S. 850Senate115th Congress (2017-2019)In Committee

Foreign Medical School Accountability Fairness Act of 2017

Introduced April 5, 2017

AI-Generated Summary

Updated April 15, 2026 at 2:30 PM UTC

The Foreign Medical School Accountability Fairness Act of 2017 would change the Higher Education Act so that graduate medical schools located outside the United States and Canada must meet uniform eligibility standards to receive federal student‑loan funding. The goal is to increase accountability, protect U.S. students and taxpayers, and ensure foreign schools are held to the same requirements as U.S. schools.

Key Provisions

  • A foreign graduate medical school must have at least 60% of its students and graduates who are not covered by the exemption in section 484(a)(5) (i.e., not the special category currently exempt).
  • At least 75% of the school’s students or graduates must pass the Educational Commission for Foreign Medical Graduates (ECFMG) exams in the year before a loan is requested.
  • If a school fails to meet these new criteria, its authority to participate in federal loan programs ends on July 1 of the year after the law takes effect.
  • Students who were enrolled at a school before the law’s enactment can keep receiving loans, as long as they stay in school, meet academic progress standards, and until either they withdraw, graduate, or the June 30 deadline four years after the school loses eligibility.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text as introduced in Senate: CR S2367-2368)

April 5, 2017

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SenateIntro Referral

Introduced in Senate

April 5, 2017

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions. (text as introduced in Senate: CR S2367-2368)

April 5, 2017

Floor Debate

4 members

What members said about S. 850 on the floor

4 Democrats
Cory A. Booker
Sen. Cory A. BookerD-NJ · Apr 4, 2017

Mr. President, I rise today to introduce the Record Expungement Designed to Enhance Employment Act, or REDEEM Act. This bill would take meaningful steps towards allowing returning citizens to obtain…

Margaret Wood Hassan
Sen. Margaret Wood HassanD-NH · Apr 4, 2017

Mr. President, I rise today to introduce my first bill in the U.S. Senate--a bill to help relieve the burden of student debt for young entrepreneurs from New Hampshire and the entire country. Most of…

Ron Wyden
Sen. Ron WydenD-OR · Apr 4, 2017

Mr. President, most of us have heard the metaphor that small businesses are the engines that power our economy. What we don't hear people talk about as much is the fuel that feeds the engines:…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 4, 2017

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Apr 4, 2017

Mr. President, I ask unanimous consent that the text of the bill be printed in the Record.

Bill Text

Latest available legislative text

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Introduced in SenateIssued April 5, 2017

II

115th CONGRESS

1st Session

S. 850

IN THE SENATE OF THE UNITED STATES

April 5 (legislative day, April 4), 2017

Mr. Durbin (for himself and Mr. Cassidy) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To amend the Higher Education Act of 1965 to establish fair and consistent eligibility requirements for graduate medical schools operating outside the United States and Canada.

1.

Short title

This Act may be cited as the Foreign Medical School Accountability Fairness Act of 2017.

2.

Purpose

To establish consistent eligibility requirements for graduate medical schools operating outside of the United States and Canada in order to increase accountability and protect American students and taxpayer dollars.

3.

Findings

Congress finds the following:

(1)

Three for-profit schools in the Caribbean receive nearly ¾ of all Federal funding under title IV of the Higher Education Act of 1965 (20 U.S.C. 1070 et seq.) that goes to students enrolled at foreign graduate medical schools, despite those three schools being exempt from meeting the same eligibility requirements as the majority of graduate medical schools located outside of the United States and Canada.

(2)

The National Committee on Foreign Medical Education and Accreditation and the Department of Education recommend that all foreign graduate medical schools should be required to meet the same eligibility requirements to participate in Federal funding under title IV of the Higher Education Act of 1965 (20 U.S.C. 1070 et seq.).

(3)

The attrition rate at United States medical schools averaged 3.4 percent in 2014, while rates at for-profit Caribbean medical schools have been known to reach 30 percent.

(4)

In 2016, residency match rates for foreign trained graduates averaged 54 percent compared to 94 percent for graduates of medical schools in the United States.

(5)

On average, students at for-profit medical schools operating outside of the United States and Canada amass more student debt than those at medical schools in the United States.

4.

Repeal grandfather provisions

Section 102(a)(2) of the Higher Education Act of 1965 (20 U.S.C. 1002(a)(2)) is amended—

(1)

in subparagraph (A), by striking clause (i) and inserting the following:

(i)

in the case of a graduate medical school located outside the United States—

(I)

at least 60 percent of those enrolled in, and at least 60 percent of the graduates of, the graduate medical school outside the United States were not persons described in section 484(a)(5) in the year preceding the year for which a student is seeking a loan under part D of title IV; and

(II)

at least 75 percent of the individuals who were students or graduates of the graduate medical school outside the United States or Canada (both nationals of the United States and others) taking the examinations administered by the Educational Commission for Foreign Medical Graduates received a passing score in the year preceding the year for which a student is seeking a loan under part D of title IV;

; and

(2)

in subparagraph (B)(iii), by adding at the end the following:

(V)

Expiration of authority

The authority of a graduate medical school described in subclause (I) to qualify for participation in the loan programs under part D of title IV pursuant to this clause shall expire beginning on the first July 1 following the date of enactment of the Foreign Medical School Accountability Fairness Act of 2017.

.

5.

Loss of eligibility

If a graduate medical school loses eligibility to participate in the loan programs under part D of title IV of the Higher Education Act of 1965 (20 U.S.C. 1087a et seq.) due to the enactment of the amendments made by section 4, then a student enrolled at such graduate medical school on or before the date of enactment of this Act may, notwithstanding such loss of eligibility, continue to be eligible to receive a loan under such part D while attending such graduate medical school in which the student was enrolled upon the date of enactment of this Act, subject to the student continuing to meet all applicable requirements for satisfactory academic progress, until the earliest of—

(1)

withdrawal by the student from the graduate medical school;

(2)

completion of the program of study by the student at the graduate medical school; or

(3)

the fourth June 30 after such loss of eligibility.