# 119-s-2439: Resident Physician Shortage Reduction Act of 2025

119-s-2439, Resident Physician Shortage Reduction Act of 2025, is a 119th Congress bill sponsored by Sen. Boozman, John [R-AR] (R-AR); status introduced; PRIA reads it as touching household money (as of 2026-07-24).

- Canonical: https://policyrisk.com/legislation/119-s-2439
- As of: 2026-07-24
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-2439
- Congress: 119
- Title: Resident Physician Shortage Reduction Act of 2025
- Status: introduced
- Introduced: 2025-07-24
- Sponsor: Sen. Boozman, John [R-AR] (R-AR)
- Cosponsors: 18
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-24

## Summary

**Expands residency positions to reduce physician shortages.** The bill would create a new, discrete pool of residency slots with about 2,000 positions available each year from fiscal year 2027 through 2033 and a backstop to reach at least 14,000 total slots. - Hospitals: Qualifying hospitals would be allowed to raise their resident limits and could receive up to 75 additional full-time equivalent residency positions over 2027–2033. - Rural and underserved hospitals: At least 10 percent of the positions would be reserved for categories such as rural hospitals and hospitals serving Health Professional Shortage Areas, with priority for hospitals affiliated with historically Black medical schools. - Residents and training funding: Hospitals must add the new slots to approved residency programs. Medicare would treat payment amounts for these positions like the hospital’s existing per-resident rates and indirect medical education calculations would apply for discharges on or after July 1, 2027.

## Cosponsors (18)

- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2025-07-24T00:00:00.000Z
- Sen. Collins, Susan M. [R-ME] (R-ME), 2025-07-24T00:00:00.000Z
- Sen. Schumer, Charles E. [D-NY] (D-NY), 2025-07-24T00:00:00.000Z
- Sen. Gillibrand, Kirsten E. [D-NY] (D-NY), 2025-07-24T00:00:00.000Z
- Sen. Rosen, Jacky [D-NV] (D-NV), 2025-07-24T00:00:00.000Z
- Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-07-24T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2025-07-24T00:00:00.000Z
- Sen. Gallego, Ruben [D-AZ] (D-AZ), 2025-07-24T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-07-24T00:00:00.000Z
- Sen. Slotkin, Elissa [D-MI] (D-MI), 2025-07-24T00:00:00.000Z
- Sen. Durbin, Richard J. [D-IL] (D-IL), 2025-07-24T00:00:00.000Z
- Sen. Kelly, Mark [D-AZ] (D-AZ), 2025-07-28T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-07-28T00:00:00.000Z
- Sen. Tuberville, Tommy [R-AL] (R-AL), 2025-09-30T00:00:00.000Z
- Sen. Ossoff, Jon [D-GA] (D-GA), 2026-07-22T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2026-07-22T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2026-07-22T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2026-07-22T00:00:00.000Z

## Provisions PRIA read

- How Medicare pays for new slots: benefit, medium. This bill would treat per‑resident payment amounts for the new slots as equal to each hospital's existing per‑resident amounts for primary and nonprimary care. For discharges on or after July 1, 2027, any IME payment tied to these slots would be computed the same way as current IME rules.
- Minimum slots for priority hospitals: benefit, medium. This bill would require at least 10% of the available slots each round go to each of four hospital groups. The groups include rural and sole community hospitals, hospitals whose reference resident level is above their limit, hospitals tied to new state medical schools or branch campuses, and hospit…
- More residency slots for hospitals: benefit, medium. This bill would add 2,000 extra residency slots each fiscal year from FY2027 through FY2033. HHS would run one application round each year and notify hospitals by January 31. New slots would apply to cost periods starting on or after July 1 of that fiscal year. Unused slots in a year would roll ove…
- Hospitals must add and later count slots: mixed, low. This bill would require a hospital to agree to add the same number of full‑time resident positions before it can get a higher resident limit. Beginning in the fifth year after the increase takes effect, hospitals could count these new positions when combining limits across affiliated hospitals.

## Related bills

- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-1241: Sanctioning Russia Act of 2025
- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.
- 119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewellyn Kyl, former Senator for the State of Arizona.
- 119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham, a Senator from the State of South Carolina.
- 119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former Senator for the State of Michigan.

## Sources
- [119-s-2439 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/2439)

## Related
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewel…](https://policyrisk.com/legislation/119-sres-897)
- [119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham,…](https://policyrisk.com/legislation/119-sres-801)
- [119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former S…](https://policyrisk.com/legislation/119-sres-755)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-2439 (as of 2026-07-24).