United States 119th Congress Status: In Committee Bipartisan · 6 D · 5 R cosponsors

HR 1153 — Rural Physician Workforce Production Act of 2025

Last action — 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.

Track this bill free

No card. One bill, free forever — alerts when it moves.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced February 10, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Prognosis

Advancing 42% · moderate confidence

Where this bill stands today.

Odds of enactment

Low

How often bills like it became law.

  • In Committee

    Current position in the legislative process.

  • 11 sponsors

    1 primary, 10 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (6 D · 5 R) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Rural Physician Workforce Production Act of 2025This bill allows certain hospitals to receive additional payment under Medicare for full-time equivalent residents who receive training in rural areas.Specifically, hospitals, critical access hospitals, sole community hospitals, and rural emergency hospitals may elect to receive payment for time spent by a resident in a rural training location if the resident trains for at least eight weeks in the location and the hospital pays the salary and benefits of the resident during this time. Additionally, hospitals may receive payment for all time spent by residents in a residency program in which 50% of all training is in rural locations, regardless of where the training occurs or specialty.Payments are based on the difference between the total amount of eligible payments (as determined by the Centers for Medicare & Medicaid Services) and the amount of graduate medical education payments received (if applicable).

Bill Text

How this bill changes current law

5 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill establishes a new payment structure for rural residency training programs to enhance funding equity across states.

  • 42 U.S.C. 1395ww

    (u) Elective Rural Sustainability Per Resident Payment for Residents Training in Rural Training Locations.--

    Introduces a new subsection for elective rural sustainability payments for residents in rural training locations.

  • 42 U.S.C. 1395ww

    The elective rural sustainability per resident payment amount determined under this subsection for an applicable hospital...

    Defines how the payment amount for rural residency training is calculated.

  • 42 U.S.C. 1395ww

    For cost reporting periods beginning on or after the date that is 1 year after the date of the enactment of this subsection...

    Sets the timeline for hospitals to elect the new payment structure.

  • 42 U.S.C. 1395ww

    The total elective rural sustainability amount shall not be discounted or otherwise adjusted based on the Medicare patient load...

    Clarifies that payment determinations will not be affected by patient load metrics.

  • 42 U.S.C. 1395f(l)

    The Secretary shall ensure that aggregate payments for direct medical education costs and indirect medical education costs under this title...

    Ensures that total payments do not exceed prior costs to maintain budget neutrality.

Action History

  1. Introduced in House

  2. Introduced in House

  3. 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.

  4. 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.

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 10 co-sponsors · 536 not signed on

Sponsors (1)

Co-sponsors (10)

Not signed on (536)

536 members have not signed on to this bill.

Show all 536 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor education health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HR 1153 do?
Rural Physician Workforce Production Act of 2025This bill allows certain hospitals to receive additional payment under Medicare for full-time equivalent residents who receive training in rural areas.Specifically, hospitals, critical access hospitals, sole community hospitals, and rural emergency hospitals may elect to receive payment for time spent by a resident in a rural training location if the resident trains for at least eight weeks in the location and the hospital pays the salary and benefits of the resident during this time. Additionally, hospitals may receive payment for all time spent by residents in a residency program in which 50% of all training is in rural locations, regardless of where the training occurs or specialty.Payments are based on the difference between the total amount of eligible payments (as determined by the Centers for Medicare & Medicaid Services) and the amount of graduate medical education payments received (if applicable).
Who sponsors HR 1153?
HR 1153 is sponsored by Harshbarger, Diana (Republican), Schrier, Kim (Democratic), Bacon, Don (Republican), Cuellar, Henry (Democratic), Tokuda, Jill N. (Democratic), Leger Fernandez, Teresa (Democratic), Kiggans, Jennifer A. (Republican), Vindman, Eugene Simon (Democratic), Vasquez, Gabe (Democratic), Bresnahan, Robert P. (Republican), and Moylan, James C. (Republican).
What is the current status of HR 1153?
This bill is in committee in the House. Introduced February 10, 2025. It must pass committee before a floor vote.
Where can I track HR 1153?
Track HR 1153 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HR 1153

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HR 1153

Last checked for changes 4 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →