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June 8, 2017 With the recent change of administration and a new congressional session beginning in 2017, medical education stakeholders have been watching closely for any signs on the political horizon regarding federal GME funding. Below are three key developments in the past month that provide some insight into current talk on the Hill likely to impact the medical education community. Advancing Medical Resident Training in Community Hospitals Act reintroduced in the Senate On June 6, the Senate reintroduced a bill designed to help hospitals that accidentally established Medicare GME caps and/or per resident amounts based on small numbers of resident rotators. The was introduced by Senators Bill Nelson (D-FL), Ron Johnson (R-WI), Rob Portman (R-OH), Tammy Baldwin (D-WI) and Sherrod Brown (D-OH). A House of Representatives version of the same bill is expected to be introduced in the near future.

The legislation addresses three problems: • Accidental establishment of a hospital's resident limit, or 'cap': The bill would permit community hospitals whose caps were accidentally established by small numbers of resident rotators to build and receive Medicare funding for new residency programs. Under the legislation, any hospital whose cap was established based on training fewer than 3. Disney Embroidery License - Download Free Apps more. 0 full-time equivalent (FTE) resident rotators from new residency training programs between October 1, 1997, and the date of enactment, would be permitted to establish new GME caps. • Accidental establishment of a hospital's per-resident amount (PRA): The bill would permit community hospitals whose PRAs were accidentally established by small numbers of resident rotators to build and receive Medicare funding for new residency training programs. Under the legislation, any hospital whose PRA was established based on training fewer than 3. Adobe Id And Password Generator. 0 FTE resident rotators between October 1, 1997, and the date of enactment, would be permitted to establish a new PRA. • Extremely low base-year cap: Any hospital whose base-year GME cap was set based on the training of less than 1.0 FTE resident prior to October 1, 1997, would be permitted to establish a new PRA. Moving forward, a hospital's GME caps and PRA would not be established until the hospital trained more than 1.0 FTE resident in a given fiscal year. Presidential budget proposal On May 22, 2017, President Trump released his which, although widely publicized for its significant proposed health care-related budget cuts, contained no specific recommendations for cuts to Medicare GME funding.