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.

W. Gregory Steube · Florida · Republican

policy impact 3.00 specificity 5.00 extraction confidence 99%

Contest this claim

Occurrences

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.

Steube introduced a bill to bar Medicare GME funding for noncitizen residency training and penalize providers that violate the rule.

Rep. Steube Introduces Two Bills Targeting Transparency and Noncitizen Participation in Medicare-Funded Residency Programs – Congressman Steube
primary · press_release · model gpt-5.4-mini

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.

Steube introduced legislation to bar Medicare GME payments for residency training tied to noncitizens or non-nationals.

Press Releases – Congressman Steube
secondary · other · model gpt-5.4-mini

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.

Introduces the Our Doctors First Act of 2026, barring Medicare GME payments for non-citizen/non-national residents and adding enforcement penalties.

GME-Bills.pdf
secondary · other · model gpt-5.4-mini

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.

Official House release shows Steube took concrete legislative action on the exact policy, but only by introducing bills, not enacting them.

partial same_term A for effort

Rep. Steube Introduces Two Bills Targeting Transparency and Noncitizen Participation in Medicare-Funded Residency Programs – Congressman Steube
primary · model gpt-5.4-mini · confidence 99%

Contest this evidence item

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.

The filed legislative text matches the claim closely and confirms the penalty structure, but it remained a bill draft/referred measure rather than law.

partial same_term A for effort

GME-Bills.pdf
secondary · model gpt-5.4-mini · confidence 98%

Contest this evidence item

Assessments

never unknown A for effort

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.

provider codex_cli · model gpt-5.4-mini · confidence 97%