PolicyBrief
H.R. 5376
119th CongressSep 16th 2025
Impacts and Outcomes for Health Career Training Act
IN COMMITTEE

This Act mandates a rigorous, evidence-based evaluation of Health Profession Opportunity Grant demonstration projects to track participant outcomes and requires dedicated funding for this ongoing study.

Bradley "Brad" Schneider
D

Bradley "Brad" Schneider

Representative

IL-10

LEGISLATION

Health Career Training Bill Mandates Tracking Job Placement and Earnings, Dedicates 4% of Funds to Oversight

The newly introduced Impacts and Outcomes for Health Career Training Act is straightforward: it demands a serious, evidence-based study of how well federal money for health job training is actually working. Specifically, it requires the Secretary to conduct a deep dive into the Health Profession Opportunity Grant demonstration projects, making sure to track the real-world results.

The Fine Print: What the Bill Demands

This isn't just about counting how many people finish a class. The bill mandates tracking the short-term, medium-term, and long-term effects of these training projects. We're talking about hard data on whether participants actually land jobs and, crucially, how much they earn afterward. This new requirement is being slipped right into Section 2008 of the Social Security Act, ensuring that future funding decisions are based on measurable success, not just good intentions. It’s a move toward accountability, making sure tax dollars invested in these programs yield actual career pathways.

The Cost of Accountability: Where the Money Goes

Here’s the part that impacts the programs directly: To pay for this rigorous evaluation, the bill requires setting aside a minimum of 4 percent of the total program funds each year. This money is specifically dedicated to covering the cost of the study, any other evaluations, and the necessary staff to run them. While this ensures the evaluation is properly funded and staffed—meaning we should get better, more reliable data—it also means that 4% less money is available for direct services like tuition, books, or participant stipends. For a program director, that’s a mandatory budget cut to their direct services budget, effective October 1, 2025.

Real-World Impact: Trading Services for Data

For the people running these Health Profession Opportunity Grants, this bill means a trade-off. They lose a small slice of their budget for direct training, but in return, they gain the data needed to prove their programs are effective—or to fix them if they aren't. Imagine a local community college running a certified nursing assistant program using these funds. Starting in late 2025, they’ll have to cut their budget for direct training by 4% but will be legally required to follow up with every graduate for years to see if they got that CNA job and what their paycheck looks like. For the job seeker, this means that while slightly fewer resources might be available for direct support, the program they attend will eventually be optimized based on what actually gets people hired and earning a living wage.