Bill Overview
Title: Foreign Medical School Accountability Fairness Act of 2022
Description: This bill revises the institutional eligibility criteria for a foreign graduate medical school to participate in federal student-aid programs. Specifically, the bill requires all foreign graduate medical schools to meet the same minimum requirements to participate in the programs.
Sponsors: Rep. Burgess, Michael C. [R-TX-26]
Target Audience
Population: Students in foreign graduate medical schools relying on U.S. federal student aid
Estimated Size: 5000
- There are many students worldwide attending foreign graduate medical schools seeking to use U.S. federal student-aid programs.
- Medical students look to financial aid programs to reduce the burden of high educational expenses.
- Changes in criteria for eligibility may make it harder for some schools to qualify, impacting student access to aid.
Reasoning
- The policy affects a relatively small, but very targeted group of students, specifically those attending foreign medical schools.
- The majority of these students may not rely on federal student aid, meaning the direct impact may be limited in scope.
- It's crucial to recognize the diverse backgrounds and circumstances of these students, noting some may be financially secure, while others could face significant barriers.
- Budget constraints indicate the policy's focus on monitoring and regulation rather than direct financial support addition, thus potentially affecting admission practices overseas rather than significantly altering the financial support available to students.
- The Cantril wellbeing scale (0-10) is an effective measure to gauge perceived quality of life influenced by economic, social, and policy shifts.
Simulated Interviews
Medical Student (New York)
Age: 24 | Gender: female
Wellbeing Before Policy: 8
Duration of Impact: 5.0 years
Commonness: 5/20
Statement of Opinion:
- I'm concerned that changes might disrupt my financial planning.
- It's important that U.S. standards are upheld, but sudden changes can be problematic.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 8 |
| Year 2 | 7 | 8 |
| Year 3 | 7 | 8 |
| Year 5 | 8 | 9 |
| Year 10 | 9 | 9 |
| Year 20 | 9 | 9 |
Physician Assistant (California)
Age: 32 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 10.0 years
Commonness: 7/20
Statement of Opinion:
- It was hard enough securing aid; making it stringent could dissuade potential physicians.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 7 |
| Year 2 | 6 | 7 |
| Year 3 | 6 | 8 |
| Year 5 | 7 | 8 |
| Year 10 | 7 | 8 |
| Year 20 | 8 | 8 |
Graduate Student (Texas)
Age: 26 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 3.0 years
Commonness: 8/20
Statement of Opinion:
- I've been managing without federal aid support, but peer accessibility concerns me.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 6 |
| Year 2 | 5 | 6 |
| Year 3 | 6 | 7 |
| Year 5 | 6 | 7 |
| Year 10 | 7 | 8 |
| Year 20 | 8 | 8 |
Resident (Florida)
Age: 29 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 1.0 years
Commonness: 6/20
Statement of Opinion:
- The policy should support rather than constrict options for American students abroad.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 8 |
| Year 2 | 8 | 8 |
| Year 3 | 8 | 8 |
| Year 5 | 8 | 9 |
| Year 10 | 9 | 9 |
| Year 20 | 9 | 9 |
Medical Student (Illinois)
Age: 28 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 0.0 years
Commonness: 10/20
Statement of Opinion:
- While I'm unaffected, peers could face unforeseen financial hurdles. It's concerning.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 7 | 8 |
| Year 5 | 8 | 8 |
| Year 10 | 8 | 9 |
| Year 20 | 9 | 9 |
Pre-med Student (Massachusetts)
Age: 25 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 8/20
Statement of Opinion:
- Eligibility could dictate my choice of school. I need assurances of financial viability.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 6 |
| Year 2 | 6 | 6 |
| Year 3 | 6 | 7 |
| Year 5 | 6 | 7 |
| Year 10 | 7 | 8 |
| Year 20 | 8 | 8 |
Medical Student (Washington)
Age: 23 | Gender: female
Wellbeing Before Policy: 8
Duration of Impact: 0.0 years
Commonness: 9/20
Statement of Opinion:
- I'm relieved my scholarships can cover any gaps, unlike those dependent on federal aid.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 8 | 8 |
| Year 2 | 8 | 8 |
| Year 3 | 8 | 8 |
| Year 5 | 8 | 9 |
| Year 10 | 9 | 9 |
| Year 20 | 9 | 9 |
Medical School Graduate (Louisiana)
Age: 30 | Gender: other
Wellbeing Before Policy: 6
Duration of Impact: 2.0 years
Commonness: 6/20
Statement of Opinion:
- It's crucial to expand support for Americans studying abroad, ensuring equitable treatment.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 7 |
| Year 2 | 6 | 7 |
| Year 3 | 7 | 7 |
| Year 5 | 7 | 8 |
| Year 10 | 8 | 8 |
| Year 20 | 9 | 9 |
Medical Student (Oregon)
Age: 27 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 5/20
Statement of Opinion:
- More consistency in aid disbursement is needed, changes bring unpredictability.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 4 | 5 |
| Year 2 | 5 | 6 |
| Year 3 | 6 | 7 |
| Year 5 | 7 | 7 |
| Year 10 | 8 | 8 |
| Year 20 | 9 | 9 |
Medical Educator (Georgia)
Age: 35 | Gender: female
Wellbeing Before Policy: 6
Duration of Impact: 10.0 years
Commonness: 4/20
Statement of Opinion:
- This policy could improve standards, but might shrink school choices for students.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 6 | 7 |
| Year 3 | 6 | 7 |
| Year 5 | 7 | 8 |
| Year 10 | 8 | 8 |
| Year 20 | 9 | 9 |
Cost Estimates
Year 1: $5000000 (Low: $4000000, High: $7000000)
Year 2: $4500000 (Low: $3500000, High: $6000000)
Year 3: $4000000 (Low: $3000000, High: $5000000)
Year 5: $3500000 (Low: $2500000, High: $4500000)
Year 10: $3000000 (Low: $2000000, High: $4000000)
Year 100: $1000000 (Low: $500000, High: $2000000)
Key Considerations
- The number of foreign medical schools currently participating in federal aid programs and how many might fail to meet new criteria.
- Potential increase in compliance and regulatory enforcement costs.
- The effect on U.S. medical workforce supply if access to affordable education abroad is restricted.