,,ii  #aagth ,,congress  #b;d ,session  
,s4 #dgib  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #g1 
#bjbb,mr4 ,durbin introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,health1 
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to amend the ,higher ,education
 ,act of #aife to establish fair and    
consistent eligibility requirements for 
graduate medical schools operating      
outside the ,united ,states and ,canada4
  #a4 ,short title ,this ,act may be    
cited as the ,foreign ,medical ,school  
,accountability ,fairness ,act of #bjbb4
  #b4 ,purpose ,to establish consistent 
eligibility requirements for graduate   
medical schools operating outside of the
 ,united ,states and ,canada in order to
 increase accountability and protect    
,american students and taxpayer dollars4
  #c4 ,findings ,congress finds the     
following3 7#a7 ,three for-profit       
schools in the ,caribbean have          
historically received nearly  of all    

,federal funding under title ,,iv of the
 ,higher ,education ,act of #aife 7#bj  
,u4,s4,c4 #ajgj et seq47 that goes to   
students enrolled at foreign graduate   
medical schools1 despite those three    
schools being exempt from meeting the   
same eligibility requirements as the    
majority of graduate medical schools    
located outside of the ,united ,states  
and ,canada4  7#b7 ,the ,national       
,committee on ,foreign ,medical         
,education and ,accreditation and the   
,department of ,education recommend that
 all foreign graduate medical schools   
should be required to meet the same     
eligibility requirements to participate 
in ,federal funding under title ,,iv of 
the ,higher ,education ,act of #aife    
7#bj ,u4,s4,c4 #ajgj et seq474  7#c7    
,the attrition rate at ,united ,states  
medical schools averaged #c4c percent   
between #aiic and #bjac1 while rates at 
for-profit ,caribbean medical schools   
have been known to reach #cj percent4   
7#d7 ,in #bjbb1 residency match rates   

for foreign trained graduates averaged  
#fa4d percent compared to #ib4i percent 
for graduates of allopathic medical     
schools in the ,united ,states and #ia4c
 percent for graduates of osteopathic   
medical schools in the ,united ,states4 
7#e7 ,on average1 students at for-profit
 medical schools operating outside of   
the ,united ,states and ,canada amass   
more student debt than those at medical 
schools in the ,united ,states4  #d4    
,repeal grandfather provisions ,section 
#ajb7;a77#b7 of the ,higher ,education  
,act of #aife 7#bj ,u4,s4,c4            
#ajjb7;a77#b77 is amended-- 7#a7 in     
subparagraph 7,a71 by striking clause   
7i7 and inserting the following3  7i7 in
 the case of a graduate medical school  
located outside the ,united ,states--   
7,i7 at least #fj percent of those      
enrolled in1 and at least #fj percent of
 the graduates of1 the graduate medical 
school outside the ,united ,states were 
not persons described in section        
#dhd7;a77#e7 in the year preceding the  

year for which a student is seeking a   
loan under part ,d of title ,,iv2 and   
7,,ii7 at least #ge percent of the      
individuals who were students or        
graduates of the graduate medical school
 outside the ,united ,states or ,canada 
7both nationals of the ,united ,states  
and others7 taking the examinations     
administered by the ,educational        
,commission for ,foreign ,medical       
,graduates received a passing score in  
the year preceding the year for which a 
student is seeking a loan under part ,d 
of title ,,iv2  2 and  7#b7 in          
subparagraph 7,b77iii71 by adding at the
 end the following3  7,v7 ,expiration of
 authority ,the authority of a graduate 
medical school described in subclause   
7,i7 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 #a  
following the date of enactment of the  
,foreign ,medical ,school               
,accountability ,fairness ,act of #bjbb4

  4  #e4 ,loss of eligibility ,if a     
graduate medical school loses           
eligibility to participate in the loan  
programs under part ,d of title ,,iv of 
the ,higher ,education ,act of #aife    
7#bj ,u4,s4,c4 #ajhg;a et seq47 due to  
the enactment of the amendments made by 
section #d1 then a student enrolled at  
such graduate medical school on or      
before the date of enactment of this    
,act may1 notwithstanding such loss of  
eligibility1 continue to be eligible to 
receive a loan under such part ,d while 
attending such graduate medical school  
in which the student was enrolled upon  
the date of enactment of this ,act1     
subject to the student continuing to    
meet all applicable requirements for    
satisfactory academic progress1 until   
the earliest of-- 7#a7 withdrawal by the
 student from the graduate medical      
school2  7#b7 completion of the program 
of study by the student at the graduate 
medical school2 or  7#c7 the fourth     
,june #cj after such loss of            

eligibility4