gastroenterology; general internal medicine; geriatric medicine;
hematology; oncology; infectious diseases; neonatology; nephrology;
neurological surgery; obstetrics/gynecology; ophthalmology; orthopedic
surgery; pediatrics; physical medicine and rehabilitation; plastic
surgery/reconstructive surgery; psychiatry; pulmonary/critical care;
radiation oncology; rheumatology; thoracic surgery; urology; and
vascular surgery. The Agency for Health Care Administration shall
annually submit a Graduate Medical Education Slots for Doctors report on
the number of newly created resident full-time equivalent (FTE)
positions by each eligible hospital and qualifying institution,
including the physician specialty or subspecialty in statewide
supply/demand deficit associated with the newly created FTE. The agency
shall submit the report to the Governor's Office of Policy and Budget,
the chair of the Senate Committee on Appropriations, and the chair of
the House Budget Committee by April 1, 2026.
From the funds in Specific Appropriation 203, $71,458,800 from the
Grants and Donations Trust Fund and $94,541,200 from the Medical Care
Trust Fund are provided to statutory teaching hospitals as defined in
section 408.07(45), Florida Statutes, which provide highly specialized
tertiary care including: comprehensive stroke and Level 2 adult
cardiovascular services; NICU II and III; and adult open heart; and has
more than 30 full-time equivalent (FTE) residents over the Medicare cap
in accordance to the CMS-2552 provider 2021 fiscal year end federal
Centers for Medicare and Medicaid Services Healthcare Cost Report
Information System data extract on December 1, 2022, schedule E-4, line
6 minus schedule E-4, line 5, shall be designated as a High Tertiary
Statutory Teaching Hospital and eligible for funding calculated on a per
GME resident-FTE proportional allocation that shall be in addition to
any other GME funding. Of these funds, $29,850,000 shall be first
distributed to hospitals with greater than 500 unweighted 2022-2023
fiscal year FTEs. The remaining funds shall be distributed
proportionally based on the total unweighted 2022-2023 fiscal year FTEs.
Payments to providers under this section of proviso are contingent upon
the nonfederal share being provided through intergovernmental transfers
in the Grants and Donations Trust Fund. In the event the funds are not
available in the Grants and Donations Trust Fund, the State of Florida
is not obligated to make payments under this section of proviso.
From the funds in Specific Appropriation 203, $8,954,400 from the
Grants and Donations Trust Fund and $11,545,600 from the Medical Care
Trust Fund are provided to fund up to $150,000 per full-time equivalent
(FTE) in primary care as defined in section 409.909, Florida Statutes,
and training in Medicaid Region 1 and/or Medicaid Region 2. Payments are
distributed proportionally per all the filled State Fiscal Year
2022-2023 Medicaid approved Graduate Medical Education FTEs. Payments to
providers under this section of proviso are contingent upon the
nonfederal share being provided through intergovernmental transfers in
the Grants and Donations Trust Fund. In the event the funds are not
available in the Grants and Donations Trust Fund, the State of Florida
is not obligated to make payments under this section of proviso.
From the funds in Specific Appropriation 203, $1,872,780 from the
Grants and Donations Trust Fund and $2,414,720 from the Medical Care
Trust Fund are provided to fund up to $175,000 per full-time equivalent
(FTE) in primary care as defined in section 409.909, Florida Statutes,
and training in public hospitals in Medicaid Region 4. Payments are
distributed proportionally per the filled State Fiscal Year 2022-2023
Medicaid approved Graduate Medical Education FTEs. Payments to providers
under this section of proviso are contingent upon the nonfederal share
being provided through intergovernmental transfers in the Grants and
Donations Trust Fund. In the event the funds are not available in the
Grants and Donations Trust Fund, the State of Florida is not obligated
to make payments under this section of proviso.
From the funds in Specific Appropriation 203, $10,395,840 from the
Grants and Donations Trust Fund and $13,404,160 from the Medical Care
Trust Fund are provided to fund full-time equivalents (FTEs) in primary
care as defined in section 409.909, Florida Statutes, and training in
Medicaid regions with traditional primary care demand greater than
supply by 85 percent or more as documented in the IHS Markit Florida
Statewide and Regional Physician Workforce Analysis: 2019 to 2035, 2021
Update to Projections of Supply and Demand: Exhibit 23 Physician Gap
divided by Supply by Specialty and Medicaid Region, 2035. The first
distribution of these funds in the amount of $4,500,000 shall be
distributed proportionally per-FTE to hospitals with greater than or
equal to 14 percent Medicaid utilization, based on the 2022 Florida