GME Transparency Act of 2026
Sponsored By: Representative Steube, W. Gregory [R-FL-17]
Introduced
Summary
Would require hospitals that receive Medicare payments for direct graduate medical education to report deidentified citizenship and immigration status for residents. This reporting would be tied to hospitals' eligibility for those Medicare payments and would create an annual, state-level summary for Congress.
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- Hospitals: Hospitals getting Medicare direct graduate medical education payments would have to submit deidentified resident status data to the Secretary within 180 days after each fiscal year using a standardized form. Residency programs that do not submit the required information would be excluded from the definition of direct graduate medical education costs for purposes of payment.
- Residents and training programs: The data collection would cover all approved residency programs that submit information and would report the number and percentage of residents by State in these categories: U.S. citizens; lawful permanent residents; aliens with status under section 101(a)(15)(J)(i) of the Immigration and Nationality Act; aliens with nonimmigrant status under section 101(a)(15)(H)(i)(b) of the Immigration and Nationality Act; or otherwise lawfully present.
- Federal reporting and tools: The Secretary would provide a standardized reporting form and must report to Congress within 270 days after each fiscal year with the state-by-state counts and percentages.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
New Medicare reporting for residency programs
If enacted, hospitals that get Medicare payments for direct graduate medical education would have to send deidentified information about residents in approved residency and postgraduate training programs. Hospitals would file the data on a standard form the Secretary must provide, within 180 days after each fiscal year ends, starting with the first fiscal year after enactment. The Secretary would report to Congress within 270 days after each fiscal year, with state-level counts and percentages of residents who are U.S. citizens, lawful permanent residents, aliens with INA 101(a)(15)(J)(i) status, aliens with INA 101(a)(15)(H)(i)(b) status, or otherwise lawfully present. The bill would also exclude any hospital residency or postgraduate program that does not submit the required data from the definition of "direct graduate medical education costs" for Medicare payment purposes, which could make those programs ineligible for Medicare DGME payments starting in the first fiscal year after enactment.
Sponsors & CoSponsors
Sponsor
Steube, W. Gregory [R-FL-17]
FL • R
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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