United States 119th Congress Status: In Committee Bipartisan · 4 D · 2 R cosponsors

HR 4681 — SPARC Act

Last action — Referred to the House Committee on Energy and Commerce.

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  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.

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.

  • 6 sponsors

    1 primary, 5 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (4 D · 2 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.

In plain language

The SPARC Act creates a loan repayment program for specialty physicians in rural areas.

The SPARC Act amends the Public Health Service Act to establish a loan repayment program aimed at attracting specialty medicine physicians to rural communities with shortages. It allows repayment of qualifying loans up to $250,000 in exchange for a six-year commitment to practice in those areas.

What this means for you
  • Workers: If you are a specialty physician, this program offers financial incentives to work in rural communities.

Bill Text

Sections of law this bill changes

1 section in 1 law

From the bill's own amending language, matched to the official United States Code (current through Public Law 119-124).

Public health service · 42 U.S.C. ch. 6A Amends the act as a whole

Also cites: 42 U.S.C. § 295h

How this bill changes current law

2 changes Share ↗

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

The bill establishes a new loan repayment program specifically for specialty medicine physicians and non-physician specialty health care providers serving in rural communities, adding to existing programs for health workforce shortages.

  • Title VII of the Public Health Service Act

    PART G--SPECIALTY MEDICINE WORKFORCE IN RURAL COMMUNITIES SEC. 782. LOAN REPAYMENT PROGRAM. (a) In General.-- (1) Program for specialty medicine physicians.--The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall carry out a program under which-- (A) the Secretary enters into agreements with specialty medicine physicians to make payments in accordance with subsection (b) on the principal of and interest on any eligible loans described in subsection (c); and (B) the specialty medicine physicians each agree to complete a period of obligated service described in subsection (d) as a specialty medicine physician in the United States in a rural community experiencing a shortage of specialty medicine physicians. (2) Program for non-physician specialty health care providers.--The Secretary, acting through the Administrator of the Health Resources and Services Administration, may carry out a program under which-- (A) the Secretary enters into agreements with non-physician specialty health care providers to make payments in accordance with subsection (b) on the principal of and interest on any eligible loans described in subsection (c); and (B) the non-physician specialty health care providers each agree to complete a period of obligated service described in subsection (d) as a non-physician specialty health care provider in the United States in a rural community experiencing a shortage of such providers.

    This change introduces a new program aimed at assisting specialty medicine physicians and non-physician specialty health care providers with their loan repayments in rural areas.

  • Title VII of the Public Health Service Act

    Authorized to be appropriated such sums as may be necessary for fiscal years 2025 through 2034.

    This provision allows for funding to support the new loan repayment program for specialty medicine and health care providers.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Energy and Commerce.

Sponsors

Sponsorship breakdown

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1 sponsors · 5 co-sponsors · 541 not signed on

Sponsors (1)

Co-sponsors (5)

Not signed on (541)

541 members have not signed on to this bill.

Show all 541 →

"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

public-safety healthcare 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

Who sponsors HR 4681?
HR 4681 is sponsored by Joyce, John (Republican), Ross, Deborah K. (Democratic), Vindman, Eugene Simon (Democratic), Pettersen, Brittany (Democratic), Vasquez, Gabe (Democratic), and Bacon, Don (Republican).
What is the current status of HR 4681?
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 4681?
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