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To amend title XVIII of the Social Security Act to require hospitals receiving payment for direct graduate medical education costs under the Medicare program to report information with respect to the citizenship status of residents in an approved medical residency training program.
Summary
This bill requires hospitals receiving Medicare payments for graduate medical education costs to report deidentified information about the citizenship and immigration status of medical residents in their training programs. Hospitals would submit this information to the Secretary of Health and Human Services within 180 days after the end of each fiscal year using a standardized reporting form. The Secretary would then compile this data into an annual report to Congress, broken down by state and resident immigration status categories, including U.S. citizens, lawfully admitted permanent residents, and visa holders. The report must be submitted to Congress within 270 days after the end of each fiscal year, beginning with the first year after the bill's enactment. Hospitals that do not submit the required information would no longer be eligible for Medicare payments for their medical residency programs.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
Money behind the sponsor
Top reported contributors to W. Gregory Steube’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- CHENEY BROTHERS $7,800
- NEXTGEN MANAGEMENT $6,600
- STEPHENS, INC. $6,600
- NEPTUNE WELLNESS SOLUTIONS $6,600
- COOLTODAY $6,600
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for W. Gregory Steube → · Outside spending →
Actions (2)
- May 20, 2026 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. · house
- May 20, 2026 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE HOUSE OF REPRESENTATIVES
May 20, 2026
Mr. Steube introduced the following bill; which was 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
A BILL
To amend title XVIII of the Social Security Act to require hospitals receiving payment for direct graduate medical education costs under the Medicare program to report information with respect to the citizenship status of residents in an approved medical residency training program.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “GME Transparency Act of 2026”.
SEC. 2. REQUIRING HOSPITALS RECEIVING PAYMENT FOR DIRECT GRADUATE MEDICAL EDUCATION COSTS UNDER MEDICARE TO REPORT ON CITIZENSHIP STATUS OF RESIDENTS.
(a) In General.—Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is amended—
(1) in paragraph (5)(A), by adding at the end the following new sentence: “Such term does not include any residency or other postgraduate medical training program of a hospital that does not submit to the Secretary the information required under paragraph (11)(A) in accordance with such paragraph.”; and
(2) by adding at the end the following new paragraph:
“(11) Requirement to submit certain citizenship information with respect to residents; cms report.—
“(A) In general.—Not later than 180 days after the end of each fiscal year (beginning with the first fiscal year that begins after the date of the enactment of this paragraph), a hospital receiving payment under this subsection for direct graduate medical education costs shall submit to the Secretary such deidentified information with respect to residents enrolled in an approved medical residency training program of the hospital as the Secretary determines necessary for purposes of the report required under subparagraph (B).
“(B) Report to congress.—Not later than 270 days after the end of each fiscal year (beginning with the first fiscal year that begins after the date of the enactment of this paragraph), the Secretary shall submit to Congress a report that includes, with respect to all approved medical residency training programs for which information was received pursuant to subparagraph
(A) for such fiscal year, information regarding the number (and percentage) of residents enrolled in all such programs (disaggregated by State) who are—
“(i) citizens of the United States;
“(ii) lawfully admitted for permanent residence in the United States;
“(iii) aliens with status under section 101(a)(15)(J)(i) of the Immigration and Nationality Act;
“(iv) aliens with nonimmigrant status under section 101(a)(15)(H)(i)(b) of the Immigration and Nationality Act; or
“(v) otherwise lawfully present in the United States.
“(C) Standardized reporting form.—The Secretary shall make available to each subsection (d) hospital with a residency or other postgraduate medical training program described in the first sentence of paragraph
(5)(A) a standardized form for purposes of reporting the information required under subparagraph (A).”. <all>
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