A Democratic bill with 1 Republican cosponsor · See the cosponsor
Last activity — Read twice and referred to the Committee on Finance.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill, known as the ``Rebuild America's Health Care Schools Act of 2025'', aims to amend title XVIII of the Social Security Act. It seeks to adjust how direct and indirect costs are handled for nursing and allied health education programs within hospitals. The legislation directs the Secretary to include various reasonable costs incurred by hospitals participating in licensed or accredited programs. These costs include those directly incurred by the hospital, costs from related entities, and costs associated with training or faculty contracts. Additionally, the bill prohibits the Secretary from recouping certain payments related to these programs. Finally, it mandates refunds for certain amounts recouped within a specific six-year period.
Yes· 3 of 13
- Scored +5
Does this make health care easier to get in general?
By supporting nursing and allied health education, the bill helps bolster the healthcare workforce essential for patient access.
- Scored +4
Would business owners be better off under this?
Hospital-based institutions benefit directly from the expansion of allowable cost categories and the prohibition of recoupment.
- Scored +4
Does this put more money into Medicare, the health coverage for people over 65?
The bill expands the scope of allowable reasonable costs under Medicare Part A for hospital-based education programs.
The opposite
- Scored -1
Does this reduce what the federal government owes?
The mandate for refunds of previously recouped costs may result in a short-term increase in federal outlays.
Who it would affect, and how
Potential Positive Impacts for People
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Expanded Cost Coverage for Education Programs: Hospitals participating in nursing and allied health education programs will have more costs recognized as reasonable. This includes direct costs, costs from related entities, training costs, faculty contracts, and shared services (Section 2(a)).
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Financial Protections Against Payment Reductions: The Secretary of Health and Human Services is prohibited from recouping or reducing payments made to hospitals under part A of title XVIII for these specific education program costs (Section 2(c)(1)).
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Refunds for Previous Reductions: Hospitals that had payments recouped or reduced for these costs during the six-year period ending on the date of the Act's enactment are entitled to a refund (Section 2(c)(2)).
Potential Negative Impacts for People
- No specific negative impacts or burdens are mentioned in the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would business owners be better off under this? — Hospital-based institutions benefit directly from the expansion of allowable cost categories and the prohibition of recoupment. Would retired people be better off under this? — Strengthening the nursing workforce ensures better care for the aging population. Would people over 65 be better off under this? — A more robust nursing workforce helps ensure better healthcare quality and availability for seniors reliant on Medicare. Would students be better off under this? — The bill supports the stability of clinical training environments essential for healthcare students. Would people in their twenties and thirties be better off under this? — Supporting the healthcare education pipeline may benefit young adults entering the medical field. Would households on low incomes be better off under this? — Increased healthcare workforce capacity can lead to better health outcomes for low-income populations.
- Healthcare
- Does this make health care easier to get in general? — By supporting nursing and allied health education, the bill helps bolster the healthcare workforce essential for patient access. Does this put more money into Medicare, the health coverage for people over 65? — The bill expands the scope of allowable reasonable costs under Medicare Part A for hospital-based education programs. Does this make the country readier for the next outbreak? — Strengthening the training pipelines for healthcare workers improves the overall resilience of the healthcare system.
- Economy And Finance
- Is this likely to create jobs? — By expanding cost coverage for healthcare education, the bill supports the infrastructure necessary to train more medical professionals. Is this likely to grow the economy? — Investing in the healthcare workforce capacity can contribute to long-term economic stability. Does this reduce what the federal government owes? — The mandate for refunds of previously recouped costs may result in a short-term increase in federal outlays.
- Education And Technology
- Does this make college cost less? — By allowing hospitals to cover more costs of educational programs, it could indirectly reduce the burden on students and educational institutions.
- Governance And Ideology
- Does this give the federal government more power? — The bill expands the role of the Secretary of Health and Human Services in determining reasonable costs for Medicare.
- 3/14/2025
- Read twice and referred to the Committee on Finance.
- 1 Cosponsor added.
- Introduced in Senate
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Thomas TillisRepublican · North Carolina