H.R. 8942

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8942 Introduced in House (IH)]

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119th CONGRESS
2d Session
H. R. 8942

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.

_______________________________________________________________________

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

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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).''.
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