I 
116TH CONGRESS 
1ST SESSION 
H. R. 103 
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. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 3, 2019 
Mr. BURGESS introduced the following bill; which was referred to the 
Committee on Education and Labor 
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. 
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 ‘‘Foreign Medical School 
Accountability Fairness Act of 2019’’. 
SEC. 2. PURPOSE. 
The purpose of this Act is to establish consistent eli-
gibility requirements for graduate medical schools oper-
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ating outside of the United States and Canada in order 
to increase accountability and protect American students 
and taxpayer dollars. 
SEC. 3. 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 med-
ical 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 exami-
nations administered by the Edu-
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cational Commission for Foreign Med-
ical 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
AUTHOR-
ITY.—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 Fair-
ness Act of 2019.’’. 
SEC. 4. LOSS OF ELIGIBILITY. 
If a graduate medical school loses eligibility to par-
ticipate 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 3, then a student enrolled at such graduate med-
ical school on or before the date of enactment of this Act 
may, notwithstanding such loss of eligibility, continue to 
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be eligible to receive a loan under such part D while at-
tending such graduate medical school in which the student 
was enrolled upon the date of enactment of this Act, sub-
ject to the student continuing to meet all applicable re-
quirements for satisfactory academic progress, until the 
earliest of— 
(1) withdrawal by the student from the grad-
uate 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 eligi-
bility. 
Æ 
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