H.R. 2314 · 119th Congress

FAIR Act

Introduced on Mar 25, 2025 by Diana Harshbarger (R-TN-1). 21 cosponsors, 5 of them from another party. Latest action (Mar 25, 2025): Referred to the House Committee on Ways and Means.

Stage
Introduced
Introduced
Mar 25, 2025
Cosponsors
21
5 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 require hospitals with approved medical residency training programs to submit to the Secretary of Health and Human Services certain information regarding osteopathic and allopathic candidates for such programs.

Summary

By the Congressional Research Service (Introduced in House, Mar 25, 2025). Public domain.

Fair Access In Residency Act of 2025 or the FAIR Act of 2025

This bill requires hospitals that receive graduate medical education (GME) payments under Medicare to report certain information about the composition of their medical residency training programs.

Specifically, hospitals must provide to the Centers for Medicare & Medicaid Services (CMS) (1) the number of applicants for residencies who are from osteopathic medical schools and from allopathic medical schools, (2) the number of applicants who are accepted from each of these types of medical schools, and (3) an affirmation that the hospital considers applicants from each of these types of medical schools and accepts specified related examination results, as appropriate. Hospitals that do not provide this information are subject to a 2% reduction in their GME payments.

The CMS must post the information it receives on a public website.

Sponsor and cosponsors

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

Diana HarshbargerR-TN-1Sponsor

Democrats · 5

Republicans · 16

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 25, 2025Introduced in House
  2. Mar 25, 2025Introduced in House
  3. Mar 25, 2025 · HouseReferred to the House Committee on Ways and Means.

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. AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE15 reports
    $770K reported (all issues)
  2. American Medical Association6 reports
    $36.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  3. Association of American Medical Colleges6 reports
    $4.4M reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
  4. Midwestern University6 reports
    $300K reported (all issues)Federal contractor: MIDWESTERN UNIVERSITY$341.5K in contracts, FY2026AI match · 99%
  5. RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY6 reports
    $600K reported (all issues)Federal contractor: RUTGERS THE STATE UNIVERSITY OF NEW JERSEY$15.3M in contracts, FY2026AI match · 100%
  6. American College of Osteopathic Internists5 reports
    $110.4K reported (all issues)

Reports filed in 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.