What This Bill Does · Plain English
GovGreed Synthesis · AI extraction
This bill amends the Public Health Service Act to create two new grant programs aimed at increasing the number of physicians practicing in rural areas. The first program provides grants to establish new rural residency programs or expand existing ones. The second program provides grants for technical assistance to help entities apply for or manage these residency programs. The bill authorizes a total of $63.5 million over five years for these initiatives.
Carveouts & Earmarks · 3 line items · $64M tagged
Specific dollar amounts in this bill that flow to identifiable companies or programs — the actual cash trail.
$64M
Sec. 330A–3(d)
"There is authorized to be appropriated to carry out this section $12,700,000 for each of fiscal years 2026 through 2030."
→ Secretary (to carry out this section)
—
Sec. 330A–3(b)
"The Secretary may award grants to eligible entities to provide technical assistance to awardees of and potential applicants of the program described in subsection (b)."
→ eligible entities
—
Sec. 330A–3(a)
"The Secretary may award grants to eligible entities to establish new rural residency programs (including adding new rural training sites to existing rural track programs)."
→ eligible entities
Action Timeline
2025-12-04
Referred to the House Committee on Energy and Commerce.
2025-12-04
Introduced in House
2025-12-04
Introduced in House
Frequently Asked Questions
Did HR.6468 pass?
HR.6468 is still alive. Current stage: COMMITTEE. Pass likelihood: pending.
What does HR.6468 do?
This bill amends the Public Health Service Act to create two new grant programs aimed at increasing the number of physicians practicing in rural areas. The first program provides grants to establish new rural residency programs or expand existing ones. The second program provides grants for technical assistance to help entities apply for or manage these residency programs. The bill authorizes a total of $63.5 million over five years for these initiatives.
Who sponsored HR.6468?
HR.6468 was sponsored by Carol D. Miller (R-West Virginia).
How much money does HR.6468 spend?
HR.6468 contains $64M in identified line-item carveouts to specific programs and companies, across 3 earmarks.
Full Bill Text
119 HR 6468 IH: Rural Residency Planning and Development Act of 2025 U.S. House of Representatives 2025-12-04 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain. I 119th CONGRESS 1st Session H. R. 6468 IN THE HOUSE OF REPRESENTATIVES December 4, 2025 Mrs. Miller of West Virginia (for herself, Ms. Tokuda , Mr. Smith of Nebraska , and Mr. Carter of Louisiana ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the Public Health Service Act to authorize rural residency planning and development grant programs, and for other purposes. 1. Short title This Act may be cited as the Rural Residency Planning and Development Act of 2025 . 2. Rural residency planning and development programs Title III of the Public Health Service Act ( 42 U.S.C. 241 et seq. ) is amended by inserting after section 330A–2 ( 42 U.S.C. 254c–1b ) the following: 330A–3. Rural residency planning and development program and rural residency planning and development technical assistance program (a) Rural residency planning and development program (1) Grants (A) In general The Secretary may award grants to eligible entities to establish new rural residency programs (including adding new rural training sites to existing rural track programs). (B) Funding Grants awarded under this subsection may be fully funded at the time of the award. (C) Term The term of a grant under this subsection shall be 3 years and may be extended at the discretion of the Secretary. (2) Applications (A) In general To be eligible to receive a grant under this subsection, an eligible entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a description of the pathway of the rural residency program as described in subparagraph (B). (B) Pathway A pathway of a rural residency program supported under this subsection shall be for— (i) general primary care and high-need specialty care, including family medicine, internal medicine, preventive medicine, psychiatry, or general surgery; (ii) maternal health and obstetrics, which may be obstetrics and gynecology or family medicine with enhanced obstetrical training; or (iii) any other pathway as determined appropriate by the Secretary. (b) Rural residency planning and development technical assistance program (1) Grants (A) In general The Secretary may award grants to eligible entities to provide technical assistance to awardees of and potential applicants of the program described in subsection (b). (B) Funding Grants awarded under this subsection may be fully funded at the time of the award. (C) Term The term of a grant under this subsection shall be 4 years and may be extended at the discretion of the Secretary. (2) Applications To be eligible to receive a grant under this subsection, an eligible entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. (c) Definitions In this section: (1) Eligible entity The term eligible entity — (A) means— (i) a domestic public or private nonprofit or for-profit entity; or (ii) an Indian Tribe or Tribal organization; and (B) may include faith-based or community-based organizations, rural hospitals, rural community-based ambulatory patient care centers (including rural health clinics), health centers operated by an Indian Tribe, Tribal organization, or urban Indian organization, graduate medical education consortiums (including institutions of higher education, such as schools of allopathic medicine, schools of osteopathic medicine, or historically Black colleges or universities), or other organizations as determined appropriate by the Secretary. (2) Rural residency program The term rural residency program means a physician residency program, including a rural track program, accredited by the Accreditation Council for Graduate Medical Education (or a similar body) that— (A) trains residents in rural areas (as defined by the Secretary) for more than 50 percent of the total time of their residency; and (B) primarily focuses on producing physicians who will practice in rural areas, as defined by the Secretary. (d) Authorization of appropriations (1) In general There is authorized to be appropriated to carry out this section $12,700,000 for each of fiscal years 2026 through 2030. (2) Availability Any amounts appropriated under paragraph (1) shall remain available to the Secretary until expended. .
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