Findings

Congress finds the following: (1) Three for-profit schools in the Caribbean have historically received nearly ¾ of all Federal funding under title IV of the Higher Education Act of 1965 (20 U.S.C. 1070 et seq.) that goes to students enrolled at foreign graduate medical schools, despite those 3 schools being exempt from meeting the same eligibility requirements as the majority of graduate medical schools located outside of the United States and Canada. (2) 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 1965 (20 U.S.C. 1070 et seq.). (3) The attrition rate at United States medical schools averaged 3.2 percent between 1998 and 2018, while rates at for-profit Caribbean medical schools have been known to reach 30 percent. (4) In 2025, residency match rates for foreign trained graduates averaged 67.8 percent compared to 93.5 percent for graduates of allopathic medical schools in the United States and 92.6 percent for graduates of osteopathic medical schools in the United States. (5) On average, students at for-profit medical schools operating outside of the United States and Canada amass more student debt than students at medical schools in the United States.