Rebuild America’s Health Care Schools Act of 2025

This bill lets hospitals count more of the real costs of training nurses and allied health workers when they report to Medicare. It says hospitals can include both direct and indirect costs for approved training programs, even if part of the training happens at another site in the same health system or the costs are handled by a related school or clinic under common ownership or control . The goal is to make sure Medicare recognizes these training expenses across the whole system, not just inside the hospital walls.

The bill also tells the Department of Health and Human Services to update the rules within 120 days. It stops Medicare from taking back (or reducing) payments to hospitals for these kinds of training costs once the bill takes effect, and it requires refunds for any such take-backs made in the six years before the bill becomes law .

• Who is affected: Hospitals and health systems with nursing and allied health training programs; students in state-licensed or accredited programs.
• What changes: Medicare will count all allowed training costs, including those from related sites in the same health system; no more payment clawbacks for these costs, plus refunds for the past six years .
• When: Applies to new cost-reporting periods after the bill becomes law; rule updates are due within 120 days; clawback ban starts on the date of enactment, with refunds reaching back six years.