GME Transparency Act of 2026

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8942 Introduced in House (IH)]

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119th CONGRESS
  2d Session
                                H. R. 8942

 To amend title XVIII of the Social Security Act to require hospitals 
receiving payment for direct graduate medical education costs under the 
Medicare program to report information with respect to the citizenship 
 status of residents in an approved medical residency training program.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                              May 20, 2026

  Mr. Steube introduced the following bill; which was 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

_______________________________________________________________________

                                 A BILL

 
 To amend title XVIII of the Social Security Act to require hospitals 
receiving payment for direct graduate medical education costs under the 
Medicare program to report information with respect to the citizenship 
 status of residents in an approved medical residency training program.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``GME Transparency Act of 2026''.

SEC. 2. REQUIRING HOSPITALS RECEIVING PAYMENT FOR DIRECT GRADUATE 
              MEDICAL EDUCATION COSTS UNDER MEDICARE TO REPORT ON 
              CITIZENSHIP STATUS OF RESIDENTS.

    (a) In General.--Section 1886(h) of the Social Security Act (42 
U.S.C. 1395ww(h)) is amended--
            (1) in paragraph (5)(A), by adding at the end the following 
        new sentence: ``Such term does not include any residency or 
        other postgraduate medical training program of a hospital that 
        does not submit to the Secretary the information required under 
        paragraph (11)(A) in accordance with such paragraph.''; and
            (2) by adding at the end the following new paragraph:
            ``(11) Requirement to submit certain citizenship 
        information with respect to residents; cms report.--
                    ``(A) In general.--Not later than 180 days after 
                the end of each fiscal year (beginning with the first 
                fiscal year that begins after the date of the enactment 
                of this paragraph), a hospital receiving payment under 
                this subsection for direct graduate medical education 
                costs shall submit to the Secretary such deidentified 
                information with respect to residents enrolled in an 
                approved medical residency training program of the 
                hospital as the Secretary determines necessary for 
                purposes of the report required under subparagraph (B).
                    ``(B) Report to congress.--Not later than 270 days 
                after the end of each fiscal year (beginning with the 
                first fiscal year that begins after the date of the 
                enactment of this paragraph), the Secretary shall 
                submit to Congress a report that includes, with respect 
                to all approved medical residency training programs for 
                which information was received pursuant to subparagraph 
                (A) for such fiscal year, information regarding the 
                number (and percentage) of residents enrolled in all 
                such programs (disaggregated by State) who are--
                            ``(i) citizens of the United States;
                            ``(ii) lawfully admitted for permanent 
                        residence in the United States;
                            ``(iii) aliens with status under section 
                        101(a)(15)(J)(i) of the Immigration and 
                        Nationality Act;
                            ``(iv) aliens with nonimmigrant status 
                        under section 101(a)(15)(H)(i)(b) of the 
                        Immigration and Nationality Act; or
                            ``(v) otherwise lawfully present in the 
                        United States.
                    ``(C) Standardized reporting form.--The Secretary 
                shall make available to each subsection (d) hospital 
                with a residency or other postgraduate medical training 
                program described in the first sentence of paragraph 
                (5)(A) a standardized form for purposes of reporting 
                the information required under subparagraph (A).''.
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