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H.R. 6468
U.S. House•In House Committee
Summary
H.R. 6468, the Rural Residency Planning and Development Act of 2025, was introduced in the House on Dec 4, 2025 by Rep. Carol Miller (R) with 12 co-sponsors. It was referred to Energy And Commerce, and last saw action on Dec 4, 2025: Referred to the House Committee on Energy and Commerce.
Record
Text
H.R. 6468 has 12 co-sponsors.
hb6468/introduced-in-house.txt119 HR 6468 IH: Rural Residency Planning and Development Act of 2025U.S. House of Representatives2025-12-04text/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. 6468 IN THE HOUSE OF REPRESENTATIVES December 4, 2025 Mrs. Miller of West Virginia (for herself, Ms. Tokuda , Mr. Smith of Nebraska , and Mr. Carter of Louisiana ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILLTo amend the Public Health Service Act to authorize rural residency planning and development grant programs, and for other purposes.1.Short titleThis Act may be cited as the Rural Residency Planning and Development Act of 2025 .2.Rural residency planning and development programsTitle III of the Public Health Service Act ( 42 U.S.C. 241 et seq. ) is amended by inserting after section 330A–2 ( 42 U.S.C. 254c–1b ) the following:330A–3.Rural residency planning and development program and rural residency planning and development technical assistance program(a)Rural residency planning and development program(1)Grants(A)In generalThe Secretary may award grants to eligible entities to establish new rural residency programs (including adding new rural training sites to existing rural track programs).(B)FundingGrants awarded under this subsection may be fully funded at the time of the award.(C)TermThe term of a grant under this subsection shall be 3 years and may be extended at the discretion of the Secretary.(2)Applications(A)In generalTo be eligible to receive a grant under this subsection, an eligible entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including a description of the pathway of the rural residency program as described in subparagraph (B).(B)PathwayA pathway of a rural residency program supported under this subsection shall be for—(i)general primary care and high-need specialty care, including family medicine, internal medicine, preventive medicine, psychiatry, or general surgery;(ii)maternal health and obstetrics, which may be obstetrics and gynecology or family medicine with enhanced obstetrical training; or(iii)any other pathway as determined appropriate by the Secretary.(b)Rural residency planning and development technical assistance program(1)Grants(A)In generalThe Secretary may award grants to eligible entities to provide technical assistance to awardees of and potential applicants of the program described in subsection (b).(B)FundingGrants awarded under this subsection may be fully funded at the time of the award.(C)TermThe term of a grant under this subsection shall be 4 years and may be extended at the discretion of the Secretary.(2)ApplicationsTo be eligible to receive a grant under this subsection, an eligible entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require.(c)DefinitionsIn this section:(1)Eligible entityThe term eligible entity —(A)means—(i)a domestic public or private nonprofit or for-profit entity; or(ii)an Indian Tribe or Tribal organization; and(B)may include faith-based or community-based organizations, rural hospitals, rural community-based ambulatory patient care centers (including rural health clinics), health centers operated by an Indian Tribe, Tribal organization, or urban Indian organization, graduate medical education consortiums (including institutions of higher education, such as schools of allopathic medicine, schools of osteopathic medicine, or historically Black colleges or universities), or other organizations as determined appropriate by the Secretary.(2)Rural residency programThe term rural residency program means a physician residency program, including a rural track program, accredited by the Accreditation Council for Graduate Medical Education (or a similar body) that—(A)trains residents in rural areas (as defined by the Secretary) for more than 50 percent of the total time of their residency; and(B)primarily focuses on producing physicians who will practice in rural areas, as defined by the Secretary.(d)Authorization of appropriations(1)In generalThere is authorized to be appropriated to carry out this section $12,700,000 for each of fiscal years 2026 through 2030.(2)AvailabilityAny amounts appropriated under paragraph (1) shall remain available to the Secretary until expended..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-12-04
- Passed House
- Passed Senate
- Conference
- To President
- Became Law
To amend the Public Health Service Act to authorize rural residency planning and development grant programs, and for other purposes.
Sponsors
Rep. Carol Miller (R) sponsors H.R. 6468, and 12 members have co-sponsored it, 3 of them from the day it was introduced.

Rep. · R–WV-1 · Sponsor
Introduced Dec 4, 2025

Rep. · D–LA-2 · Co-sponsor
Joined Dec 4, 2025 · Original

Rep. · R–NE-3 · Co-sponsor
Joined Dec 4, 2025 · Original

Rep. · D–HI-2 · Co-sponsor
Joined Dec 4, 2025 · Original

Rep. · D–VA-7 · Co-sponsor
Joined Dec 16, 2025

Rep. · R–GU-0 · Co-sponsor
Joined Feb 9, 2026

Rep. · D–GA-2 · Co-sponsor
Joined Feb 9, 2026

Rep. · R–PA-15 · Co-sponsor
Joined Feb 23, 2026

Rep. · D–AL-2 · Co-sponsor
Joined Apr 16, 2026

Rep. · D–VT-0 · Co-sponsor
Joined Apr 28, 2026
Committees
H.R. 6468 went before 1 committee: Energy and Commerce.
Actions
H.R. 6468 has taken 2 actions since Dec 4, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Dec 4, 2025 | House | Introduced in House | ||
Dec 4, 2025 | House | Referred to the House Committee on Energy and Commerce.Energy and Commerce Committee |
Votes
H.R. 6468 has not gone to a roll call.
Related bills
2 bills are related to H.R. 6468.
HR 3890Resident Physician Shortage Reduction Act of 2025Jun 10, 2025 · Referred to the Committee on Energy and Commerce, and in addition to the Commit… · Related bill
S 5232Rural Residency Planning and Development Act of 2026Aug 4, 2026 · Read twice and referred to the Committee on Health, Education, Labor, and Pensi… · Related billTitles
H.R. 6468 goes by 3 titles, 1 of them short titles.
- Rural Residency Planning and Development Act of 2025 — Display Title
- Rural Residency Planning and Development Act of 2025 — Short Title(s) as Introduced
- To amend the Public Health Service Act to authorize rural residency planning and development grant programs, and for other purposes. — Official Title as Introduced
Lobbying
8 clients hired 8 firms and 69 registered lobbyists who named H.R. 6468 in 19 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 Budget/Appropriations, Health Issues, Education, Medicare/Medicaid, Veterans, Immigration, Taxation/Internal Revenue Code, Medical/Disease Research/Clinical Labs.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 4 | — |
| SOUTHEAST GEORGIA HOSPITAL SYSTEM | Hospital System, three hospitals and a nursing home | Georgia | 1 | 3 | $66K |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | — | District of Columbia | 1 | 3 | — |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | — | Kansas | 1 | 2 | — |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | — | Maryland | 1 | 2 | — |
| AMERICAN COLLEGE OF RHEUMATOLOGY | — | Georgia | 1 | 2 | — |
| AMERICAN PSYCHIATRIC ASSOCIATION | — | District of Columbia | 1 | 2 | — |
| AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS | — | District of Columbia | 1 | 1 | — |
Firms
Registrants who filed on the bill, by filings.
Lobbyists
Named on the filings that cite the bill. The 20 named most often, of 69.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALEXIS PIERCE | 1 | 1 | 4 |
| ANDREW WANKUM | 1 | 1 | 4 |
| ANGELA FRANKLIN | 1 | 1 | 4 |
| ASHLEY DELOSH | 1 | 1 | 4 |
| BRYAN HULL | 1 | 1 | 4 |
| CHRISTOPHER SHERIN | 1 | 1 | 4 |
| DANA LICHTENBERG | 1 | 1 | 4 |
| JASON MARINO | 1 | 1 | 4 |
| JEFFREY COUGHLIN | 1 | 1 | 4 |
| JENNIFER BROWN | 1 | 1 | 4 |
| KATHERINE DAPPER | 1 | 1 | 4 |
| KORYN RUBIN | 1 | 1 | 4 |
| LINDSEY BRILL | 1 | 1 | 4 |
| LISA MYERS | 1 | 1 | 4 |
| MARGARET GARIKES | 1 | 1 | 4 |
| MATTHEW REID | 1 | 1 | 4 |
| PHILIP LYNCH | 1 | 1 | 4 |
| ROBERT REDDING | 1 | 1 | 4 |
| SANDRA MARKS | 1 | 1 | 4 |
| SHANNON CURTIS | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $5.1M | 2nd Quarter - Amendme… |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2026 second_quarter | $1M | 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 fourth_quarter | $708.4K | 4th Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2026 first_quarter | $684K | 1st Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 first_quarter | $577.7K | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 second_quarter | $513K | 2nd Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2026 first_quarter | $205.8K | 1st Quarter - Report |
| AMERICAN COLLEGE OF RHEUMATOLOGY | AMERICAN COLLEGE OF RHEUMATOLOGY | 2026 second_quarter | $180K | 2nd Quarter - Report |
| AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS | AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS | 2026 first_quarter | $150K | 1st Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2026 second_quarter | $140K | 2nd Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2026 second_quarter | $137.4K | 2nd Quarter - Report |
| AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | AMERICAN ASSOCIATION OF COLLEGES OF OSTEOPATHIC MEDICINE | 2026 first_quarter | $110K | 1st Quarter - Report |
| AMERICAN COLLEGE OF RHEUMATOLOGY | AMERICAN COLLEGE OF RHEUMATOLOGY | 2026 first_quarter | $40K | 1st Quarter - Report |
| SOUTHEAST GEORGIA HOSPITAL SYSTEM | CAROL G HOLLADAY & ASSOCIATES | 2026 second_quarter | $24K | 2nd Quarter - Report |
| SOUTHEAST GEORGIA HOSPITAL SYSTEM | CAROL G HOLLADAY & ASSOCIATES | 2026 first_quarter | $24K | 1st Quarter - Report |
| SOUTHEAST GEORGIA HOSPITAL SYSTEM | CAROL G HOLLADAY & ASSOCIATES | 2025 fourth_quarter | $18K | 4th Quarter - Report |
Classification
The Congressional Research Service files H.R. 6468 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; H.R. 6468’s is Health.
hr6468/policy-areas.txtConstitutional authority
The clause the sponsor cites as Congress’s power to enact H.R. 6468, as entered in the Congressional Record.
[Congressional Record Volume 171, Number 203 (Thursday, December 4, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. MILLER of West Virginia:H.R. 6468.Congress has the power to enact this legislation pursuantto the following:Article 1, Section 8[Page H5052]
Source: congress.gov · legiscan.com