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Medicare would stop funding residency training for non-citizen doctors

In committeeH.R. 8943Latest action

Sponsor: W. Gregory Steube · Representative · FL

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Official title: Our Doctors First Act of 2026

119th Congress

Introduced:

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HR 8943 bars Medicare from counting non-citizen medical trainees when paying hospitals for graduate medical education programs.

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What does this do?

HR 8943 would prohibit Medicare from including non-U.S. citizens or nationals when calculating graduate medical education payments to hospitals and training sites. Only trainees who are U.S. citizens or nationals would count toward the federal funding hospitals receive for running residency and internship programs. Facilities that violate the rule face a tiered penalty system starting with fines and escalating to full funding cutoffs.

Who does it affect?

Teaching hospitals, clinics, and other facilities that train doctors and receive Medicare graduate medical education funding are directly subject to the bill's requirements and penalties. International medical graduates currently in U.S. residency programs are also directly affected, as are patients in rural and underserved communities that rely heavily on those doctors.

Why does it matter?

If training programs shrink in response to reduced funding eligibility, access to physicians in rural and underserved areas could be affected, given that international medical graduates make up a significant share of doctors in those settings. Facilities that lose funding through penalties or repeated violations could face further strain on their ability to run training programs.

What does it cost, and who pays?

A first violation carries a fine equal to 25 percent of the payment that would have gone toward the non-citizen trainees. A second violation brings a $1 million fine, a third results in a five-year cutoff of all Medicare graduate medical education funding to that facility, and repeated violations after that trigger ten-year funding cutoffs.

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  1. IntroducedMay 20, 2026
  2. House committeeYou are here · May 20, 2026
  3. House vote
  4. Senate
  5. The president's desk

Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — 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.

Data as of October 9, 2026
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