Floor SpeechNeutral2026-06-24

Text of Senate Amendment 6412

HealthcareEnvironmentDefenseSocial Security

Context

On 2026-06-24, Senator Martin Heinrich (D-NM) delivered a floor speech titled "Text Of Senate Amendment 6412" in the Senate.

Full Text

Text of Senate Amendment 6412

Congressional Record, Volume 172 Issue 106 (Wednesday, June 24, 2026) [Congressional Record Volume 172, Number 106 (Wednesday, June 24, 2026)] [Senate] [Page S3538] From the Congressional Record Online through the Government Publishing Office [ www.gpo.gov ] SA 6412. Mr. HEINRICH submitted an amendment intended to be proposed by him to the bill S. 4784, to authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; which was ordered to lie on the table; as follows: At the end of subtitle G of title X, add the following: SEC. __. ENCOURAGING MORE EQUITABLE TREATMENT OF OSTEOPATHIC AND ALLOPATHIC CANDIDATES IN RESIDENCY APPLICATION AND REVIEW PROCESS. (a) Short Title.--This section may be cited as ``Fair Access In Residency Act of 2026'' or the ``FAIR Act of 2026''. (b) In General.--Section 1886(d)(5)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)) is amended-- (1) in clause (i), by inserting at the end the following new sentence: ``For discharges occurring on or after October 1, 2027, the amount determined under the previous sentence for a hospital shall be reduced by 2 percent for each prior fiscal year (beginning with fiscal year 2026) for which the hospital has not submitted to the Secretary the information described in subclause (xiv).''; and (2) by adding at the end the following new clause: ``(xiv) For purposes of clause (i), the information described in this clause is, with respect to a hospital and a fiscal year, the following: ``(I) The number of applicants for residency in each of the hospital's approved medical residency training programs beginning in such fiscal year-- ``(aa) from osteopathic medical schools; and ``(bb) from allopathic medical schools. ``(II) The number of such applicants accepted into each such program beginning in such fiscal year from each such type of medical school. ``(III) An affirmation that-- ``(aa) the policy of the hospital is to consider for acceptance to each such program applicants from both osteopathic and allopathic medical schools; and ``(bb) in the case that the hospital requires applicants to submit an examination score as a prerequisite for acceptance in such a program, the hospital accepts scores from, at the election of the applicant, either the Comprehensive Osteopathic Medical Licensing Examination of the United States or the United States Medical Licensing Examination.''. (c) Publication.--The Secretary of Health and Human Services shall publish on a public website the information described in subclauses (I) and (II) of section 1886(d)(5)(B)(xiv) of the Social Security Act, as added by subsection (b), and the affirmation described in subclause (III) of such section, that is submitted by a hospital with respect to an approved medical residency training program (as defined in section 1886(h)(5)(A) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(A))) for each fiscal year (beginning with fiscal year 2026). (d) Rule of Construction.--Nothing in this Act shall be construed as federalizing medical education, or as establishing a mandate for an approved medical residency training program (as defined in section 1886(h)(5)(A) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(A))) to accept students (or to accept a certain number of students) from osteopathic or allopathic medical schools. ______

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Text of Senate Amendment 6412 Congressional Record, Volume 172 Issue 106 (Wednesday, June 24, 2026) [Congressional Record Volume 172, Number 106 (Wednesday, June 24, 2026)] [Senate] [Page S3538] From the Congressional Record Online through the Government Publishing Office [ www.gpo.gov ] SA 6412. Mr. HEINRICH submitted an amendment intended to be proposed by him to the bill S. 4784, to authorize appropriations for fiscal year 2027 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; which was ordered to lie on the table; as follows: At the end of subtitle G of title X, add the following: SEC. __. ENCOURAGING MORE EQUITABLE TREATMENT OF OSTEOPATHIC AND ALLOPATHIC CANDIDATES IN RESIDENCY APPLICATION AND REVIEW PROCESS. (a) Short Title.--This section may be cited as ``Fair Access In Residency Act of 2026'' or the ``FAIR Act of 2026''. (b) In General.--Section 1886(d)(5)(B) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(B)) is amended-- (1) in clause (i), by inserting at the end the following new sentence: ``For discharges occurring on or after October 1, 2027, the amount determined under the previous sentence for a hospital shall be reduced by 2 percent for each prior fiscal year (beginning with fiscal year 2026) for which the hospital has not submitted to the Secretary the information described in subclause (xiv).''; and (2) by adding at the end the following new clause: ``(xiv) For purposes of clause (i), the information described in this clause is, with respect to a hospital and a fiscal year, the following: ``(I) The number of applicants for residency in each of the hospital's approved medical residency training programs beginning in such fiscal year-- ``(aa) from osteopathic medical schools; and ``(bb) from allopathic medical schools. ``(II) The number of such applicants accepted into each such program beginning in such fiscal year from each such type of medical school. ``(III) An affirmation that-- ``(aa) the policy of the hospital is to consider for acceptance to each such program applicants from both osteopathic and allopathic medical schools; and ``(bb) in the case that the hospital requires applicants to submit an examination score as a prerequisite for acceptance in such a program, the hospital accepts scores from, at the election of the applicant, either the Comprehensive Osteopathic Medical Licensing Examination of the United States or the United States Medical Licensing Examination.''. (c) Publication.--The Secretary of Health and Human Services shall publish on a public website the information described in subclauses (I) and (II) of section 1886(d)(5)(B)(xiv) of the Social Security Act, as added by subsection (b), and the affirmation described in subclause (III) of such section, that is submitted by a hospital with respect to an approved medical residency training program (as defined in section 1886(h)(5)(A) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(A))) for each fiscal year (beginning with fiscal year 2026). (d) Rule of Construction.--Nothing in this Act shall be construed as federalizing medical education, or as establishing a mandate for an approved medical residency training program (as defined in section 1886(h)(5)(A) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(A))) to accept students (or to accept a certain number of students) from osteopathic or allopathic medical schools. ______