PolicyBrief
H.R. 1127
119th CongressFeb 7th 2025
Rural America Health Corps Act
IN COMMITTEE

The "Rural America Health Corps Act" creates a loan repayment program for healthcare professionals working in rural areas with healthcare shortages, offering up to $200,000 in student loan assistance for a five-year commitment.

David Kustoff
R

David Kustoff

Representative

TN-8

LEGISLATION

New Bill Offers Up to $200K in Loan Repayment for Rural Healthcare Workers: 5-Year Commitment Required

The "Rural America Health Corps Act" aims to tackle the healthcare provider shortage in rural areas head-on by offering substantial student loan repayment to those willing to commit to a 5 year service.

Planting the Roots of Care

This bill establishes a demonstration program through the Department of Health and Human Services (HHS). It's designed to incentivize doctors, nurses, and other healthcare professionals to practice in rural communities facing shortages. The core idea? Provide significant financial relief from student loan debt in exchange for a commitment to serve where the need is greatest. The bill authorizes $50,000,000 to be appropriated for each fiscal year from 2026 through 2030 for the program.

The 5-Year Harvest

The program targets healthcare professionals who are eligible for the existing National Health Service Corps Loan Repayment Program but aren't already enrolled. To qualify, individuals must commit to five years of full-time employment in a designated rural health professional shortage area (SEC. 2). For each year of service, the program will pay one-fifth of the outstanding principal and interest on their eligible loans. The kicker? After completing the full five years, any remaining balance (up to a total of $200,000 per individual) gets wiped clean (SEC. 2).

  • Real-World Impact: Imagine a newly graduated nurse practitioner with $150,000 in student loans. Under this program, they'd receive $30,000 in loan repayment for each year of service in a rural area. After five years, their entire debt would be paid off. This could be a game-changer for both the individual and the community they serve.

Potential Thorns

While the bill's intent is clear, there are a few points to keep in mind. Program participants won't be counted when the Department designates health professional shortage areas from 2026-2030 (SEC. 2). This could lead to an inaccurate picture of where the greatest needs are in the future. Also, the bill requires a report to Congress within five years of enactment, evaluating the program's impact on rural healthcare access (SEC. 2). This is crucial for determining if the program is actually achieving its goals.

Long-Term Growth

This bill tackles a persistent problem: attracting and retaining healthcare professionals in rural America. By offering a substantial financial incentive, it could significantly improve access to care for communities that have long struggled with provider shortages. However, the program's success will depend on careful implementation and ongoing evaluation to ensure it's truly meeting the needs of both healthcare workers and the rural populations they serve.