Bills of Congress by U.S. Congress

Foreign Medical School Accountability Fairness Act of 2026

Summary

The Foreign Medical School Accountability Fairness Act of 2026 aims to amend the Higher Education Act of 1965 by establishing consistent eligibility requirements for foreign graduate medical schools (excluding those in Canada) to participate in federal student loan programs. This bill seeks to repeal certain grandfather provisions that have allowed some Caribbean medical schools to receive a disproportionate amount of federal funding without meeting the same standards as other foreign medical schools. The Act also addresses concerns about attrition rates, residency match rates, and student debt levels at these institutions.

Expected Effects

The likely effect of this Act is a reduction in federal funding for certain foreign medical schools, particularly those in the Caribbean, that do not meet the new eligibility requirements. This could lead to increased accountability and potentially improve the quality of education and outcomes for students attending these schools. Current students would be protected for a limited time.

Potential Benefits

  • Increased accountability for foreign medical schools receiving federal funds.
  • Potentially improved educational quality and student outcomes at foreign medical schools.
  • More equitable distribution of federal funding among foreign medical schools.
  • Protection for current students enrolled in affected schools.
  • Alignment of foreign medical school standards with those in the US and Canada.

Potential Disadvantages

  • Potential disruption for students attending schools that lose eligibility for federal funding.
  • Possible closure of some foreign medical schools, limiting educational options for US students.
  • Increased financial burden on students who can no longer access federal loans at certain schools.
  • Possible legal challenges from affected foreign medical schools.
  • Could disproportionately affect students from disadvantaged backgrounds who rely on federal loans to attend medical school.

Constitutional Alignment

The bill aligns with the Constitution's general welfare clause (Preamble), as it aims to ensure responsible use of taxpayer dollars in federal student loan programs. Congress's power to regulate interstate commerce (Article I, Section 8) could be invoked to justify regulating foreign medical schools that recruit US students and receive federal funds. However, the bill must avoid infringing on individual liberties or creating undue burdens on students seeking educational opportunities.

Impact Assessment: Things You Care About

This action has been evaluated across 19 key areas that matter to you. Scores range from 1 (highly disadvantageous) to 5 (highly beneficial).