PolicyBrief
S. 1044
119th CongressMar 13th 2025
Physicians for Underserved Areas Act
IN COMMITTEE

This bill modifies the criteria for redistributing Medicare-funded medical residency slots when a hospital closes, prioritizing facilities that can quickly utilize and fill those positions.

Jacky Rosen
D

Jacky Rosen

Senator

NV

LEGISLATION

Medical Residency Rules Updated: Bill Tweaks Slot Redistribution After Hospital Closures

This bill, the "Physicians for Underserved Areas Act," makes targeted changes to how Medicare-funded medical residency slots are handled when a hospital shuts its doors. It amends the Social Security Act to refine the process for redistributing these training positions, aiming to get them filled and utilized more efficiently.

Fine-Tuning the Transfer

When a hospital closes, its government-funded residency slots don't just disappear; they get reallocated. This Act updates the rulebook for that reallocation. Specifically, it removes a redundant requirement and introduces new criteria for deciding which hospitals get these slots. The focus shifts to a hospital's demonstrated ability to actually use the redistributed slots within two years and fill them with residents within five years. These updated rules apply to hospital closures happening after the bill is enacted.

What This Means on the Ground

The goal here seems to be ensuring these valuable training opportunities don't sit empty, especially when they could be used to train doctors potentially serving in areas with physician shortages. Hospitals that are prepared to quickly integrate new residency positions could benefit, potentially leading to more doctors being trained in needed specialties or locations. However, hospitals that might need more time to ramp up or secure resources to support new residents might find it harder to acquire slots under these updated timelines. It's a procedural change, but one that could subtly influence where future doctors complete their training.