cohen, Steve [D-TN-9] (D-TN), 2026-01-22T00:00:00.000Z
- Rep. Morelle, Joseph D. [D-NY-25] (D-NY), 2026-01-22T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2026-01-22T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2026-01-22T00:00:00.000Z
- Rep. Sánchez, Linda T. [D-CA-38] (D-CA), 2026-01-22T00:00:00.000Z
- Rep. Morrison, Kelly [D-MN-3] (D-MN), 2026-02-02T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2026-02-02T00:00:00.000Z
- Rep. Bonamici, Suzanne [D-OR-1] (D-OR), 2026-02-02T00:00:00.000Z
- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2026-02-02T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2026-02-02T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2026-02-02T00:00:00.000Z
- Rep. Tokuda, Jill N. [D-HI-2] (D-HI), 2026-02-02T00:00:00.000Z
- Rep. Dean, Madeleine [D-PA-4] (D-PA), 2026-02-02T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2026-02-03T00:00:00.000Z
- Rep. Frankel, Lois [D-FL-22] (D-FL), 2026-02-03T00:00:00.000Z
- Rep. Kelly, Robin L. [D-IL-2] (D-IL), 2026-02-25T00:00:00.000Z
- Rep. Fletcher, Lizzie [D-TX-7] (D-TX), 2026-02-25T00:00:00.000Z
- Rep. Thompson, Mike [D-CA-4] (D-CA), 2026-02-25T00:00:00.000Z
- Rep. Tenney, Claudia [R-NY-24] (R-NY), 2026-03-05T00:00:00.000Z
- Rep. Gonzalez, Vicente [D-TX-34] (D-TX), 2026-03-05T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2026-03-05T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-03-26T00:00:00.000Z
- Rep. Latimer, George [D-NY-16] (D-NY), 2026-03-26T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2026-03-26T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2026-03-26T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2026-03-30T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2026-04-14T00:00:00.000Z
- Rep. Sykes, Emilia Strong [D-OH-13] (D-OH), 2026-04-16T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2026-04-22T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2026-04-27T00:00:00.000Z
- Rep. Omar, Ilhan [D-MN-5] (D-MN), 2026-04-28T00:00:00.000Z
- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2026-04-30T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2026-04-30T00:00:00.000Z
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY), 2026-05-11T00:00:00.000Z
- Rep. Mannion, John W. [D-NY-22] (D-NY), 2026-05-11T00:00:00.000Z
- Rep. Deluzio, Christopher R. [D-PA-17] (D-PA), 2026-05-19T00:00:00.000Z
- Rep. Takano, Mark [D-CA-39] (D-CA), 2026-06-02T00:00:00.000Z
- Rep. McGovern, James P. [D-MA-2] (D-MA), 2026-06-02T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2026-06-02T00:00:00.000Z
- Rep. Moskowitz, Jared [D-FL-23] (D-FL), 2026-06-03T00:00:00.000Z
- Rep. Espaillat, Adriano [D-NY-13] (D-NY), 2026-06-08T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2026-06-29T00:00:00.000Z
- Rep. Whitesides, George [D-CA-27] (D-CA), 2026-07-13T00:00:00.000Z
- Rep. Meeks, Gregory W. [D-NY-5] (D-NY), 2026-07-13T00:00:00.000Z
- Rep. Menendez, Robert [D-NJ-8] (D-NJ), 2026-07-13T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2026-09-10T00:00:00.000Z

## Provisions PRIA read

- More Medicare residency slots nationwide: benefit, medium. 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 u…

## Related bills

- 119-hr-2102: Major Richard Star Act
- 119-hres-70: Expressing the sense of the House of Representatives that Congress should take all appropriate measures to ensure that the United States Postal Service remains…
- 119-hr-2550: Protect America's Workforce Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act
- 119-hr-17: Paycheck Fairness Act

## Sources
- [119-hr-4731 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4731)

## Related
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hres-70: Expressing the sense of the House of Representatives that Congress should take…](https://policyrisk.com/legislation/119-hres-70)
- [119-hr-2550: Protect America's Workforce Act](https://policyrisk.com/legislation/119-hr-2550)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1993: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-hr-1993)
- [119-hr-17: Paycheck Fairness Act](https://policyrisk.com/legislation/119-hr-17)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4731 (as of 2026-10-31).