Summary of Active Federal GME Funding Bills

There are currently seven active federal bills that are related to Graduate Medical Education. If enacted, these bills would bring significant changes to the world of GME. You may review the full bills or read Germane's summary of them in this article. 


Senate Bill 647 – ‘Palliative Care and Hospice Education and Training Act’

  • The bill dives into numerous requirements a Palliative Care and Hospice Education center must meet

  • Reveals a number of training programs for Palliative Care and Hospice that can be reimbursed by the government

  • 42% chance of being enacted (very high)

Senate Bill 192 – ‘Community and Public Health Programs Extension Act’

  • To provide extensions for community health centers, the National Health Service Corps, teaching health centers that operate GME programs, and the special diabetes programs (Reauthorize funding)



Senate Bill 289 – ‘Rural Physician Workforce Production Act of 2019’

  • Establishing a national per resident payment (NPRP) amount for time spent by residents training in rural training locations.

  • An applicable rural hospital will be eligible for payment of per resident payment if two requirements are met: 1. The resident spends equivalent of 8 weeks at the rural training location, 2. The hospital pays the salary and benefits of the resident for the time spent in the rural training location

Senate Bill 304 – ‘Training the Next Generation of Primary Care Doctors Act of 2019’

  • Reauthorization of a section of an act to provide payments to address the crisis-level shortage of primary care physicians, especially in rural and medically underserved communities

  • Approved graduate medical residency programs will be appropriated $126,500,000 in FY2020, $128,000,000 for FY2021, $129,500,000 for FY2022, $131,000,000 for FY2023, and $132,500,000 for FY2024.

Senate Bill 348 – ‘Resident Physician Shortage Reduction Act of 2019’

  • Increasing the number of resident positions with special priority for programs meeting certain requirements

  1. Hospitals in states with new medical schools that received ‘candidate school’ status or ‘pre-accreditation’ status and that continue to work towards full accreditation status

  2. Hospitals in which the resident level of the hospital is greater than the otherwise applicable resident limit during the most recent cost reporting period

  3. Hospitals that emphasize training in community-based settings or in hospital out-patient departments

  4. Hospitals that are not located in a rural area and operate an approved medical residency training program in a rural area or an approved medical residency training program with an integrated rural track

Senate Bill 884 – ‘Medicare Mental Health Access Act’

  • The intention of this bill is to treat clinical psychologists as physicians for purposes of furnishing clinical psychologist services.

Senate Bill 1358 – ‘Advancing Medical Resident Training in Community Hospitals Act of 2019’

  • The purpose of this bill is to amend an already existing portion of the Social Security Act to establish rules for payment for graduate medical education (GME) costs for hospitals that establish a new medical residency training program after hosting resident rotators for short durations.

H.R. 1656 - 'Strengthening our Pediatric Workforce Act of 2019'

  • To amend the Public Health Service Act to provide grants to support initiatives focused on addressing pediatric health disparities in children's hospitals' GME programs.

  • If enacted, could introduce up to $10M per year 2020-2027 available for children's hospitals nationwide. 

H.R. 3414 - 'The Opioid Workforce Act of 2019'

  • Would add 1000 Medicare-supported FTE resident slots to be distributed to hospitals with addiction medicine, addiction psychiatry, or pain medicine programs.

    • 500 distributed in FY 2022 and the remainder in FY 2023-2026

Senate Bill 1191 - Recently introduced bill to reauthorize section 340H of The Public Health Service Act to continue to encourage the expansion, maintenance, and establishment of approved GME programs at qualified teaching health centers. 



Senate Bill 1240 - Recently introduced bill to amend title XVIII of the Social Security Act to count resident time spent in a critical access hospital as resident time spent in a non-provider setting for purposes of making Medicare direct and indirect graduate medical education payments.





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