United States 119th Congress Status: In Committee Bipartisan · 15 R · 4 D cosponsors

HR 2314 — FAIR Act

Last action — Referred to the House Committee on Ways and Means.

  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 March 25, 2025. It must pass committee before a floor vote.

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

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 19 sponsors

    1 primary, 18 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (15 R · 4 D) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Fair Access In Residency Act of 2025 or the FAIR Act of 2025This bill requires hospitals that receive graduate medical education (GME) payments under Medicare to report certain information about the composition of their medical residency training programs.Specifically, hospitals must provide to the Centers for Medicare & Medicaid Services (CMS) (1) the number of applicants for residencies who are from osteopathic medical schools and from allopathic medical schools, (2) the number of applicants who are accepted from each of these types of medical schools, and (3) an affirmation that the hospital considers applicants from each of these types of medical schools and accepts specified related examination results, as appropriate. Hospitals that do not provide this information are subject to a 2% reduction in their GME payments.The CMS must post the information it receives on a public website.

Bill Text

How this bill changes current law

3 changes Share ↗

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

  • 42 U.S.C. 1395ww(d)(5)(B)

    For discharges occurring on or after October 1, 2026, 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 2025) for which the hospital has not submitted to the Secretary the information described in subclause (xiv).

    This change introduces a penalty for hospitals that do not submit required information regarding residency candidates.

  • 42 U.S.C. 1395ww(d)(5)(B)

    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.

    This change adds new requirements for hospitals to report specific information about residency candidates.

  • 42 U.S.C. 1395ww(d)(5)(B)

    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 (a), 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(d)(h)(A) of the Social Security Act (42 U.S.C. 1395ww(d)(h)(A)) for each fiscal year (beginning with fiscal year 2025).

    This change requires publication of residency application data, enhancing transparency.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Ways and Means.

Sponsors

Sponsorship breakdown

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1 sponsors · 18 co-sponsors · 528 not signed on

Sponsors (1)

Co-sponsors (18)

Not signed on (528)

528 members have not signed on to this bill.

Show all 528 →

"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

finance healthcare health-insurance
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Frequently asked questions

What does HR 2314 do?
Fair Access In Residency Act of 2025 or the FAIR Act of 2025This bill requires hospitals that receive graduate medical education (GME) payments under Medicare to report certain information about the composition of their medical residency training programs.Specifically, hospitals must provide to the Centers for Medicare & Medicaid Services (CMS) (1) the number of applicants for residencies who are from osteopathic medical schools and from allopathic medical schools, (2) the number of applicants who are accepted from each of these types of medical schools, and (3) an affirmation that the hospital considers applicants from each of these types of medical schools and accepts specified related examination results, as appropriate. Hospitals that do not provide this information are subject to a 2% reduction in their GME payments.The CMS must post the information it receives on a public website.
Who sponsors HR 2314?
HR 2314 is sponsored by Harshbarger, Diana (Republican), Pingree, Chellie (Democratic), Graves, Sam (Republican), Miller, Carol D. (Republican), Davis, Donald G. (Democratic), Kelly, Mike (Republican), Thompson, Glenn (Republican), Rogers, Mike D. (Republican), Cohen, Steve (Democratic), Bacon, Don (Republican), Burchett, Tim (Republican), Cline, Ben (Republican), Vasquez, Gabe (Democratic), McGuire, John J. (Republican), Owens, Burgess (Republican), Crawford, Eric A. "Rick" (Republican), Goldman, Craig A. (Republican), Bean, Aaron (Republican), and Kiggans, Jennifer A. (Republican).
What is the current status of HR 2314?
This bill is in committee in the House. Introduced March 25, 2025. It must pass committee before a floor vote.
Where can I track HR 2314?
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