,,ii  #aac? ,,congress  #a/ ,session    
,s4 #ahbb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ab           
7legislative day1 ,decemb] #aa71        
#bjac,mr4 ,durb9 introduc$ ! foll[+     
bill2 :i* 0 read twice & ref]r$ to !    
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,high] ,education ,act ( #aife to     
e/abli% fair & consi/5t eligibility     
requirem5ts = graduate m$ical s*ools    
op]at+ outside ! ,unit$ ,/ates &        
,canada4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,=eign ,m$ical ,s*ool       
,acc\ntability ,fairness ,act ( #bjac4  
#b4 ,purpose ,to e/abli% consi/5t       
eligibility requirem5ts = graduate      
m$ical s*ools op]at+ outside ( ! ,unit$ 
,/ates & ,canada 9 ord] to increase     
acc\ntability & protect ,am]ican /ud5ts 
& taxpay] doll>s4  #c4 ,f9d+s ,congress 
f9ds ! foll[+3 7#a7 ,?ree =-pr(it s*ools
 9 ! ,c>ibbean receive m ?an two-?irds (
 all ,f$]al fund+ "u title ,,iv ( !     
,high] ,education ,act ( #aife 7#bj     

,u4,s4,c4 #ajgj et seq47 t goes to      
/ud5ts enroll$ at =eign graduate m$ical 
s*ools1 despite ^? ?ree s*ools be+      
exempt f meet+ ! same eligibility       
requirem5ts z ! majority ( graduate     
m$ical s*ools locat$ outside ( ! ,unit$ 
,/ates & ,canada4  7#b7 ,! ,national    
,committee on ,=eign ,m$ical ,education 
& ,accr$itation & ! ,dep>tm5t (         
,education recomm5d t all =eign graduate
 m$ical s*ools %\ld be requir$ to meet !
 same eligibility requirem5ts to        
p>ticipate 9 ,f$]al fund+ "u title ,,iv 
( ! ,high] ,education ,act ( #aife 7#bj 
,u4,s4,c4 #ajgj et seq47 & see no       
rationale = exclud+ c]ta9 s*ools4  7#c7 
,! attrition rate at ,unit$ ,/ates      
m$ical s*ools av]ag$ #c p]c5t = ! class 
beg9n+ 9 #bjji :ile rates at =-pr(it    
,c>ibbean s*ools h rea*$ #bf p]c5t or   
high]4  7#d7 ,9 #bjac1 resid5cy mat*    
rates = =eign tra9$ graduates av]ag$ #ec
 p]c5t comp>$ to #id p]c5t = graduates (
 m$ical s*ools 9 ! ,unit$ ,/ates4  7#e7 
,on av]age1 /ud5ts at =-pr(it m$ical    

s*ools op]at+ outside ( ! ,unit$ ,/ates 
& ,canada amass m /ud5t debt ?an ^? at  
m$ical s*ools 9 ! ,unit$ ,/ates4  #d4   
,repeal gr&fa!r provisions ,section     
#ajb7;a77#b7 ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajjb7;a77#b77 is
 am5d$-- 7#a7 9 subp>agraph 7,a71 by    
/rik+ clause 7i7 & ins]t+ ! foll[+3  7i7
 9 ! case ( a graduate m$ical s*ool     
locat$ outside ! ,unit$ ,/ates-- 7,i7 at
 lea/ #fj p]c5t ( ^? enroll$ 91 & at    
lea/ #fj p]c5t ( ! graduates (1 !       
graduate m$ical s*ool outside ! ,unit$  
,/ates 7 n p]sons describ$ 9 section    
#dhd7;a77#e7 9 ! ye> prec$+ ! ye> = :i* 
a /ud5t is seek+ a loan "u "p ,d ( title
 ,,iv2 &  7,,ii7 at lea/ #ge p]c5t ( !  
individuals :o 7 /ud5ts or graduates ( !
 graduate m$ical s*ool outside ! ,unit$ 
,/ates or ,canada 7bo? nationals ( !    
,unit$ ,/ates & o!rs7 tak+ ! exam9ations
 adm9i/]$ by ! ,educational ,commission 
= ,=eign ,m$ical ,graduates receiv$ a   
pass+ score 9 ! ye> prec$+ ! ye> = :i* a
 /ud5t is seek+ a loan "u "p ,d ( title 

,,iv2  2 &  7#b7 9 subp>agraph          
7,b77iii71 by add+ at ! end ! foll[+3   
7,v7 ,expiration ( au?ority ,! au?ority 
( a graduate m$ical s*ool describ$ 9    
subclause 7,i7 to qualify = p>ticipation
 9 ! loan programs "u "p ,d ( title ,,iv
 pursuant to ?is clause %all expire     
beg9n+ on ! fir/ ,july #a foll[+ ! date 
( enactm5t ( ! ,=eign ,m$ical ,s*ool    
,acc\ntability ,fairness ,act ( #bjac4  
4  #e4 ,loss ( eligibility ,if a        
graduate m$ical s*ool loses eligibility 
to p>ticipate 9 ! loan programs "u "p ,d
 ( title ,,iv ( ! ,high] ,education ,act
 ( #aife 7#bj ,u4,s4,c4 #ajhg;a et seq47
 due to ! enactm5t ( ! am5dm5ts made by 
section #d1 !n a /ud5t enroll$ at su*   
graduate m$ical s*ool on or be=e ! date 
( enactm5t ( ?is ,act may1 not)/&+ su*  
loss ( eligibility1 cont9ue to be       
eligible to receive a loan "u su* "p ,d 
:ile att5d+ su* graduate m$ical s*ool 9 
:i* ! /ud5t 0 enroll$ ^u ! date (       
enactm5t ( ?is ,act1 subject to ! /ud5t 
cont9u+ to meet all applicable          

requirem5ts = satisfactory academic     
progress1 until ! e>lie/ (-- 7#a7       
)drawal by ! /ud5t f ! graduate m$ical  
s*ool2  7#b7 completion ( ! program (   
/udy by ! /ud5t at ! graduate m$ical    
s*ool2 or  7#c7 ! f\r? ,june #cj aft]   
su* loss ( eligibility4