PolicyBrief
H.R. 3518
119th CongressMay 20th 2025
To amend the Higher Education Act of 1965 to prohibit graduate medical schools from receiving Federal financial assistance if such schools adopt certain policies and requirements relating to diversity, equity, and inclusion.
IN COMMITTEE

This bill prohibits graduate medical schools from receiving federal funding if they mandate adherence to certain diversity, equity, and inclusion (DEI) tenets or establish DEI offices.

Gregory Murphy
R

Gregory Murphy

Representative

NC-3

LEGISLATION

Proposed Bill Threatens Federal Funds for Medical Schools with DEI Offices or Mandatory Diversity Statements

This proposed legislation aims to amend the Higher Education Act of 1965 by making a sharp change to how graduate medical schools get federal money. Essentially, if a medical school wants to participate in federal student loan programs or receive any federal financial assistance, it must promise the Secretary of Education that it will not engage in certain activities related to Diversity, Equity, and Inclusion (DEI).

The New Rules for Federal Funding

Section 1 of the bill lays out the core restrictions. To keep the federal dollars flowing, a medical school must certify it won't force anyone—student, faculty, or staff—to adopt specific beliefs as a condition for admission or employment. These prohibited beliefs are defined broadly but target concepts like the idea that America is inherently racist or that current individuals are responsible for past actions committed by others of the same race or group. The school also cannot make distinctions among students based on race, ethnicity, or national origin that result in separate benefits or opportunities, though they can still collect demographic data for informational purposes.

Banning DEI Offices and Statements

Perhaps the most direct impact comes from the provisions targeting administrative structure. The bill requires medical schools to certify that they will not establish or contract with any office that functions like a DEI office. The definition of a prohibited DEI office is one that compels people to express specific ideas as a condition of receiving benefits, which violates existing civil rights laws (Title IV or VI). Additionally, schools cannot require or incentivize a "diversity statement"—a written or oral assertion professing adherence to DEI principles—as a condition for admission or employment. Think of it this way: If a medical school currently requires faculty applicants to submit a statement explaining their commitment to DEI to get the job, that practice would have to stop immediately, or the school loses access to federal funding.

Accreditation Agencies Must Conform

This isn't just about the schools; it’s also about the gatekeepers. Section 2 brings accrediting agencies into the fold. If an agency reviews graduate medical education programs (like residency programs), it must ensure that its standards don't require schools to adopt policies that conflict with the new federal restrictions. If an accreditor insists that medical programs maintain a DEI office or require diversity statements to keep their accreditation, that accreditor could lose its federal recognition, which is critical for the programs it oversees. This puts accreditors in a tough spot, forcing them to align their quality standards with these new ideological mandates.

Real-World Stakes for Future Doctors

What does this mean for the average person? If a major medical school relies heavily on federal student loans (Title IV funds) and refuses to comply with these certifications—maybe because they want to keep their existing DEI office or curriculum—they risk losing all federal funding. This could be catastrophic, potentially forcing the school to raise tuition dramatically or even close programs. For prospective medical students, this could limit the number of available schools or increase the cost of attendance significantly. Imagine being a student who needs federal loans to afford medical school; if your chosen institution loses eligibility, your path to becoming a doctor just got a lot harder.

However, the bill does include important caveats (Section 3). It clarifies that medical schools can still teach about unique medical needs tied to sex or race. For example, teaching about sickle cell anemia prevalence in certain populations is still fine. It also protects religious institutions from having to violate their core beliefs and ensures that legal free speech and academic freedom are not restricted on campus. The intent seems to be to stop mandatory ideological conformity while preserving legitimate medical education and research.