TRAIN Act
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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.)
Referred to the Subcommittee on Health.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 4407: TRAIN Act. 117th Congress. Open America. https://openamerica.io/bill/117-HR-4407/
"H.R. 4407: TRAIN Act." 117th Congress, 2026, Open America, https://openamerica.io/bill/117-HR-4407/.
H.R. 4407, 117th Cong. (2026), https://openamerica.io/bill/117-HR-4407/.
[H.R. 4407: TRAIN Act](https://openamerica.io/bill/117-HR-4407/)