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H.R. 4407 117th Congress House

TRAIN Act

Official title: 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.

Introduced: July 13, 2021 Introduced by: Lisa Blunt Rochester Democratic · Delaware See on congress.gov
Health Allied health servicesEducation programs fundingHealth programs administration and fundingHospital care
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Medical educationMedicareNursing
This bill died when the 117th Congress ended
It never became law before the 117th Congress (2021–2022) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jul 14, 2021
Referred to the Subcommittee on Health.
Jul 13, 2021
Referred to the Subcommittee on Health.
Jul 13, 2021
Referred 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, 2021
Introduced in House
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 Latest action July 14, 2021

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

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.)

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4407: TRAIN Act. 117th Congress. Open America. https://openamerica.io/bill/117-HR-4407/
MLA
"H.R. 4407: TRAIN Act." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-4407/.
Bluebook (legal)
H.R. 4407, 117th Cong. (2026), https://openamerica.io/bill/117-HR-4407/.
Markdown link
[H.R. 4407: TRAIN Act](https://openamerica.io/bill/117-HR-4407/)
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