United States · Bill · HR
H.R. 4407 (117th)
TRAIN Act
Introduced
13 July 2021
Last action
—
Status
Referred to the Subcommittee on Health.
Sponsors
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Subjects
Discovery layer
Source updated
5 December 2025
Summary
Technical Reset to Advance the Instruction of Nurses Act or the TRAIN Act This bill modifies the methodology and application of Medicare Advantage nursing and allied health education payments for hospitals. Specifically, for 2010-2019, the bill eliminates the annual cap on total payments and excludes any resulting increase from factoring into calculations for graduate medical education payments for such hospitals. (The Centers for Medicare & Medicaid Services recently issued guidance providing for the recalculation and correction of certain payments to account for the annual payment cap.)
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Votes
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Versions
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Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 13 July 2021
Introduced in House (PDF)
Introduced in House · EN · 13 July 2021
Introduced in House
summary · EN · 13 July 2021
Sponsors
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Related records
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Sources
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- Official source: https://www.congress.gov/bill/117th-congress/house-bill/4407
- Open data entity: https://api.congress.gov/v3/bill/117/hr/4407