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H.R. 4407: TRAIN Act

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H.R. 4407: TRAIN Act

117th Congress · introduced 2021-07-13 · Health · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2021-07-13 · official record
  2. Who proposed it: Rep. Blunt Rochester, Lisa [D-DE-At Large] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

TRAIN Act

Plain summary

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.)

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

TRAIN Act

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

Arguments for (supporters)

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Arguments against (opponents)

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Blunt Rochester, Lisa [D-DE-At Large] · 35 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Darin LaHood (R-IL), Josh Gottheimer (D-NJ), Adrian Smith (R-NE), Michael R. Turner (R-OH), Robert J. Wittman (R-VA), Lloyd Doggett (D-TX), Darren Soto (D-FL), Stephen F. Lynch (D-MA), Lucy McBath (D-GA), Brian K. Fitzpatrick (R-PA), Terri A. Sewell (D-AL), Carol D. Miller (R-WV), Don Bacon (R-NE), Jefferson Van Drew (R-NJ), Chrissy Houlahan (D-PA), Pete Aguilar (D-CA), Bradley Scott Schneider (D-IL), Mike Rogers (R-AL), Daniel Meuser (R-PA), Jake Auchincloss (D-MA)

Sponsor's campaign money: Rep. Blunt Rochester, Lisa [D-DE-At Large] reported raising $1.2 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)
Bill
A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong117-hr4407 · catalog fed-us-congress-bills-cong117 · updated 2026-11-15 by psicol fed-bills-cong117