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Physicians for Underserved Areas Act

4/8/2025, 8:27 PM

Summary of Bill S 1044

Bill 119 s 1044, also known as the "Improving Residency Training in Hospitals Act of 2021," aims to amend title XVIII of the Social Security Act in order to enhance the redistribution of residency slots under the Medicare program following the closure of a hospital.

The bill addresses the issue of residency slots being lost when a hospital shuts down, which can have a significant impact on medical training programs and the availability of healthcare professionals. By making improvements to the redistribution process, this legislation seeks to ensure that these valuable training opportunities are not lost and that residents are able to continue their education in other healthcare facilities.

Specifically, the bill outlines a process for redistributing unused residency slots to other hospitals in the same geographic area or region. This will help to maintain the overall number of residency positions available and prevent disruptions to medical training programs. Overall, Bill 119 s 1044 aims to support the continued education and training of medical residents, ensuring that there is a sufficient supply of healthcare professionals to meet the needs of communities across the country.

Congressional Summary of S 1044

Physicians for Underserved Areas Act

This bill modifies how a hospital's residency positions are redistributed after it closes for purposes of graduate medical education payments under Medicare.

Under current law, if a hospital with an approved medical residency program closes, the Centers for Medicare & Medicaid Services (CMS) must redistribute the hospital's residency positions to other hospitals in the following order: (1) hospitals in the same core-based statistical area as the closed hospital, (2) hospitals in the same state as the closed hospital, (3) hospitals in the same region of the country as the closed hospital, and (4) other remaining hospitals. In order to receive the additional positions, hospitals must demonstrate a likelihood of filling the positions within three years.

The bill removes the requirement that the CMS prioritize hospitals in the same region of the country as the closed hospital. It also requires hospitals to demonstrate a likelihood of (1) starting to use the positions within two years, and (2) filling the positions within five years.

Current Status of Bill S 1044

Bill S 1044 is currently in the status of Bill Introduced since March 13, 2025. Bill S 1044 was introduced during Congress 119 and was introduced to the Senate on March 13, 2025.  Bill S 1044's most recent activity was Read twice and referred to the Committee on Finance. as of March 13, 2025

Bipartisan Support of Bill S 1044

Total Number of Sponsors
4
Democrat Sponsors
4
Republican Sponsors
0
Unaffiliated Sponsors
0
Total Number of Cosponsors
1
Democrat Cosponsors
0
Republican Cosponsors
1
Unaffiliated Cosponsors
0

Policy Area and Potential Impact of Bill S 1044

Primary Policy Focus

Health

Alternate Title(s) of Bill S 1044

A bill to amend title XVIII of the Social Security Act to make improvements to the redistribution of residency slots under the Medicare program after a hospital closes.
A bill to amend title XVIII of the Social Security Act to make improvements to the redistribution of residency slots under the Medicare program after a hospital closes.

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