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HR 8942

GME Transparency Act of 2026

119th Congress Introduced by Greg Steube

Hospitals receiving Medicare direct GME funds must report deidentified resident citizenship data annually, or risk losing GME payments, with Congress receiving standardized, aggreg

Introduced in House
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Bill Summary · HR 8942

Overview

  • Bill: HR 8942
  • Session: 119th Congress
  • Title: GME Transparency Act of 2026
  • Purpose: Amend title XVIII of the Social Security Act to require hospitals that receive Medicare payments for direct graduate medical education (GME) costs to report citizenship status information of residents in approved medical residency training programs. The Secretary of Health and Human Services would compile and Congress would receive annual reports with aggregated citizenship-status data by state.

Key Provisions

  • Amended Authority: Section 1886(h) of the Social Security Act is expanded to add a new reporting requirement.
  • Clarification on Programs: Residency or other postgraduate medical training programs that do not submit the required information would be ineligible to receive Medicare direct GME payments.
  • Reporting Requirement (new paragraph 11):
    • In General: Hospitals that receive Medicare direct GME payments must submit, within 180 days after the end of each fiscal year, deidentified information about residents in approved residency programs, per a Secretary-determined data set.
    • Congressional Reporting: Within 270 days after the end of each fiscal year, the Secretary must provide Congress a report detailing, for all programs from which information was received, the number and percentage of residents by status:
    • United States citizen
    • Lawfully admitted for permanent residence (green card)
    • Aliens with status under INA section 101(a)(15)(J)(i)
    • Aliens with nonimmigrant status under INA section 101(a)(15)(H)(i)(b)
    • Otherwise lawfully present in the United States
    • Standardized Form: The Secretary must provide a standardized reporting form to affected teaching hospitals to facilitate consistent data submission.

Who Is Affected

  • Primary Stakeholders: Hospitals that receive payment for direct GME costs under Medicare.
  • Residency Programs: Approved medical residency training programs operating within these hospitals.
  • Federal Agencies: Secretary of Health and Human Services (CMS) responsible for collecting data and producing reports; Congress receiving annual reports.

Timelines and Process

  • Data Submission Deadline: Hospitals must submit deidentified residency citizenship information within 180 days after the end of each fiscal year.
  • Congressional Report Deadline: The Secretary must submit the annual report to Congress within 270 days after the end of each fiscal year.
  • Data Standardization: A standardized reporting form will be provided to hospitals to ensure uniform data collection.

Potential Impacts

  • Transparency: Increases visibility into the composition of residency programs by immigration/citizenship status.
  • Compliance/Eligibility: Hospitals that do not submit the required information would be disqualified from Medicare direct GME payments.
  • Data Use: Enables Congress to assess the composition of GME trainees across states, potentially informing policy discussions on workforce, immigration, and training pipelines.
  • Privacy: Data would be deidentified to protect individual resident privacy, with standardization to minimize variability in reporting.

Notes

  • The bill introduces new reporting requirements without detailing penalties beyond linking noncompliance to ineligibility for GME payments.
  • The summary reflects the text as introduced; any amendments during committee consideration could adjust scope, definitions, or enforcement.

Compiled from official sources — confirm details with the bill’s official record.

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