HR4731119th CongressWALLET

Resident Physician Shortage Reduction Act of 2025

Sponsored By: Representative Sewell

Introduced

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.

Show full summary
  • 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.

Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More Medicare residency slots nationwide

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 unless the Secretary lifts that cap. At least 10% would go to rural hospitals, qualifying over-cap hospitals with a strong primary care/general surgery mix, hospitals in states with new medical schools or branches, and hospitals serving shortage areas. Hospitals would apply each year, get notice by January 1, and slots would start for cost-reporting periods that begin on or after July 1. Hospitals would need to agree to increase training positions, and some must keep at least 25% of residents in primary care and general surgery. Medicare teaching payments (IME) could be adjusted for these new slots starting July 1, 2027.

Sponsors & CoSponsors

Sponsor

Sewell

AL • D

Cosponsors

  • Fitzpatrick

    PA • R

    Sponsored 7/23/2025

  • Lawler

    NY • R

    Sponsored 8/29/2025

  • Davis (NC)

    NC • D

    Sponsored 8/29/2025

  • Ryan

    NY • D

    Sponsored 8/29/2025

  • Case

    HI • D

    Sponsored 8/29/2025

  • Mrvan

    IN • D

    Sponsored 8/29/2025

  • Kennedy (NY)

    NY • D

    Sponsored 8/29/2025

  • Carbajal

    CA • D

    Sponsored 8/29/2025

  • Dexter

    OR • D

    Sponsored 8/29/2025

  • Malliotakis

    NY • R

    Sponsored 9/10/2025

  • Thompson (MS)

    MS • D

    Sponsored 9/10/2025

  • Castor (FL)

    FL • D

    Sponsored 9/30/2025

  • Scholten

    MI • D

    Sponsored 9/30/2025

  • Velazquez

    NY • D

    Sponsored 9/30/2025

  • Nadler

    NY • D

    Sponsored 9/30/2025

  • Bresnahan

    PA • R

    Sponsored 9/30/2025

  • Rescom. Hernández, Pablo Jose [D-PR-At Large]

    PR • D

    Sponsored 10/6/2025

  • Levin

    CA • D

    Sponsored 10/6/2025

  • Riley (NY)

    NY • D

    Sponsored 10/6/2025

  • Clarke (NY)

    NY • D

    Sponsored 10/6/2025

  • Garbarino

    NY • R

    Sponsored 10/6/2025

  • Suozzi

    NY • D

    Sponsored 10/6/2025

  • Swalwell

    CA • D

    Sponsored 10/10/2025

  • Mullin

    CA • D

    Sponsored 10/10/2025

  • Torres (NY)

    NY • D

    Sponsored 10/10/2025

  • Quigley

    IL • D

    Sponsored 10/10/2025

  • Zinke

    MT • R

    Sponsored 10/10/2025

  • Hayes

    CT • D

    Sponsored 10/10/2025

  • Tlaib

    MI • D

    Sponsored 10/10/2025

  • DelBene

    WA • D

    Sponsored 10/10/2025

  • Goldman (NY)

    NY • D

    Sponsored 10/10/2025

  • Scanlon

    PA • D

    Sponsored 10/10/2025

  • Doggett

    TX • D

    Sponsored 10/10/2025

  • Bacon

    NE • R

    Sponsored 10/10/2025

  • Lieu

    CA • D

    Sponsored 10/10/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 10/10/2025

  • McCollum

    MN • D

    Sponsored 10/10/2025

  • DeSaulnier

    CA • D

    Sponsored 10/10/2025

  • Castro (TX)

    TX • D

    Sponsored 10/10/2025

  • Dingell

    MI • D

    Sponsored 10/10/2025

  • Smith (WA)

    WA • D

    Sponsored 10/10/2025

  • Bishop

    GA • D

    Sponsored 10/10/2025

  • Davids (KS)

    KS • D

    Sponsored 10/10/2025

  • McGarvey

    KY • D

    Sponsored 10/10/2025

  • Meuser

    PA • R

    Sponsored 10/10/2025

  • Moulton

    MA • D

    Sponsored 10/10/2025

  • Harder (CA)

    CA • D

    Sponsored 10/10/2025

  • Trahan

    MA • D

    Sponsored 10/14/2025

  • Lynch

    MA • D

    Sponsored 10/14/2025

  • Krishnamoorthi

    IL • D

    Sponsored 10/14/2025

  • Horsford

    NV • D

    Sponsored 10/14/2025

  • Panetta

    CA • D

    Sponsored 10/14/2025

  • Schrier

    WA • D

    Sponsored 10/24/2025

  • Brownley

    CA • D

    Sponsored 10/24/2025

  • Jackson (IL)

    IL • D

    Sponsored 10/24/2025

  • Ross

    NC • D

    Sponsored 10/24/2025

  • Stevens

    MI • D

    Sponsored 11/4/2025

  • McBath

    GA • D

    Sponsored 11/4/2025

  • Budzinski

    IL • D

    Sponsored 11/4/2025

  • Norcross

    NJ • D

    Sponsored 11/12/2025

  • Tonko

    NY • D

    Sponsored 11/12/2025

  • Schneider

    IL • D

    Sponsored 11/12/2025

  • Himes

    CT • D

    Sponsored 11/12/2025

  • Pingree

    ME • D

    Sponsored 11/12/2025

  • Garamendi

    CA • D

    Sponsored 11/12/2025

  • Leger Fernandez

    NM • D

    Sponsored 11/17/2025

  • Magaziner

    RI • D

    Sponsored 11/17/2025

  • Conaway

    NJ • D

    Sponsored 12/1/2025

  • Houlahan

    PA • D

    Sponsored 12/9/2025

  • McBride

    DE • D

    Sponsored 12/9/2025

  • Walkinshaw

    VA • D

    Sponsored 12/9/2025

  • Johnson (TX)

    TX • D

    Sponsored 12/9/2025

  • Simon

    CA • D

    Sponsored 12/9/2025

  • Stanton

    AZ • D

    Sponsored 12/9/2025

  • Rogers (AL)

    AL • R

    Sponsored 12/9/2025

  • Foster

    IL • D

    Sponsored 12/11/2025

  • Matsui

    CA • D

    Sponsored 12/11/2025

  • Bera

    CA • D

    Sponsored 12/15/2025

  • Chu

    CA • D

    Sponsored 12/15/2025

  • Gottheimer

    NJ • D

    Sponsored 12/15/2025

  • Correa

    CA • D

    Sponsored 12/18/2025

  • Peters

    CA • D

    Sponsored 12/18/2025

  • Vargas

    CA • D

    Sponsored 12/18/2025

  • Casten

    IL • D

    Sponsored 1/7/2026

  • Adams

    NC • D

    Sponsored 1/7/2026

  • Aguilar

    CA • D

    Sponsored 1/22/2026

  • Cohen

    TN • D

    Sponsored 1/22/2026

  • Morelle

    NY • D

    Sponsored 1/22/2026

  • Titus

    NV • D

    Sponsored 1/22/2026

  • Stansbury

    NM • D

    Sponsored 1/22/2026

  • Sanchez

    CA • D

    Sponsored 1/22/2026

  • Morrison

    MN • D

    Sponsored 2/2/2026

  • Pocan

    WI • D

    Sponsored 2/2/2026

  • Bonamici

    OR • D

    Sponsored 2/2/2026

  • Barragan

    CA • D

    Sponsored 2/2/2026

  • Vasquez

    NM • D

    Sponsored 2/2/2026

  • Jayapal

    WA • D

    Sponsored 2/2/2026

  • Tokuda

    HI • D

    Sponsored 2/2/2026

  • Dean (PA)

    PA • D

    Sponsored 2/2/2026

  • Pettersen

    CO • D

    Sponsored 2/3/2026

  • Frankel, Lois

    FL • D

    Sponsored 2/3/2026

  • Kelly (IL)

    IL • D

    Sponsored 2/25/2026

  • Fletcher

    TX • D

    Sponsored 2/25/2026

  • Thompson (CA)

    CA • D

    Sponsored 2/25/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov

Related Bills

Back to Legislation

Take It Personal

Get Your Personalized Policy View

Create a free account to save research, track policy impacts, and unlock your personalized versions of these pages.

Already have an account? Sign in