H.R. 4731 · 119th Congress

Resident Physician Shortage Reduction Act of 2025

Introduced on Jul 23, 2025 by Terri A. Sewell (D-AL-7). 137 cosponsors, 14 of them from another party. Latest action (Jul 23, 2025): 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.

Stage
Introduced
Introduced
Jul 23, 2025
Cosponsors
137
14 from the other party
Policy area
Health
Open in the Congress explorerCongress.govAlert me

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.

Summary

By the Congressional Research Service (Introduced in House, Jul 23, 2025). Public domain.

Resident Physician Shortage Reduction Act of 2025

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.

The bill provides for an additional increase of 2,000 positions per fiscal year from FY2026-FY2032; 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 · 123

Republicans · 14

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. Jul 23, 2025Introduced in House
  2. Jul 23, 2025Introduced in House
  3. Jul 23, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. Jul 23, 2025 · HouseReferred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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. Jul 23, 2025 · 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.

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 ACADEMY OF OTOLARYNGOLOGY-HEAD AND NECK SURGERY4 reports
    $1.2M reported (all issues)
  2. AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE4 reports
    $510K reported (all issues)
  3. AMERICAN COLLEGE OF PHYSICIAN SERVICES, INC4 reports
    $765.4K reported (all issues)
  4. AMERICAN COLLEGE OF PHYSICIANS4 reports
    $341.6K reported (all issues)
  5. AMERICAN HOSPITAL ASSOCIATION4 reports
    $22.8M reported (all issues)Federal contractor: AMERICAN HOSPITAL ASSOCIATION$1.2M in contracts, FY2026AI match · 99%
  6. American Medical Association4 reports
    $23.2M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  7. COLLEGE OF AMERICAN PATHOLOGISTS4 reports
    $765.2K reported (all issues)Federal contractor: COLLEGE OF AMERICAN PATHOLOGISTS$18M in contracts, FY2026AI match · 99%
  8. California Hospital Association4 reports
    $2.2M reported (all issues)
  9. PREMIER INC.4 reports
    $760K reported (all issues)
  10. SOCIETY FOR VASCULAR SURGERY4 reports
    $360K reported (all issues)
  11. VIZIENT, INC.4 reports
    $1.3M reported (all issues)Federal contractor: VIZIENT INC$18.2K in contracts, FY2026AI match · 98%
  12. Greater New York Hospital Association3 reports
  13. Healthcare Leadership Council3 reports
    $600K reported (all issues)
  14. Society for Cardiovascular Angiography and Interventions3 reports
    $30K reported (all issues)
  15. The University of Florida Board of Trustees3 reports
    $869K reported (all issues)Federal contractor: UNIVERSITY OF FLORIDA$11.2M in contracts, FY2026AI match · 95%
  16. COOK GROUP INC2 reports
    $320K reported (all issues)
  17. NORTHWESTERN MEMORIAL HOSPITAL2 reports
    $40K reported (all issues)
  18. Northwestern Memorial Healthcare2 reports
    $40K reported (all issues)
  19. RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY2 reports
    $220K reported (all issues)Federal contractor: RUTGERS THE STATE UNIVERSITY OF NEW JERSEY$15.3M in contracts, FY2026AI match · 100%
  20. University of California2 reports
    $1.3M reported (all issues)
  21. AMERICAN ACADEMY OF NEUROLOGY1 report
    $460K reported (all issues)
  22. AMERICAN SOCIETY OF ADDICTION MEDICINE1 report
    $70K reported (all issues)
  23. AMERICAN SOCIETY OF CATARACT & REFRACTIVE SURGERY1 report
    $167.8K reported (all issues)
  24. American College of Obstetricians and Gynecologists1 report
  25. American College of Osteopathic Family Physicians1 report
    $26.3K reported (all issues)
  26. American College of Osteopathic Internists1 report
    $21.6K reported (all issues)
  27. American Society for Dermatologic Surgery Association1 report
  28. MEDICAL GROUP MANAGEMENT ASSN1 report
    $300K reported (all issues)
  29. MICHIGAN STATE UNIV1 report
    $90K reported (all issues)Federal contractor: MICHIGAN STATE UNIVERSITY$2.1M in contracts, FY2026AI match · 100%
  30. Stony Brook University, SUNY Stony Brook1 report
    $175K reported (all issues)Federal contractor: STONY BROOK UNIVERSITY HOSP$324.2K in contracts, FY2026AI match · 94%
  31. THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA1 report
    $70K reported (all issues)Federal contractor: THE HOSPITAL AND HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIAAI match · 100%
  32. VIRGINIA COMMONWEALTH UNIVERSITY1 report
    $70K reported (all issues)Federal contractor: VIRGINIA COMMONWEALTH UNIVAI match · 100%

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 10, 2026 · loaded Oct 10, 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 10, 2026 · loaded Oct 10, 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.