GME Transparency Act of 2026

This Act may be cited as the “GME Transparency Act of 2026”.

(a) In general.— Section 1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is amended—

(1) in paragraph (5)(A), by adding at the end the following new sentence: “Such term does not include any residency or other postgraduate medical training program of a hospital that does not submit to the Secretary the information required under paragraph (11)(A) in accordance with such paragraph.”; and

(2) by adding at the end the following new paragraph:

“(11) Requirement to submit certain citizenship information with respect to residents; CMS report.—

(A) In general.— Not later than 180 days after the end of each fiscal year (beginning with the first fiscal year that begins after the date of the enactment of this paragraph), a hospital receiving payment under this subsection for direct graduate medical education costs shall submit to the Secretary such deidentified information with respect to residents enrolled in an approved medical residency training program of the hospital as the Secretary determines necessary for purposes of the report required under subparagraph (B).

(B) Report to Congress.— Not later than 270 days after the end of each fiscal year (beginning with the first fiscal year that begins after the date of the enactment of this paragraph), the Secretary shall submit to Congress a report that includes, with respect to all approved medical residency training programs for which information was received pursuant to subparagraph (A) for such fiscal year, information regarding the number (and percentage) of residents enrolled in all such programs (disaggregated by State) who are—

(i) citizens of the United States;

(ii) lawfully admitted for permanent residence in the United States;

(iii) aliens with status under section 101(a)(15)(J)(i) of the Immigration and Nationality Act;

(iv) aliens with nonimmigrant status under section 101(a)(15)(H)(i)(b) of the Immigration and Nationality Act; or

(v) otherwise lawfully present in the United States.

(C) Standardized reporting form.— The Secretary shall make available to each subsection (d) hospital with a residency or other postgraduate medical training program described in the first sentence of paragraph (5)(A) a standardized form for purposes of reporting the information required under subparagraph (A).”.