H.R. 2389 · 118th Congress

Resident Physician Shortage Reduction Act of 2023

Introduced on Mar 29, 2023 by Terri A. Sewell (D-AL-7). 192 cosponsors, 23 of them from another party. Latest action (Apr 7, 2023): Referred to the Subcommittee on Health.

Stage
Introduced
Introduced
Mar 29, 2023
Cosponsors
192
23 from the other party
Policy area
Health
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To amend title XVIII of the Social Security Act to provide for the distribution of additional residency positions, and for other purposes.

Subjects

  • Congressional oversight
  • Government studies and investigations
  • Health care coverage and access
  • Health personnel
  • Hospital care
  • Medical education
  • Medicare
  • Minority employment
  • Minority health
  • Rural conditions and development

Summary

By the Congressional Research Service (Introduced in House, Mar 29, 2023). Public domain.

Resident Physician Shortage Reduction Act of 2023

This bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, including hospitals in rural areas and health professional shortage areas.

Current law provides for an increase of up to 200 positions per fiscal year beginning in FY2023, with a total increase of 1,000 positions; each hospital may receive up to 25 additional positions. Current law also provides for an additional increase of up to 200 positions for FY2026, with at least 100 of these positions for psychiatry or related specialties; each hospital may receive up to 10 additional positions.

The bill provides for an additional increase of 2,000 positions per fiscal year from FY2025-FY2031; during this period, each hospital may receive up to 75 additional positions in total under the bill and current law. Additionally, one-third of the positions that are made available under the bill must be allocated to hospitals that are already operating above applicable resident limits.

The bill also requires the Government Accountability Office to report on strategies to increase the diversity of the health professional workforce, including with respect to representation from rural, low-income, and minority communities.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Terri A. SewellD-AL-7Sponsor

Democrats · 169

Republicans · 23

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Mar 29, 2023Introduced in House
  2. Mar 29, 2023Introduced in House
  3. Mar 29, 2023 · HouseReferred 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.
  4. Mar 29, 2023 · HouseReferred 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.
  5. Apr 7, 2023 · HouseReferred to the Subcommittee on Health.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. Greater New York Hospital Association21 reports
  2. AMERICAN HOSPITAL ASSOCIATION15 reports
    $32.2M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  3. Association of American Medical Colleges11 reports
    $3.1M reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
  4. COLLEGE OF AMERICAN PATHOLOGISTS11 reports
    $2M reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  5. Stony Brook University, SUNY Stony Brook8 reports
    $588K reported (all issues)Federal contractor: STONY BROOK UNIVERSITY HOSP$324.2K in contracts, FY2026AI match · 94%
  6. MASSACHUSETTS MEDICAL SOCIETY7 reports
    $330K reported (all issues)
  7. THE SOCIETY OF THORACIC SURGEONS6 reports
    $1.1M reported (all issues)
  8. UNIVERSITY OF PITTSBURGH MEDICAL CENTER6 reports
    $1.5M reported (all issues)
  9. AMERICA'S ESSENTIAL HOSPITALS5 reports
    $2.5M reported (all issues)
  10. AMERICAN ACADEMY OF DERMATOLOGY ASSOCIATION5 reports
    $3.3M reported (all issues)
  11. AMERICAN ACADEMY OF NEUROLOGY5 reports
    $1.5M reported (all issues)
  12. AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE5 reports
    $560K reported (all issues)
  13. AMERICAN COLLEGE OF CARDIOLOGY5 reports
    $2.3M reported (all issues)
  14. AMERICAN COLLEGE OF PHYSICIAN SERVICES, INC5 reports
    $1.6M reported (all issues)
  15. AMERICAN COLLEGE OF PHYSICIANS5 reports
    $564.3K reported (all issues)
  16. AMERICAN COLLEGE OF RHEUMATOLOGY5 reports
    $460K reported (all issues)
  17. AMERICAN PSYCHIATRIC ASSOCIATION5 reports
    $1.2M reported (all issues)Federal contractor: AMERICAN PSYCHIATRIC ASSOCIATION$645K in contracts, FY2026AI match · 100%
  18. ASCENSION HEALTH ALLIANCE D/B/A ASCENSION5 reports
    $2.4M reported (all issues)
  19. ASSOCIATION OF MINORITY HEALTH PROFESSIONS SCHOOLS5 reports
    $50K reported (all issues)
  20. American Medical Association5 reports
    $30.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  21. CATHOLIC HEALTH ASSOCIATION OF THE UNITED STATES5 reports
    $860.7K reported (all issues)
  22. California Hospital Association5 reports
    $2M reported (all issues)
  23. California Medical Association Inc.5 reports
    $317K reported (all issues)
  24. Cleveland Clinic Foundation5 reports
    Federal contractor: THE CLEVELAND CLINIC FOUNDATION$1.1M in contracts, FY2026AI match · 100%
  25. Florida Hospital Association5 reports
  26. HACKENSACK MERIDIAN HEALTH5 reports
  27. HARVARD UNIVERSITY5 reports
    $150K reported (all issues)
  28. HEALTHCARE ASSOCIATION OF NYS5 reports
    $530K reported (all issues)Federal contractor: HEALTHCARE ASSOCIATION OF NEW YORK STATE, INC.AI match · 100%
  29. Intealth5 reports
    $500K reported (all issues)
  30. NATIONAL COUNCIL FOR BEHAVIORAL HEALTH5 reports
    $665.6K reported (all issues)Federal contractor: NATIONAL COUNCIL FOR BEHAVIORAL HEALTH$4.3M in contracts, FY2026AI match · 100%
  31. PREMIER INC.5 reports
    $1M reported (all issues)
  32. RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY5 reports
    $470K reported (all issues)Federal contractor: RUTGERS THE STATE UNIVERSITY OF NEW JERSEY$15.3M in contracts, FY2026AI match · 100%
  33. SAINT LUKES HEALTH SYSTEM (FKA St. Lukes Regional Medical Center LTD)5 reports
    $50K reported (all issues)
  34. SOCIETY FOR VASCULAR SURGERY5 reports
    $430K reported (all issues)
  35. Stanford University5 reports
    $510K reported (all issues)
  36. THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA5 reports
    $340K reported (all issues)Federal contractor: THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAAI match · 100%
  37. TRINITY HEALTH5 reports
    $1M reported (all issues)Federal contractor: TRINITY HEALTH$226.3K in contracts, FY2026AI match · 95%
  38. Tennessee Hospital Association5 reports
  39. UNIVERSITY OF COLORADO5 reports
    $883.7K reported (all issues)Federal contractor: UNIVERSITY OF COLORADO HOSPITAL AUTHORITY$91.6K in contracts, FY2026AI match · 90%
  40. UNIVERSITY OF ROCHESTER5 reports
    $430K reported (all issues)Federal contractor: UNIVERSITY OF ROCHESTER$7M in contracts, FY2026AI match · 100%

Reports filed in 2023, 2024, 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.