text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Foreign Medical School 
  Accountability Fairness Act of 2013''.
  
  SEC. 2. PURPOSE.
  
      To establish consistent eligibility requirements for graduate 
  medical schools operating outside of the United States and Canada in 
  order to increase accountability and protect American students and 
  taxpayer dollars.
  
  SEC. 3. FINDINGS.
  
      Congress finds the following:
              (1) Three for-profit schools in the Caribbean receive more 
          than two-thirds 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 three 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.) and see no rationale for excluding certain 
          schools.
              (3) The attrition rate at United States medical schools 
          averaged 3 percent for the class beginning in 2009 while rates 
          at for-profit Caribbean schools have reached 26 percent or 
          higher.
              (4) In 2013, residency match rates for foreign trained 
          graduates averaged 53 percent compared to 94 percent for 
          graduates of 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 those at medical schools in the United 
          States.
  
  SEC. 4. REPEAL GRANDFATHER PROVISIONS.
  
      Section 102(a)(2) of the Higher Education Act of 1965 (20 U.S.C. 
  1002(a)(2)) is amended--
              (1) in subparagraph (A), by striking clause (i) and 
          inserting the following:
                              ``(i) in the case of a graduate medical 
                          school located outside the United States--
                                      ``(I) at least 60 percent of those 
                                  enrolled in, and at least 60 percent of 
                                  the graduates of, the graduate medical 
                                  school outside the United States were 
                                  not persons described in section 
                                  484(a)(5) in the year preceding the 
                                  year for which a student is seeking a 
                                  loan under part D of title IV; and
                                      ``(II) at least 75 percent of the 
                                  individuals who were students or 
                                  graduates of the graduate medical 
                                  school outside the United States or 
                                  Canada (both nationals of the United 
                                  States and others) taking the 
                                  examinations administered by the 
                                  Educational Commission for Foreign 
                                  Medical Graduates received a passing 
                                  score in the year preceding the year 
                                  for which a student is seeking a loan 
                                  under part D of title IV;''; and
              (2) in subparagraph (B)(iii), by adding at the end the 
          following:
                                      ``(V) Expiration of authority.--The 
                                  authority of a graduate medical school 
                                  described in subclause (I) to qualify 
                                  for participation in the loan programs 
                                  under part D of title IV pursuant to 
                                  this clause shall expire beginning on 
                                  the first July 1 following the date of 
                                  enactment of the Foreign Medical School 
                                  Accountability Fairness Act of 2013.''.
  
  SEC. 5. LOSS OF ELIGIBILITY.
  
      If a graduate medical school loses eligibility to participate in 
  the loan programs under part D of title IV of the Higher Education Act 
  of 1965 (20 U.S.C. 1087a et seq.) due to the enactment of the 
  amendments made by section 4, then a student enrolled at such graduate 
  medical school on or before the date of enactment of this Act may, 
  notwithstanding such loss of eligibility, continue to be eligible to 
  receive a loan under such part D while attending such graduate medical 
  school in which the student was enrolled upon the date of enactment of 
  this Act, subject to the student continuing to meet all applicable 
  requirements for satisfactory academic progress, until the earliest 
  of--
              (1) withdrawal by the student from the graduate medical 
          school;
              (2) completion of the program of study by the student at 
          the graduate medical school; or
              (3) the fourth June 30 after such loss of eligibility.
target: Foreign Medical School Accountability Fairness Act of 2013 - Amends the Higher Education Act of 1965 to eliminate the exemption of certain foreign medical schools from the prohibition on foreign medical schools participating in the William D. Ford Federal Direct Loan program, unless:  at least 60% of those enrolled in, and at least 60% of the graduates of, the foreign medical school during the preceding year were not citizens, nationals, or permanent residents of the United States or were not in the United States with the intention of becoming citizens or permanent residents; and at least 75% of students or graduates of the medical school located outside the United States or Canada who took the examinations administered by the Educational Commission for Foreign Medical Graduates in the preceding year received a passing score.  Preserves the Direct Loan eligibility of students who were enrolled at schools excepted from that prohibition on or before the date of this Act's enactment.  
feat_title: Foreign Medical School Accountability Fairness Act of 2013