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H.R. 2106
U.S. House•In House Committee
Summary
H.R. 2106, the Expanding Medical Education Act, was introduced in the House on Mar 14, 2025 by Rep. Jim Costa (D) with 6 co-sponsors. It was referred to Energy And Commerce, and last saw action on Mar 14, 2025: Referred to the House Committee on Energy and Commerce.
Record
Text
H.R. 2106 has 6 co-sponsors.
hb2106/introduced-in-house.txt119 HR 2106 IH: Expanding Medical Education ActU.S. House of Representatives2025-03-14text/xmlENPursuant 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. 2106 IN THE HOUSE OF REPRESENTATIVES March 14, 2025 Mr. Costa (for himself and Mr. Gray ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILLTo establish a grant program to support schools of medicine and schools of osteopathic medicine in underserved areas.1.Short titleThis Act may be cited as the Expanding Medical Education Act .2.Grants for schools of medicine and schools of osteopathic medicine in underserved areasSubpart II of part C of title VII of the Public Health Service Act ( 42 U.S.C. 293m et seq. ) is amended by adding at the end the following:749C.Grants for schools of medicine and schools of osteopathic medicine in underserved areas(a)In generalThe Secretary may award grants to institutions of higher education (including consortiums of such institutions) for the establishment, improvement, or expansion of a school of medicine or osteopathic medicine, or a branch campus of a school of medicine or osteopathic medicine.(b)PriorityIn selecting grant recipients under this section, the Secretary shall give priority to any institution of higher education (or consortium of such institutions) that—(1)proposes to use the grant for the establishment of a school of medicine or osteopathic medicine, or a branch campus of a school of medicine or osteopathic medicine, in an area—(A)in which—(i)no other such school is based; or(ii)in the case in which the school of medicine or osteopathic medicine proposed to be established would be a minority-serving institution, no other minority-serving institution that includes a school of medicine or osteopathic medicine is based; and(B)that is a medically underserved community or a health professional shortage area; or(2)is a minority-serving institution described in section 371(a) of the Higher Education Act of 1965 or an institution or program described in section 326(e) of such Act.(c)ConsiderationsIn awarding grants under this section, the Secretary, to the extent practicable, may ensure equitable distribution of awards among the geographical regions of the United States.(d)Use of fundsAn institution of higher education (or a consortium of such institutions)—(1)shall use grant amounts received under this section to—(A)recruit, enroll, and retain medical students who are pursuing a degree of doctor of medicine or doctor of osteopathy, including individuals who are from disadvantaged backgrounds (including racial and ethnic groups underrepresented among medical students and health professions), individuals from rural and underserved areas, low-income individuals, and first generation college students, at a school of medicine or osteopathic medicine or branch campus of a school of medicine or osteopathic medicine; and(B)develop, implement, and expand curriculum that emphasizes care for rural and underserved populations, including accessible and culturally and linguistically appropriate care and services, at such school or branch campus; and(2)may use grant amounts received under this section to—(A)plan and construct—(i)a school of medicine or osteopathic medicine, or a branch campus of a school of medicine or osteopathic medicine, in an area in which no other such school is based; or(ii)a school of medicine or osteopathic medicine, or a branch campus of a school of medicine or osteopathic medicine, that will be a minority-serving institution, in an area in which no other such school that is a minority-serving institution is based;(B)plan, develop, and meet criteria for accreditation for a school of medicine or osteopathic medicine or branch campus of a school of medicine or osteopathic medicine;(C)hire faculty, including faculty from racial and ethnic groups who are underrepresented among the medical and other health professions, and other staff to serve at such a school or branch campus;(D)support educational programs at such a school or branch campus;(E)modernize and expand infrastructure at such a school or branch campus; and(F)support other activities that the Secretary determines further the establishment, improvement, or expansion of a school of medicine or osteopathic medicine or branch campus of a school of medicine or osteopathic medicine.(e)ApplicationTo be eligible to receive a grant under subsection (a), an institution of higher education (or a consortium of such institutions), shall submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may require, including a description of the institution’s or consortium's planned activities described in subsection (d).(f)Reporting(1)Reports from entitiesEach institution of higher education, or consortium of such institutions, awarded a grant under this section shall submit an annual report to the Secretary on the activities conducted under such grant, and other information as the Secretary may require.(2)Report to CongressNot later than 5 years after the date of enactment of this section and every 5 years thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report that provides a summary of the activities and outcomes associated with grants made under this section. Such reports shall include—(A)a list of awardees, including their primary geographic location, and location of any school of medicine or osteopathic medicine, or a branch campus of school of medicine or osteopathic medicine that was established, improved, or expanded under the program under this section;(B)the total number of students (including the number of students from racial and ethnic groups underrepresented among medical students and health professions, low-income students, and first generation college students) who—(i)are enrolled at, or who have graduated from, any school of medicine or osteopathic medicine, or a branch campus of school of medicine or osteopathic medicine, that was established, improved, or expanded under the program under this section, deidentified and disaggregated by race, ethnicity, age, sex, geographic region, disability status, and other relevant factors, to the extent such information is available; and(ii)who subsequently participate in an accredited internship or medical residency program upon graduation from any school of medicine or osteopathic medicine, or a branch campus of a school of medicine or osteopathic medicine, that was established, improved, or expanded under the program under this section, deidentified and disaggregated by race, ethnicity, age, sex, geographic region, disability status, medical specialty pursued, and other relevant factors, to the extent such information is available;(C)the effects of such program on the health care provider workforce, including any impact on demographic representation disaggregated by race, ethnicity, and sex, and the fields or specialties pursued by students who have graduated from any school of medicine or osteopathic medicine, or a branch campus of school of medicine or osteopathic medicine, that was established, improved, or expanded under the program under this section;(D)the effects of such program on health care access in underserved areas, including medically underserved communities and health professional shortage areas; and(E)recommendations for improving the program described in this section, and any other considerations as the Secretary determines appropriate.(3)Public availabilityThe Secretary shall make reports submitted under paragraph (2) publicly available on the website of the Department of Health and Human Services.(g)DefinitionsIn this section:(1)Branch campus(A)In generalThe term branch campus , with respect to a school of medicine or osteopathic medicine, means an additional location of such school that is geographically apart and independent of the main campus, at which the school offers at least 50 percent of the program leading to a degree of doctor of medicine or doctor of osteopathy that is offered at the main campus.(B)Independence from main campusFor purposes of subparagraph (A), the location of a school described in such subparagraph shall be considered to be independent of the main campus described in such subparagraph if the location—(i)is permanent in nature;(ii)offers courses in educational programs leading to a degree, certificate, or other recognized educational credential;(iii)has its own faculty and administrative or supervisory organization; and(iv)has its own budgetary and hiring authority.(2)First generation college studentThe term first generation college student has the meaning given such term in section 402A(h)(3) of the Higher Education Act of 1965.(3)Health professional shortage areaThe term health professional shortage area has the meaning given such term in section 332(a).(4)Institution of higher educationThe term institution of higher education has the meaning given such term in section 101 of the Higher Education Act of 1965.(5)Medically underserved communityThe term medically underserved community has the meaning given such term in section 799B(6).(h)Authorization of appropriationsThere is authorized to be appropriated such sums as may be necessary to carry out this section..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-03-14
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To establish a grant program to support schools of medicine and schools of osteopathic medicine in underserved areas.
Sponsors
Rep. Jim Costa (D) sponsors H.R. 2106, and 6 members have co-sponsored it, 1 of them from the day it was introduced.

Rep. · D–CA-21 · Sponsor
Introduced Mar 14, 2025

Rep. · D–CA-13 · Co-sponsor
Joined Mar 14, 2025 · Original

Rep. · D–TN-9 · Co-sponsor
Joined Apr 21, 2025

Rep. · D–CA-9 · Co-sponsor
Joined Apr 21, 2025

Rep. · D–AL-7 · Co-sponsor
Joined May 5, 2025

Rep. · D–NC-1 · Co-sponsor
Joined Jan 6, 2026

Rep. · D–LA-2 · Co-sponsor
Joined Aug 10, 2026
Committees
H.R. 2106 went before 1 committee: Energy and Commerce.
Actions
H.R. 2106 has taken 2 actions since Mar 14, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Mar 14, 2025 | House | Introduced in House | ||
Mar 14, 2025 | House | Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee |
Votes
H.R. 2106 has not gone to a roll call.
Related bills
1 bill is related to H.R. 2106.
Titles
H.R. 2106 goes by 3 titles, 1 of them short titles.
- Expanding Medical Education Act — Display Title
- Expanding Medical Education Act — Short Title(s) as Introduced
- To establish a grant program to support schools of medicine and schools of osteopathic medicine in underserved areas. — Official Title as Introduced
Lobbying
4 clients hired 4 firms and 25 registered lobbyists who named H.R. 2106 in 22 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Health Issues, Budget/Appropriations, Education, Veterans, Animals, Immigration, Medical/Disease Research/Clinical Labs, Medicare/Medicaid.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | — | Maryland | 1 | 6 | — |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | — | District of Columbia | 1 | 6 | — |
| CALIFORNIA HOSPITAL ASSOCIATION | — | California | 1 | 6 | — |
| VALLEY CHILDREN'S HEALTHCARE | Children's hospital | California | 1 | 4 | $120K |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 1 | 6 | — |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 1 | 6 | — |
| CALIFORNIA HOSPITAL ASSOCIATION | 1 | 6 | — |
| BROWNSTEIN HYATT FARBER SCHRECK, LLP | 1 | 4 | $120K |
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 25.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALLYSON PERLEONI | 1 | 1 | 6 |
| ANDREA PRICE-CARTER | 1 | 1 | 6 |
| ANNE O'ROURKE | 1 | 1 | 6 |
| DANIELLE TURNIPSEED | 1 | 1 | 6 |
| DAVID BERGMAN | 1 | 1 | 6 |
| DEVAN O'TOOLE | 1 | 1 | 6 |
| EMILY PREST | 1 | 1 | 6 |
| JULIE CROCKETT | 1 | 1 | 6 |
| LEONARD MARQUEZ | 1 | 1 | 6 |
| LILLIAN ANDEMICAEL | 1 | 1 | 6 |
| LUCA CELLUCCI | 1 | 1 | 6 |
| SHEILA DUFFY | 1 | 1 | 6 |
| SINEAD HUNT | 1 | 1 | 6 |
| TANNAZ RASOULI | 1 | 1 | 6 |
| TREY HINES | 1 | 1 | 6 |
| ANDREW HERRIN | 1 | 1 | 4 |
| DEEMA TARAZI | 1 | 1 | 4 |
| EMILY FELDER | 1 | 1 | 4 |
| HAROLD HANCOCK | 1 | 1 | 4 |
| LAUREN MISH | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 second_quarter | $831.4K | 2nd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 second_quarter | $821.4K | 2nd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 third_quarter | $758.2K | 3rd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 first_quarter | $751K | 1st Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 third_quarter | $730K | 3rd Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 fourth_quarter | $708.4K | 4th Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 first_quarter | $577.7K | 1st Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 fourth_quarter | $520K | 4th Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2026 first_quarter | $500K | 1st Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 second_quarter | $490K | 2nd Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2025 first_quarter | $490K | 1st Quarter - Report |
| CALIFORNIA HOSPITAL ASSOCIATION | CALIFORNIA HOSPITAL ASSOCIATION | 2026 second_quarter | $410K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2025 third_quarter | $160K | 3rd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2026 second_quarter | $140K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2025 second_quarter | $130K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2025 first_quarter | $130K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2026 first_quarter | $110K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2025 fourth_quarter | $100K | 4th Quarter - Report |
| VALLEY CHILDREN'S HEALTHCARE | BROWNSTEIN HYATT FARBER SCHRECK, LLP | 2026 second_quarter | $30K | 2nd Quarter - Report |
| VALLEY CHILDREN'S HEALTHCARE | BROWNSTEIN HYATT FARBER SCHRECK, LLP | 2026 first_quarter | $30K | 1st Quarter - Report |
Classification
The Congressional Research Service files H.R. 2106 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 2106’s is Health.
hr2106/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 2106, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 49 (Friday, March 14, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. COSTA:H.R. 2106.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8[Page H1162]
Source: congress.gov · legiscan.com
