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Text Versions

Text as it was Introduced in House
June 2, 2025
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House Votes

Pending Committee
June 2, 2025 (8 months ago)

Referred to the Committee on Natural Resources, 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.

Senate Votes

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Presidential Signature

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United StatesHouse Bill 3670HR 3670

IHS Provider Expansion Act

Native Americans
  1. house
  2. senate
  3. president

Last progress June 2, 2025 (8 months ago)

Introduced on June 2, 2025 by Melanie Ann Stansbury

Sponsors (2)

Committee Meetings

1 meeting related to this legislation

House
Hearing
Scheduled

Legislative Hearing on: H.R. 411 (Rep. Bergman), “Keweenaw Bay Indian Community Land Claim Settlement Act of 2025” H.R. 2916 (Rep. Stefanik), To authorize, ratify, and confirm the Agreement of Settlement and Compromise to Resolve the Akwesasne Mohawk Land Claim in the State of New York, and for other purposes H.R. 3620 (Rep. Begich), “Southcentral Foundation Land Transfer Act” H.R. 3670 (Rep. Stansbury), “IHS Provider Expansion Act”

Committee on Natural ResourcesLongworth House Office Building, 1324Jun 11, 2025 at 2:00 PM
View Committee

Laws This Bill Would Affect

1 amendment
Amends25 U.S.C. 1611 et seq.

Adds a new section (125) to Title I of the Indian Health Care Improvement Act to create an IHS Office of Graduate Medical Education Programs, set its duties, create an interagency working group with reporting and a 10-year termination, and authorize appropriations.

Amendments

No Amendments

Related Legislation

No Related Legislation

AI Insights

Analyzed 1 of 1 sections

Summary

Creates an Office of Graduate Medical Education Programs inside the Indian Health Service (IHS) to plan, build, and oversee residency, fellowship, and student training programs and to support recruitment and retention of health workers serving American Indian and Alaska Native communities. It requires an interagency working group to help establish the Office, mandates periodic reports to Congress, sunsets the working group after 10 years, and authorizes at least $4,000,000 for fiscal year 2027 and $4,000,000 each subsequent year to carry out the work.

Key Points

  • Establishes an Office of Graduate Medical Education Programs inside the Indian Health Service to build and oversee residency, fellowship, and student training.
  • The Office's mission includes improving recruitment and retention of health workers who serve American Indian and Alaska Native communities.
  • Creates an interagency working group to help set up the Office and coordinate across federal partners; the group must report to Congress and ends after 10 years.
Authorizes at least $4,000,000 for FY2027 and $4,000,000 for each later year to carry out the Office's activities (appropriations required).
  • The Office provides program oversight, technical assistance, and coordination to expand clinical training capacity at IHS and affiliated sites.
  • The authorization establishes a recurring funding baseline beginning in FY2027 but does not itself appropriate money.
  • Reporting requirements to Congress are included to track establishment and progress.
  • The measure focuses narrowly on workforce development and graduate medical education tied to IHS; the working group is time-limited while the Office is ongoing.
  • Categories & Tags

    Funding
    $8M authorized
    Agencies
    Secretary (Department of Health and Human Services)
    Indian Health Service (the Service)
    Secretary of Veterans Affairs
    Secretary of Labor
    Administrator of the Health Resources and Services Administration (HRSA)
    +1 more
    Subjects
    graduate medical education
    residency and fellowship programs
    medical student and elective rotational and education track programs
    workforce recruitment and retention
    Affected Groups
    Indian Health Service-operated health facilities
    Health care workforce
    Tribal Communities
    Medical students
    +1 more

    Provisions

    10 items

    Establish within the Indian Health Service an Office of Graduate Medical Education Programs (referred to in the section as the Office).

    authorization
    Affects: Indian Health Service (the Service)

    Create a pipeline for future health care professionals, paraprofessionals, and other health-related professionals (as identified by the Secretary) to participate in residency and fellowship programs.

    requirement
    Affects: Future health care professionals, paraprofessionals, and other health-related professionals (as identified by the Secretary)

    Oversee current residency and fellowship programs at facilities of the Service and facilitate establishment of additional residency programs that support recruitment and retention of health care professionals, paraprofessionals, and other health-related professionals working at such facilities.

    requirement
    Affects: Residency and fellowship programs at facilities of the Service; health care professionals and paraprofessionals working at such facilities

    Serve as the central hub for residency programs at facilities of the Service.

    requirement
    Affects: Residency programs at facilities of the Service

    Work in consultation or coordination with academic institutions.

    requirement
    Affects: Academic institutions and the Office

    Section Details

    Expand sections to see detailed analysis

    Impact Analysis

    Primary effects: IHS-operated health facilities and their clinical training programs will gain a dedicated federal office to plan and expand residency, fellowship, and student training, which should strengthen the pipeline of clinicians for American Indian and Alaska Native communities. Health care workers (including residents, fellows, and clinicians) and medical students who train in or for IHS settings stand to benefit from more structured training opportunities, support for recruitment/retention, and potentially improved career pathways. Tribal communities and patients served by IHS may see longer-term increases in local clinical capacity and staffing stability. Federal agencies that participate in the interagency working group will engage in coordination and reporting duties. Budgetary impact: the bill authorizes $4 million per year starting in FY2027 for implementation, creating a planned funding need that Congress must appropriate; the authorization is modest relative to overall federal health spending but provides a stable baseline for program startup and operations. Operational impacts: IHS will need to allocate administrative resources to host and run the Office; partner sites and training institutions may be asked to align programs or report on progress as part of implementation.