TRAIN Act
Latest action · Jul 14, 2021 Referred to the Subcommittee on Health.
Progress
Where this bill reached, and when. A stage with no date was not reached; one that failed a vote and later carried shows the date it carried.
- IntroducedJul 13, 2021
- Passed HouseNot reached
- Passed SenateNot reached
- To the PresidentNot reached
- Became lawNot reached
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.)
Cosponsors 35
Members who signed on, in the order they did. Signatures ran from Jul 13, 2021 to Jul 15, 2022; 2 are original cosponsors, there from the day it was introduced.
| Seat | Cosponsor | Signed on | |
|---|---|---|---|
| R-IL | Darin LaHood | Original | Jul 13, 2021 |
| R-IL | Rodney Davis | Original | Jul 13, 2021 |
| D-NJ | Bill Pascrell, Jr. | Jul 27, 2021 | |
| R-OH | Bob Gibbs | Jul 27, 2021 | |
| R-NE | Adrian Smith | Aug 3, 2021 | |
| D-NJ | Josh Gottheimer | Aug 3, 2021 | |
| D-TX | Lloyd Doggett | Aug 20, 2021 | |
| R-OH | Michael R. Turner | Aug 20, 2021 | |
| R-VA | Robert J. Wittman | Aug 20, 2021 | |
| D-OH | Tim Ryan | Aug 20, 2021 | |
| D-FL | Darren Soto | Sep 3, 2021 | |
| D-FL | Val Butler Demings | Sep 3, 2021 | |
| D-MA | Stephen F. Lynch | Sep 14, 2021 | |
| R-OH | Anthony Gonzalez | Sep 22, 2021 | |
| R-MO | Billy Long | Sep 22, 2021 | |
| R-OK | Markwayne Mullin | Sep 22, 2021 | |
| D-GA | Lucy McBath | Oct 12, 2021 | |
| R-PA | Brian K. Fitzpatrick | Oct 19, 2021 | |
| D-AL | Terri A. Sewell | Oct 19, 2021 | |
| R-WV | Carol D. Miller | Nov 1, 2021 | |
| R-NE | Don Bacon | Nov 1, 2021 | |
| R-NY | John Katko | Nov 2, 2021 | |
| D-CA | Barbara Lee | Nov 3, 2021 | |
| D-NJ | Jefferson Van Drew | Nov 17, 2021 | |
| D-PA | Chrissy Houlahan | Dec 7, 2021 | |
| D-IL | Cheri Bustos | Dec 14, 2021 | |
| D-CA | Pete Aguilar | Jan 11, 2022 | |
| D-IL | Bradley Scott Schneider | Feb 1, 2022 | |
| D-PA | Conor Lamb | Feb 18, 2022 | |
| R-PA | Daniel Meuser | Feb 18, 2022 | |
| D-MA | Jake Auchincloss | Feb 18, 2022 | |
| R-AL | Mike Rogers | Feb 18, 2022 | |
| D-PA | Susan Wild | Feb 18, 2022 | |
| R-OH | Bill Johnson | May 12, 2022 | |
| R-OH | Brad R. Wenstrup | Jul 15, 2022 |
Committees 2
Where it was sent and what each committee and subcommittee did with it, in order.
| Chamber | Committee | What it did |
|---|---|---|
| House | Ways and Means Committee | Referred Jul 13, 2021 |
| Health Subcommittee | Referred Jul 13, 2021 | |
| House | Energy and Commerce Committee | Referred Jul 13, 2021 |
| Health Subcommittee | Referred Jul 14, 2021 |
Actions 4
Everything that happened, newest first.
- Jul 14, 2021Referred to the Subcommittee on Health.
- Jul 13, 2021Introduced in House
- Jul 13, 2021Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Jul 13, 2021Referred to the Subcommittee on Health.
Research
What has been written about this bill: committee reports, cost estimates, the sponsor’s authority statement, printed hearings and the Congressional Research Service’s work.
Constitutional authority
The sponsor’s statement, as printed in the Congressional Record, vol. 167, no. 122, July 13, 2021, page H3625.
Printed hearings 1
Hearings whose printed record names this bill, newest first: hearings on it, and wider hearings where it came up.
| Number | Hearing | Committee | Held |
|---|---|---|---|
| Serial No. 117-55 | CARING FOR AMERICA: LEGISLATION TO SUPPORT PATIENTS, CAREGIVERS, AND PROVIDERS265 pages | Energy and Commerce Committee | Oct 26, 2021 |
Related bills 1
Companion bills and other measures the record links to this one.
| Bill | Title | Relationship | Latest action |
|---|---|---|---|
| S 1568 | TRAIN Act | Identical bill | May 11, 2021 |
Titles 3
Every title it has carried, official and short, at each stage.
- Official Title as Introduced
- To amend title XVIII of the Social Security Act to provide a waiver of the cap on annual payments for nursing and allied health education payments.
- Short Title(s) as Introduced
- TRAIN Act
- Technical Reset to Advance the Instruction of Nurses Act
Subjects
Assigned by the Library of Congress. Policy area: Health.
Text 1
Each version as it was printed, newest first.
- Jul 13, 2021Introduced in House
Everything here is as published by Congress: the summary is the Congressional Research Service's, the action wording is the clerks', and the subjects are the Library of Congress's. How far it got is read from the actions themselves, taking the most recent one of each kind, so a bill that failed a vote and later passed is shown as having passed. Records come from this bill on Congress.gov and govinfo.gov; cost estimates are the Congressional Budget Office's, and the hearings are the printed hearings GovInfo publishes, which can appear months after the hearing.
