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Congress·In Committee·H.R. 4731

Resident Physician Shortage Reduction Act of 2025

Rep. Sewell and Rep. Fitzpatrick Introduce Bill to Add 14,000 New Doctor Residency Slots

This bill is currently in the early stages of the legislative process and is being reviewed by two House committees. It is actively moving forward as it waits for these committees to finish their work. There are no upcoming votes scheduled at this time.

Passage Likelihood

55%Possible

This bill has support from both parties and addresses a problem everyone agrees on. However, it involves new government spending, which can make it harder to pass during budget debates.

  • ·Bipartisan cosponsors
  • ·Addresses national doctor shortage
  • ·Requires new federal spending
  • ·Referred to Ways and Means Committee

Legislative Progress

House
Senate
President
Law

Key Points

  • The bill adds 14,000 new Medicare-funded residency positions over seven years, distributing 2,000 slots per year from fiscal years 2026 through 2032. If all positions are not filled by 2032, the program continues until the full 14,000 are distributed.

    From policy text

    the aggregate number of increases in the otherwise applicable resident limit under this subparagraph shall be equal to 2,000 in each such year.
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  • One-third of the new positions each year are reserved for hospitals already training more residents than their current Medicare cap allows, helping cover costs they are absorbing on their own.

    From policy text

    One-third of such number shall be available for distribution only to hospitals described in subparagraph (B).
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  • At least 10 percent of positions must go to rural hospitals and another 10 percent to hospitals serving health professional shortage areas. Priority within shortage areas goes to hospitals affiliated with Historically Black Medical Schools.

    From policy text

    the Secretary shall distribute not less than 10 percent of such aggregate number to each of the following categories of hospitals
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  • Hospitals receiving new slots must agree to actually increase their total number of residency positions. Each hospital is generally capped at 75 new slots across this program and recent prior expansions to spread positions across many institutions.

    From policy text

    a hospital may not receive more than 75 full-time equivalent additional residency positions in the aggregate under this paragraph, paragraph (9), and paragraph (10) over the period of fiscal years 2026 through 2032.
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  • The bill requires the Government Accountability Office to study and report on strategies for increasing the diversity of the health workforce, including approaches to recruit more professionals from rural, low-income, and underrepresented minority communities.
HealthcareEducation

Impact Analysis

Personal Impact

Scores: 1 = low, 5 = highSentiment: -5 to +5 (net benefit)

Milestones

2 milestones2 actions
Jul 23, 2025House

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.

Jul 23, 2025

Introduced in House

The bill was officially filed and given a number. It now enters the legislative queue.

Source Information

Document Type

Congressional Bill

Official Title

Resident Physician Shortage Reduction Act of 2025

Bill NumberHR 4731
Congress119th Congress
ChamberHouse of Representatives
Latest ActionReferred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsor

Cosponsors

(112)
D: 100R: 12

Analysis generated by AI. Always verify with official sources.