S1302-118

Introduced

To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes.

118th Congress Introduced Apr 26, 2023

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:
This bill addresses the physician shortage in America by authorizing the creation of 14,000 new Medicare-funded medical residency positions over seven years (2,000 per year from 2025-2031). It amends the Social Security Act to increase the number of slots hospitals can have for training resident physicians, and requires a study on how to increase diversity in the healthcare workforce.

Who Benefits and How:
- Teaching hospitals gain the ability to train more resident physicians, receiving Medicare payments for additional residency slots
- Rural and underserved hospitals receive priority in the distribution of new positions, with specific minimum allocations set aside
- Patients in underserved areas may benefit long-term from more physicians entering the workforce
- Medical school graduates benefit from more opportunities to complete required residency training

Who Bears the Burden and How:
- Medicare (federal government) bears the cost of funding additional graduate medical education payments to hospitals
- Taxpayers ultimately fund the expanded residency positions through Medicare spending
- The Comptroller General must conduct and report on a diversity study within 2 years

Key Provisions:
- Creates 14,000 new Medicare-funded residency positions distributed over fiscal years 2025-2031 (2,000 per year)
- Establishes 7 rounds of applications for hospitals to receive additional positions
- Sets minimum distributions for certain categories of hospitals (including rural and underserved)
- Amends indirect teaching adjustment factors for hospitals receiving new positions starting July 1, 2025
- Requires the Comptroller General to study strategies for increasing diversity in the health professional workforce, focusing on rural, lower-income, and underrepresented minority communities

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for primary purpose and policy domains.

At a Glance

Primary Purpose

Legislative Progress

Introduced
Introduced Committee Passed
Apr 26, 2023

Mr. Menendez (for himself, Mr. Boozman, Mr. Schumer, and Ms. …

Stakeholder Effects

cui bono?

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

Healthcare
1 mention across 1 clause
+1 positive

Qualifying hospitals (rural, high resident level, in states with new medical schools, or serving HPSAs)

2/3
sections analyzed
Full impact breakdown

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