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HR 5378119th CongressIntroduced

Tribal Healthcare Careers Act

Introduced: Sep 16, 2025
HealthcareLabor & Employment
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Tribal Healthcare Careers Act would modify the Health Profession Opportunity Grants (HPOG) program under the Social Security Act to ensure more of its funding goes to Indian populations. Specifically, it would reserve 15 percent of HPOG funds each fiscal year for Indian tribes, tribal organizations, and Tribal Colleges and Universities (TCUs). It would also require the Secretary to guarantee that at least 10 HPOG grants are awarded to eligible Indian tribal entities (tribes, tribal organizations, or TCUs) in any given year, as long as there are a sufficient number of eligible applications. The bill takes effect October 1, 2025. Overall, the aim is to strengthen health workforce training and career opportunities within Indian communities.

Key Points

  • 115 percent set-aside: Each fiscal year, 15% of Health Profession Opportunity Grant funds must be reserved for grants to Indian tribes, tribal organizations, and Tribal Colleges and Universities.
  • 2Guaranteed grants: The Secretary must award at least 10 HPOG grants in a year to eligible Indian tribal entities, provided there are a sufficient number of qualifying applications.
  • 3Eligible recipients: The guaranteed-grant provision applies to Indian tribes, tribal organizations, and Tribal Colleges and Universities.
  • 4Effective date: The amendments take effect starting October 1, 2025.
  • 5Legislative mechanics: The bill amends sections 2008(c)(1) and 2008(a)(2)(C) of the Social Security Act to implement the set-aside and the grant-guarantee provisions.

Impact Areas

Primary group/area affected: Indian tribes, tribal organizations, and Tribal Colleges and Universities, through increased access to HPOG funds for health workforce training and career development.Secondary group/area affected: Other eligible HPOG participants and programs that compete for HPOG funding, as some funds would be carved out for tribal entities.Additional impacts: Potential improvements in tribal health outcomes and workforce capacity, possible administrative questions around definitions and the allocation process, and clearer prioritization of tribal health workforce needs within the HPOG program.
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