FAIR Act

HR 2314, the FAIR Act, requires hospitals participating in Medicare-funded residency programs to annually report data on applicants and acceptances from both osteopathic (DO) and allopathic (MD) medical schools. Hospitals must publicly affirm they consider applicants from both pathways equally and accept scores from either the COMLEX (for DOs) or USMLE (for MDs) exams. Non-compliant hospitals face a 2% reduction in Medicare payments starting in 2026 for each prior year of non-reporting. The bill directly affects hospitals receiving Medicare residency funding, aiming to increase transparency in admissions without mandating specific acceptance rates or federal oversight of medical education.