HR 5409119th CongressIntroduced

Territory Health Revitalization Act

Introduced: Sep 16, 2025

Healthcare

Standard Summary

Comprehensive overview in 1-2 paragraphs

Territory Health Revitalization Act would change the Health Profession Opportunity Grants (HPOG) program by carving out a dedicated portion of funds for U.S. territories, make the Commonwealth of the Northern Mariana Islands (CNMI) eligible for these grants, and require that at least a couple of grants be awarded to entities located in territories when qualified applications exist. Specifically, 5 percent of each year’s HPOG funding would be reserved for territorial grants, CNMI would be eligible for HPOG funds (removing a prior eligibility barrier), and the Secretary of Health and Human Services would guarantee at least two territorial grants if there are sufficient qualified applications. The changes would take effect on October 1, 2025. In short, the bill aims to strengthen health workforce development in U.S. territories by ensuring funding and opportunities are available to territorial applicants, including CNMI, while adjusting how HPOG funds are distributed among states and territories.

Key Points

15 percent set-aside: Each fiscal year, 5% of HPOG funds will be reserved specifically for grants to territories (i.e., not to the 50 states or the District of Columbia) to support health professions initiatives there.
2CNMI eligibility: The bill makes the Commonwealth of the Northern Mariana Islands eligible for HPOG grants by altering the eligibility provisions.
3Territorial grant guarantees: The Secretary must award at least 2 HPOG grants to eligible entities located in a territory, provided there are a sufficient number of qualified applications that meet program requirements.
4Clarified/expanded territorial access: The changes collectively expand access to HPOG funds for territory-based organizations and ensure a guaranteed level of activity in territories when demand and quality applications exist.
5Effective date: The amendments take effect on October 1, 2025.

Impact Areas

Primary group/area affected- Residents and health systems in U.S. territories (including CNMI) who would benefit from expanded training and workforce development opportunities for health professionals.Secondary group/area affected- Territorial health education and training providers, hospitals, clinics, and other entities that could compete for HPOG grants.- Federal program administration (U.S. Department of Health and Human Services/HRSA) responsible for administering HPOG and implementing the set-aside and eligibility changes.Additional impacts- Potential shift in HPOG funding distribution, with a guaranteed portion (5%) earmarked for territories, which could affect the remaining funds available to states and DC.- Strengthened health workforce capacity in territories, potentially improving access to certain health services and career pathways for residents.- Administrative and compliance considerations for territories to prepare and submit qualified grant applications to meet the guaranteed grant requirement.

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