The Our Doctors First Act of 2026 would prohibit Medicare-funded GME payments from being used to support residency training costs associated with individuals who are not U.S. citizens or nationals. Hospitals and qualified nonhospital providers that count noncitizen medical residents for payment purposes ... would face escalating penalties, including civil monetary penalties and exclusion from receiving GME payments for repeat violations.
Prohibit Medicare-funded graduate medical education payments from supporting residency training for individuals who are not U.S. citizens or nationals, with penalties for repeat violations.
Occurrences
introduced the GME Transparency Act of 2026 and the Our Doctors First Act of 2026, a two-bill package focused on increasing transparency in Medicare-funded graduate medical education (GME) programs and prohibiting Medicare GME payments attributable to individuals who are not U.S. citizens or nationals.
A bill to amend title XVIII of the Social Security Act to prohibit payments for graduate medical education costs attributable to individuals who are not citizens or nationals of the United States under the Medicare program.
Evidence
Steube's office said he introduced the GME Transparency Act of 2026 and the Our Doctors First Act of 2026. The release says the package would prohibit Medicare GME payments from supporting residency training for people who are not U.S. citizens or nationals, and would add civil monetary penalties plus exclusion from GME payments for repeat violations.
The bill text for the Our Doctors First Act of 2026 amends Medicare GME rules to bar counting residents who are not U.S. citizens or nationals and sets escalating sanctions for hospitals that do so, including a 25 percent penalty, a $1 million penalty, and exclusion from Medicare GME payments for repeat violations.
Assessments
Steube materially advanced the exact policy by introducing the GME Transparency Act of 2026 and the Our Doctors First Act of 2026, including the proposed penalties, but the evidence only shows introduction of bills, not enactment into law. Under federal campaign-context scoring, that is a serious attempt that falls short of delivery.