United States 119th Congress Status: In Committee Bipartisan · 117 D · 12 R cosponsors

HR 4731 — Resident Physician Shortage Reduction 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.

  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 July 23, 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.

  • 129 sponsors

    1 primary, 128 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (117 D · 12 R) — 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.

In plain language

HR 4731 seeks to improve energy and healthcare regulations.

The bill has been introduced to Congress and is currently under committee review. It aims to address regulations related to energy and healthcare to potentially enhance services and sustainability.

What this means for you
  • Healthcare: This bill could lead to improved healthcare regulations, benefiting patients and providers alike.
  • Environment: Changes in energy regulations may promote more sustainable practices, positively impacting the environment.

Summary

Resident Physician Shortage Reduction Act of 2025This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas.The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits.The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

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.

The bill amends existing law to increase the distribution of additional residency positions in hospitals under the Social Security Act.

  • 42 U.S.C. 1395ww(h)(4)(F)(i)

    paragraphs (7), (8), (9), and (10) → paragraphs (7), (8), (9), (10), and (11)

    Adds a new residency position distribution category to existing paragraphs.

  • 42 U.S.C. 1395ww(h)(4)(H)(i)

    paragraphs (7), (8), (9), and (10) → paragraphs (7), (8), (9), (10), and (11)

    Updates a reference to include new paragraph for residency positions.

  • 42 U.S.C. 1395ww(h)

    (11) Distribution of additional residency positions.--(A) Additional residency positions.--(i) In general.--For each of fiscal years 2026 through 2032 (and succeeding fiscal years if the Secretary determines that there are additional residency positions available to distribute under clause (iv)(II)), the Secretary shall, subject to clause (ii) and subparagraph (D), increase the otherwise applicable resident limit for each qualifying hospital (as defined in subparagraph (H)) that submits a timely application under this subparagraph by such number as the Secretary may approve for portions of cost reporting periods occurring on or after July 1 of the fiscal year of the increase.

    Establishes a new section for the distribution of additional residency positions.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 Energy and Commerce, and in addition to the Committee on Ways and Means, 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.

  5. 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

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1 sponsors · 128 co-sponsors · 418 not signed on

Sponsors (1)

Co-sponsors (128)

Not signed on (418)

418 members have not signed on to this bill.

Show all 418 →

"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
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 4731 do?
Resident Physician Shortage Reduction Act of 2025This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas.The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits.The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.
Who sponsors HR 4731?
HR 4731 is sponsored by Sewell, Terri A. (Democratic), Fitzpatrick, Brian K. (Republican), Lawler, Michael (Republican), Davis, Donald G. (Democratic), Ryan, Patrick (Democratic), Case, Ed (Democratic), Mrvan, Frank J. (Democratic), Kennedy, Timothy M. (Democratic), Carbajal, Salud O. (Democratic), Dexter, Maxine (Democratic), Malliotakis, Nicole (Republican), Thompson, Bennie G. (Democratic), Castor, Kathy (Democratic), Scholten, Hillary J. (Democratic), Velázquez, Nydia M. (Democratic), Nadler, Jerrold (Democratic), Bresnahan, Robert P. (Republican), Hernández, Pablo Jose (Democratic), Levin, Mike (Democratic), Riley, Josh (Democratic), Clarke, Yvette D. (Democratic), Garbarino, Andrew R. (Republican), Suozzi, Thomas R. (Democratic), Swalwell, Eric (Democratic), Mullin, Kevin (Democratic), Torres, Ritchie (Democratic), Quigley, Mike (Democratic), Zinke, Ryan K. (Republican), Hayes, Jahana (Democratic), Tlaib, Rashida (Democratic), DelBene, Suzan K. (Democratic), Goldman, Daniel S. (Democratic), Scanlon, Mary Gay (Democratic), Doggett, Lloyd (Democratic), Bacon, Don (Republican), Lieu, Ted (Democratic), Norton, Eleanor Holmes (Democratic), McCollum, Betty (Democratic), DeSaulnier, Mark (Democratic), Castro, Joaquin (Democratic), Dingell, Debbie (Democratic), Smith, Adam (Democratic), Bishop, Sanford D. (Democratic), Davids, Sharice (Democratic), McGarvey, Morgan (Democratic), Meuser, Daniel (Republican), Moulton, Seth (Democratic), Harder, Josh (Democratic), Trahan, Lori (Democratic), Lynch, Stephen F. (Democratic), Krishnamoorthi, Raja (Democratic), Horsford, Steven (Democratic), Panetta, Jimmy (Democratic), Schrier, Kim (Democratic), Brownley, Julia (Democratic), Jackson, Jonathan L. (Democratic), Ross, Deborah K. (Democratic), Stevens, Haley M. (Democratic), McBath, Lucy (Democratic), Budzinski, Nikki (Democratic), Norcross, Donald (Democratic), Tonko, Paul (Democratic), Schneider, Bradley Scott (Democratic), Himes, James A. (Democratic), Pingree, Chellie (Democratic), Garamendi, John (Democratic), Leger Fernandez, Teresa (Democratic), Magaziner, Seth (Democratic), Conaway, Herbert C. (Democratic), Houlahan, Chrissy (Democratic), McBride, Sarah (Democratic), Walkinshaw, James R. (Democratic), Johnson, Julie (Democratic), Simon, Lateefah (Democratic), Stanton, Greg (Democratic), Rogers, Mike D. (Republican), Foster, Bill (Democratic), Matsui, Doris O. (Democratic), Bera, Ami (Democratic), Chu, Judy (Democratic), Gottheimer, Josh (Democratic), Correa, J. Luis (Democratic), Peters, Scott H. (Democratic), Vargas, Juan (Democratic), Casten, Sean (Democratic), Adams, Alma S. (Democratic), Aguilar, Pete (Democratic), Cohen, Steve (Democratic), Morelle, Joseph D. (Democratic), Titus, Dina (Democratic), Stansbury, Melanie A. (Democratic), Sánchez, Linda T. (Democratic), Morrison, Kelly (Democratic), Pocan, Mark (Democratic), Bonamici, Suzanne (Democratic), Barragán, Nanette Diaz (Democratic), Vasquez, Gabe (Democratic), Jayapal, Pramila (Democratic), Tokuda, Jill N. (Democratic), Dean, Madeleine (Democratic), Pettersen, Brittany (Democratic), Frankel, Lois (Democratic), Kelly, Robin L. (Democratic), Fletcher, Lizzie (Democratic), Thompson, Mike (Democratic), Tenney, Claudia (Republican), Gonzalez, Vicente (Democratic), García, Jesús G. "Chuy" (Democratic), Wilson, Joe (Republican), Latimer, George (Democratic), LaLota, Nick (Republican), Meng, Grace (Democratic), Balint, Becca (Democratic), Bynum, Janelle S. (Democratic), Sykes, Emilia Strong (Democratic), Vindman, Eugene Simon (Democratic), Craig, Angie (Democratic), Omar, Ilhan (Democratic), Perez, Marie Gluesenkamp (Democratic), Beatty, Joyce (Democratic), Ocasio-Cortez, Alexandria (Democratic), Mannion, John W. (Democratic), Deluzio, Christopher R. (Democratic), Takano, Mark (Democratic), McGovern, James P. (Democratic), Randall, Emily (Democratic), Moskowitz, Jared (Democratic), Espaillat, Adriano (Democratic), and Sorensen, Eric (Democratic).
What is the current status of HR 4731?
This bill is in committee in the House. Introduced July 23, 2025. It must pass committee before a floor vote.
Where can I track HR 4731?
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