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119th Congress
Independent · Nonpartisan · Reader-supported
SENATES. 2715· 119th Congress

Hospitals must report residency program diversity or face Medicare payment cuts

FAIR Act of 2025

Sponsor
Steve Daines (R-MT)
Introduced
Sep 4, 2025
Last Action
Sep 4, 2025

Recorded legislative actions. Future votes are not implied.

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Introduced
Sep 4, 2025
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In Committee
Sep 4, 2025

AI-assisted analysis based on the official CRS summary. Source version: Jul 24, 2026. Analysis updated: Sep 15, 2026.

01 — The Text

What.

  • Hospitals receiving Medicare graduate medical education (GME) payments must report to CMS the number of applicants from osteopathic and allopathic medical schools
  • Hospitals must report how many applicants from each school type were accepted into residency programs
  • Hospitals must affirm they consider applicants from both osteopathic and allopathic schools and accept relevant examination results
  • CMS must publish this reported information on a public website
  • Hospitals failing to provide required information face a 2% reduction in GME payments
02 — The Stakes

So what?

  • The bill establishes reporting requirements but does not mandate specific acceptance ratios or outcomes
  • Financial penalties apply only to non-compliance with reporting, not to hiring decisions
  • Effects on residency program composition or hospital admissions practices are not established by the bill's text
  • Public transparency of reported data is mandated, but how hospitals or applicants will use this information is uncertain
03 — The Path

Now what?

  • Bill introduced in Senate on September 4, 2025
  • Referred to Committee on Finance on September 4, 2025
  • No further recorded action as of the provided information
Legislative History

Actions.

  • Sep 4, 2025 — Read twice and referred to the Committee on Finance.
  • Sep 4, 2025 — Introduced in Senate