HR10271-118

Introduced

To amend the Public Health Service Act to authorize grants for graduate medical education partnerships in States with a low ratio of medical residents relative to the general population.

118th Congress Introduced Dec 3, 2024

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The Creating Access to Residency Education Act of 2024 directs the Centers for Medicare & Medicaid Services to award grants and contracts to public or nonprofit teaching hospitals and accredited training programs in states that have a shortage of medical residents (fewer than 40 per 100,000 people). The grants support creating new residency programs or adding slots to existing ones.

Who Benefits and How

Residents of underserved states with doctor shortages benefit from increased access to trained physicians. Medical students and residents gain more training opportunities in areas that currently lack residency programs. Primary care programs receive favorable matching terms, with the federal government covering two-thirds of costs compared to one-half for other specialties.

Who Bears the Burden and How

Federal taxpayers fund the grant program through appropriations. Participating hospitals and training programs must provide matching funds: one-third of costs for primary care programs or one-half for other specialties. The CMS Administrator takes on new administrative responsibilities for establishing application processes and managing multiyear funding commitments.

Key Provisions

  • Grants available only to entities in states with fewer than 40 medical residents per 100,000 population
  • More favorable federal cost-sharing for primary care programs (2/3 federal) versus other specialties (1/2 federal)
  • Eligible entities may partner with state and local governments, community health centers, and hospitals
  • Requires multiyear funding commitments to ensure residents in training can complete their programs

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Authorizes federal grants to create new medical residency training programs or expand existing ones in states with fewer than 40 medical residents per 100,000 people.

Key Policy Areas

Healthcare, Medical Education, Workforce Development

Primary Purpose

Authorizes federal grants to create new medical residency training programs or expand existing ones in states with fewer than 40 medical residents per 100,000 people.

Policy Domains

Healthcare Medical Education Workforce Development

Whole Bill

Identified Gains
  • Underserved States with Doctor Shortages
  • Medical Students and Residents
  • Primary Care Training Programs
Model: N/A | Version: bill_summary_v2 | Source: ih
Medical Students and Residents:
Primary Care Training Programs:
Underserved States with Doctor Shortages:
Identified Costs
  • Federal Taxpayers
  • Participating Hospitals and Training Programs
Model: N/A | Version: bill_summary_v2 | Source: ih
Federal Taxpayers:
Participating Hospitals and Training Programs:

Legislative Progress

Introduced
Introduced Committee Passed
Dec 3, 2024

Ms. Castor of Florida introduced the following bill; which was …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
2 mentions across 2 clauses
+2 positive

Public and nonprofit teaching hospitals in states with low resident ratios, Teaching hospitals in underserved states

Education
2 mentions across 2 clauses
+2 positive

Medical residency programs in underserved areas, Primary care residency programs

Community Health Centers
1 mention across 1 clause
+1 positive

Community health centers in health professional shortage areas

General Public
1 mention across 1 clause
+1 positive

Rural and underserved communities needing physicians

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Medical Education Workforce Development

Key Definitions

Terms defined in this bill

1 term
"" §primary care

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology