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Proposed FAIR Act of 2026: Residency Application Transparency

Original title: Text of Senate Amendment 6412

Record date · June 24, 2026

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What This Bill Does

Senator Heinrich has proposed an amendment to the 2027 defense authorization bill that would require hospitals to report data on how they handle residency applications from osteopathic and allopathic medical school graduates. Hospitals that fail to submit this information would face a 2% reduction in certain federal payments starting in 2027.

Why it matters

Hospitals that do not report their residency application and acceptance data for osteopathic and allopathic candidates will face a 2% reduction in specific federal payments beginning October 1, 2027.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

Hospitals with residency programs

Hospitals must collect and submit specific application data and affirmations to the Secretary of Health and Human Services or face a 2% reduction in federal payments.

Directly affected

Osteopathic medical school graduates

The policy requires transparency regarding their application and acceptance rates compared to allopathic graduates.

Directly affected

Allopathic medical school graduates

The policy requires transparency regarding their application and acceptance rates compared to osteopathic graduates.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Does this bill force hospitals to accept a certain number of students from specific medical schools?
No. The amendment includes a 'Rule of Construction' stating it shall not be construed as establishing a mandate for residency programs to accept students from either osteopathic or allopathic schools.
What happens if a hospital does not report the required data?
Beginning October 1, 2027, the hospital's payments under will be reduced by 2% for each they failed to submit the required information.

What else do you want to know?

News Coverage

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Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Transparency Mandate for Residency Admissions

The amendment shifts from voluntary reporting to a penalty-based system for residency application data, specifically targeting the parity between DO and MD applicants.

Connected Entities

Department of Defense, Social Security Act, Department of Energy and 2 more
OrganizationDepartment of Defense“Agency involved in the underlying defense authorization bill.”Map →
otherSocial Security Act“The statute being amended by this proposal.”Map →
OrganizationDepartment of Energy“Agency involved in the underlying defense authorization bill.”Map →
PersonMr. Heinrich“U.S. Senator who submitted the amendment.”Map →
PersonSecretary of Health and Human Services“Responsible for publishing the reported residency data.”Map →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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