1 | 1 | | I |
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2 | 2 | | 119THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 2314 |
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5 | 5 | | To amend title XVIII of the Social Security Act to require hospitals with |
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6 | 6 | | approved medical residency training programs to submit to the Secretary |
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7 | 7 | | of Health and Human Services certain information regarding osteopathic |
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8 | 8 | | and allopathic candidates for such programs. |
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9 | 9 | | IN THE HOUSE OF REPRESENTATIVES |
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10 | 10 | | MARCH25, 2025 |
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11 | 11 | | Mrs. H |
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12 | 12 | | ARSHBARGER(for herself, Ms. PINGREE, Mr. GRAVES, Mrs. MILLER |
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13 | 13 | | of West Virginia, and Mr. D |
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14 | 14 | | AVISof North Carolina) introduced the fol- |
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15 | 15 | | lowing bill; which was referred to the Committee on Ways and Means |
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16 | 16 | | A BILL |
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17 | 17 | | To amend title XVIII of the Social Security Act to require |
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18 | 18 | | hospitals with approved medical residency training pro- |
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19 | 19 | | grams to submit to the Secretary of Health and Human |
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20 | 20 | | Services certain information regarding osteopathic and |
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21 | 21 | | allopathic candidates for such programs. |
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22 | 22 | | Be it enacted by the Senate and House of Representa-1 |
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23 | 23 | | tives of the United States of America in Congress assembled, 2 |
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24 | 24 | | SECTION 1. SHORT TITLE. 3 |
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25 | 25 | | This Act may be cited as the ‘‘Fair Access In Resi-4 |
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26 | 26 | | dency Act of 2025’’ or the ‘‘FAIR Act of 2025’’. 5 |
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27 | 27 | | VerDate Sep 11 2014 20:02 Mar 31, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2314.IH H2314 |
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28 | 28 | | ssavage on LAPJG3WLY3PROD with BILLS 2 |
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29 | 29 | | •HR 2314 IH |
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30 | 30 | | SEC. 2. ENCOURAGING MORE EQUITABLE TREATMENT OF 1 |
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31 | 31 | | OSTEOPATHIC AND ALLOPATHIC CAN-2 |
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32 | 32 | | DIDATES IN RESIDENCY APPLICATION AND 3 |
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33 | 33 | | REVIEW PROCESS. 4 |
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34 | 34 | | (a) I |
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35 | 35 | | NGENERAL.—Section 1886(d)(5)(B) of the So-5 |
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36 | 36 | | cial Security Act (42 U.S.C. 1395ww(d)(5)(B)) is amend-6 |
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37 | 37 | | ed— 7 |
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38 | 38 | | (1) in clause (i), by inserting at the end the fol-8 |
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39 | 39 | | lowing new sentence: ‘‘For discharges occurring on 9 |
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40 | 40 | | or after October 1, 2026, the amount determined 10 |
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41 | 41 | | under the previous sentence for a hospital shall be 11 |
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42 | 42 | | reduced by 2 percent for each prior fiscal year (be-12 |
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43 | 43 | | ginning with fiscal year 2025) for which the hospital 13 |
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44 | 44 | | has not submitted to the Secretary the information 14 |
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45 | 45 | | described in subclause (xiv).’’; and 15 |
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46 | 46 | | (2) by adding at the end the following new 16 |
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47 | 47 | | clause: 17 |
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48 | 48 | | ‘‘(xiv) For purposes of clause (i), the informa-18 |
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49 | 49 | | tion described in this clause is, with respect to a 19 |
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50 | 50 | | hospital and a fiscal year, the following: 20 |
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51 | 51 | | ‘‘(I) The number of applicants for resi-21 |
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52 | 52 | | dency in each of the hospital’s approved medical 22 |
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53 | 53 | | residency training programs beginning in such 23 |
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54 | 54 | | fiscal year— 24 |
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55 | 55 | | ‘‘(aa) from osteopathic medical 25 |
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56 | 56 | | schools; and 26 |
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57 | 57 | | VerDate Sep 11 2014 20:02 Mar 31, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2314.IH H2314 |
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58 | 58 | | ssavage on LAPJG3WLY3PROD with BILLS 3 |
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59 | 59 | | •HR 2314 IH |
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60 | 60 | | ‘‘(bb) from allopathic medical schools. 1 |
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61 | 61 | | ‘‘(II) The number of such applicants ac-2 |
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62 | 62 | | cepted into each such program beginning in 3 |
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63 | 63 | | such fiscal year from each such type of medical 4 |
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64 | 64 | | school. 5 |
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65 | 65 | | ‘‘(III) An affirmation that— 6 |
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66 | 66 | | ‘‘(aa) the policy of the hospital is to 7 |
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67 | 67 | | consider for acceptance to each such pro-8 |
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68 | 68 | | gram applicants from both osteopathic and 9 |
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69 | 69 | | allopathic medical schools; and 10 |
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70 | 70 | | ‘‘(bb) in the case that the hospital re-11 |
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71 | 71 | | quires applicants to submit an examination 12 |
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72 | 72 | | score as a prerequisite for acceptance in 13 |
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73 | 73 | | such a program, the hospital accepts scores 14 |
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74 | 74 | | from, at the election of the applicant, ei-15 |
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75 | 75 | | ther the Comprehensive Osteopathic Med-16 |
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76 | 76 | | ical Licensing Examination of the United 17 |
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77 | 77 | | States or the United States Medical Li-18 |
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78 | 78 | | censing Examination.’’. 19 |
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79 | 79 | | (b) P |
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80 | 80 | | UBLICATION.—The Secretary of Health and 20 |
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81 | 81 | | Human Services shall publish on a public website the in-21 |
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82 | 82 | | formation described in subclauses (I) and (II) of section 22 |
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83 | 83 | | 1886(d)(5)(B)(xiv) of the Social Security Act, as added 23 |
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84 | 84 | | by subsection (a), and the affirmation described in sub-24 |
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85 | 85 | | clause (III) of such section, that is submitted by a hospital 25 |
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87 | 87 | | ssavage on LAPJG3WLY3PROD with BILLS 4 |
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88 | 88 | | •HR 2314 IH |
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89 | 89 | | with respect to an approved medical residency training 1 |
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90 | 90 | | program (as defined in section 1886(d)(h)(A) of the Social 2 |
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91 | 91 | | Security Act (42 U.S.C. 1395ww(d)(h)(A)) for each fiscal 3 |
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92 | 92 | | year (beginning with fiscal year 2025). 4 |
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93 | 93 | | (c) R |
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94 | 94 | | ULE OFCONSTRUCTION.—Nothing in this Act 5 |
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95 | 95 | | shall be construed as federalizing medical education, or as 6 |
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96 | 96 | | establishing a mandate for an approved medical residency 7 |
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97 | 97 | | training program (as defined in section 1886(d)(h)(A) of 8 |
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98 | 98 | | the Social Security Act (42 U.S.C. 1395ww(d)(h)(A)) to 9 |
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99 | 99 | | accept students (or to accept a certain number of stu-10 |
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100 | 100 | | dents) from osteopathic or allopathic medical schools. 11 |
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101 | 101 | | Æ |
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102 | 102 | | VerDate Sep 11 2014 20:02 Mar 31, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H2314.IH H2314 |
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103 | 103 | | ssavage on LAPJG3WLY3PROD with BILLS |
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