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S-2954Senate2025-09-30Health

Health Care Workforce Expansion Act of 2025

YourVoice.Now Summary

Your MoneyWorkers & JobsTransparency & Accountability

Full tuition covered for medical, dental, and nursing students — doctors and dentists owe 10 years of service in return.

Your Money

Free medical, dental, and nursing school — tuition and fees fully paid

The Education Department would pay tuition and required fees straight to the school, for up to eight years of study. Students file a FAFSA and apply each year, with payments starting July 1, 2026.

Up to $50,000 owed back — if you don't finish required service

If a medical or dental recipient does not complete the 10 years, the grant turns into a federal student loan with interest. The payback is capped at $50,000, or $25,000 for someone who already served more than five years.

Moving grants for rural health workers — up to $20,000 each

Doctors, nurses, and dentists leaving a city or suburban practice for a rural one could get up to $20,000 for moving and living costs. Leaving the rural area before three years means paying half of it back.

Money back if wrongly billed — appeal answered within 90 days

Someone whose grant was turned into a loan by mistake can ask for a second look, and must get an answer within 90 days. Payments made would be refunded, interest wiped, and credit bureaus asked to remove the negative marks.

Workers & Jobs

Doctor training positions — 50,220 more between 2027 and 2036

Medicare pays hospitals to train new doctors, and the number of paid slots has been capped for years. This would add up to 5,022 slots a year, and hospitals must use them to grow existing programs.

Psychiatry and primary care spots — at least 45% of new positions

At least 15% of the new slots must go to psychiatry, and at least 30% to primary care. The rest are open to other specialties.

Instructor pay at health schools — grants may fund raises

Medical, dental, and nursing schools could spend their 10-year expansion grants on higher wages and loan repayment for teachers and clinical trainers. The grants are meant to help schools take in more students.

Specialty choice for grant-funded doctors — 10 years of primary care

Medical students who take the grant must work in primary care for at least 10 years after training ends. They get a 15-year window to finish those years and must send proof of employment each year.

Where grant-funded dentists can work — 10 years in rural areas

Dental students who take the grant must practice general dentistry in rural areas for at least 10 years. Those years can be split across different rural locations.

Transparency & Accountability

Plain-language warning before signing — payback terms spelled out

Every application must come with a plain-language form describing the service promise and what happens if it is not met. The Education Department would also remind recipients twice a year how to file their proof of employment.

Court challenges to residency slot decisions — hospitals cannot sue

How the new residency slots get handed out would be shielded from court review, as with earlier slot programs. A hospital that disagrees with the decision has no way to challenge it.

More about this bill

Medical, dental, and nursing school could cost you nothing in tuition. The federal government would pay tuition and required fees for as long as the degree takes, up to eight years. Payments would start July 1, 2026. Two of the three groups take on a promise in return. Medical students would have to work in primary care for 10 years. Dental students would have to practice in a rural area for 10 years. Nursing students make no such promise. If you do not finish the service, part of the grant becomes a loan. The most you would owe back is $50,000. Schools would also get money to teach more students. Medical schools that take the grant must raise enrollment 50% by year two, and 50% more by year four. Nursing schools must add 30%, and dental schools 20%. The plan calls for $2.8 billion for medical schools, $1.98 billion for nursing, and $615 million for dental. Schools would give priority to students from rural, low-income, and first-generation families. Students with disabilities and groups underrepresented in these fields are also named. Medicare would pay for 50,220 more residency training positions from 2027 through 2036. At least 30% must go to primary care and 15% to psychiatry. Rural care runs through the whole bill. Doctors, nurses, and dentists now practicing in a city or suburb could get moving grants. Those grants run up to $20,000 for a move to a rural area. They must stay three years or pay half of it back. That program is funded at $1.8 billion through 2035. Teaching health centers that train residents would get at least $170,000 per resident in 2026, rising $10,000 each year. The money behind those payments would climb from about $893 million in 2026 to $4.1 billion in 2035. The tuition grants carry no dollar cap, and the government would spend what it takes.

Congressional Summary

Health Care Workforce Expansion Act of 2025This bill establishes grants to (1) cover the tuition of certain students at health professions schools, (2) expand enrollment at health professions schools, and (3) assist health care practitioners with relocating their practices to rural areas.The Department of Education must provide grants to students at schools of medicine, dentistry, and nursing to fully pay their tuition and required fees. Medical students must agree to practice primary care for 10 years after graduation, and dentistry students must agree to practice in a rural area for 10 years after graduation. If recipients fail to complete such service, the grants become loans requiring repayment of up to $50,000.Additionally, the bill increases the number of residency positions eligible for graduate medical education payments under Medicare for qualifying hospitals, with a focus on psychiatry and primary care residencies. It also reauthorizes through FY2035 the Teaching Health Center Graduate Medical Education Program, which supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers.The Health Resources and Services Administration (HRSA) must provide 10-year grants to schools of medicine, dentistry, and nursing to expand student enrollment, such as through educational partnerships and modernizing programs.HRSA must also provide grants to physicians, dentists, and nurses to assist with relocating their practices to rural areas. Grant recipients must agree to practice in the new location for at least three years.

Details

Congress
119th
Chamber
Senate
Status
summarized
Action
Introduced in Senate
Action Date
2025-09-30
Date Added
2026-07-07
Source
Congress.gov →

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