I 
119TH CONGRESS 
1ST SESSION H. R. 6468 
To amend the Public Health Service Act to authorize rural residency planning 
and development grant programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 4, 2025 
Mrs. MILLER of West Virginia (for herself, Ms. TOKUDA, Mr. SMITH of Ne-
braska, and Mr. CARTER of Louisiana) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to authorize rural 
residency planning and development grant programs, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Rural Residency Plan-
ning and Development Act of 2025’’. 
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SEC. 2. RURAL RESIDENCY PLANNING AND DEVELOPMENT 
PROGRAMS. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by inserting after section 330A– 
2 (42 U.S.C. 254c–1b) the following: 
‘‘SEC. 330A–3. RURAL RESIDENCY PLANNING AND DEVELOP-
MENT PROGRAM AND RURAL RESIDENCY 
PLANNING AND DEVELOPMENT TECHNICAL 
ASSISTANCE PROGRAM. 
‘‘(a) RURAL RESIDENCY PLANNING AND DEVELOP-
MENT PROGRAM.— 
‘‘(1) GRANTS.— 
‘‘(A) IN
GENERAL.—The Secretary may 
award grants to eligible entities to establish new 
rural residency programs (including adding new 
rural training sites to existing rural track pro-
grams). 
‘‘(B) FUNDING.—Grants awarded under 
this subsection may be fully funded at the time 
of the award. 
‘‘(C) TERM.—The term of a grant under 
this subsection shall be 3 years and may be ex-
tended at the discretion of the Secretary. 
‘‘(2) APPLICATIONS.— 
‘‘(A) IN GENERAL.—To be eligible to re-
ceive a grant under this subsection, an eligible 
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entity shall prepare and submit to the Secretary 
an application at such time, in such manner, 
and containing such information as the Sec-
retary may require, including a description of 
the pathway of the rural residency program as 
described in subparagraph (B). 
‘‘(B) PATHWAY.—A pathway of a rural 
residency program supported under this sub-
section shall be for— 
‘‘(i) general primary care and high- 
need specialty care, including family medi-
cine, internal medicine, preventive medi-
cine, psychiatry, or general surgery; 
‘‘(ii) maternal health and obstetrics, 
which may be obstetrics and gynecology or 
family medicine with enhanced obstetrical 
training; or 
‘‘(iii) any other pathway as deter-
mined appropriate by the Secretary. 
‘‘(b) RURAL RESIDENCY PLANNING AND DEVELOP-
MENT TECHNICAL ASSISTANCE PROGRAM.— 
‘‘(1) GRANTS.— 
‘‘(A) IN
GENERAL.—The Secretary may 
award grants to eligible entities to provide tech-
nical assistance to awardees of and potential 
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