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HR10707119th CongressWALLET
Internationally Trained Physicians Assistance Act of 2026
Sponsored By: Representative Smith, Adam [D-WA-9]
Introduced
Summary
Expands state-led transitional practice and licensure pathways for internationally trained physicians by pairing federal grants with targeted supports and an exemption to certain hospital resident caps so more ITPs can work under supervision while pursuing U.S. licensure.
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- Internationally trained physicians: Would let eligible graduates practice under the supervision of a fully licensed physician while they pursue U.S. licensure and could fund USMLE exam fees, career counseling, English classes, diploma verification, and test prep.
- Hospitals and underserved patients: Would exempt qualifying ITP residents from counting toward hospital resident staffing caps when hospitals partner with federally qualified health centers or rural hospitals and predominantly serve medically underserved populations.
- States and policymakers: Would provide grants for states to design and expand alternative licensure pathways and requires a study due within 180 days on removing the resident cap.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
More help for foreign-trained doctors
If enacted, the bill would let HHS award discretionary grants to states to build or expand programs that let doctors trained abroad provide supervised patient care while they finish USMLE steps 1–3. Grants would pay USMLE costs and fund career counseling, case management, English classes, diploma verification, and test preparation. The bill would define eligible doctors as those who graduated from medical school outside the United States or Canada and who are lawful permanent residents, admitted refugees, granted asylum, or otherwise authorized to work in the United States. It would also let qualifying hospitals exclude these eligible residents from Medicare's resident cap before weighting, but only if the hospital has an agreement to train at a federally qualified health center or a rural hospital, is in a state that has the pathway, and mainly serves medically underserved people as the Secretary decides. The bill would not specify grant amounts, and HHS would not be required to award grants.
Sponsors & CoSponsors
Sponsor
Smith, Adam [D-WA-9]
WA • D
Cosponsors
Rep. Krishnamoorthi, Raja [D-IL-8]
IL • D
Sponsored 10/1/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov