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Amends paragraph (4) (subparagraphs (F) and (H)) and paragraph (5) of 1886(h) to replace occurrences of the text "130 percent" with the phrase "Rural Physician Workforce Production Act of 2025", to add that same phrase at the end of certain subparagraphs, and to add a new subparagraph (L) to paragraph (5) providing a special rules cross-reference regarding the elective rural sustainability per resident payment amount under subsection (u).
Revises the text of clause (v) of 1886(d)(5)(B) by replacing the phrase "130 percent" with the phrase "Rural Physician Workforce Production Act of 2025" and appending the phrase "Rural Physician Workforce Production Act of 2025" at the end of the clause.
Amends section 1886 by adding a new subsection (u) establishing an elective rural sustainability per resident payment for residents training in rural training locations; also makes conforming edits within section 1886 to make certain provisions 'Subject to subsection (u)' and to reference subsection (u) in subsection (h). Additionally, adds a new clause to 1886(d)(5)(D) regarding sole community hospitals (clause (vi)).
Amends section 1814(l) by adding a new paragraph (6) that addresses treatment of critical access hospitals for purposes of counting resident time and reasonable cost treatment when another hospital receives payment for resident time under specified GME payment provisions.
Creates a new Medicare payment — the elective rural sustainability per resident payment — to boost support for hospitals that train medical residents in rural locations. It defines which hospitals and rural training sites qualify, sets how the payment is calculated and updated, and lets eligible hospitals elect to receive the payment while keeping total Medicare graduate medical education outlays budget‑neutral.
Also revises existing Medicare graduate medical education payment rules (direct and indirect GME) to integrate the new elective payment and adjusts related rules for critical access and sole community hospitals. The changes take effect for cost reporting periods beginning one year after enactment.
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.
Introduced February 10, 2025 by Diana Harshbarger · Last progress February 10, 2025