Fiscal Year:
    
Primary Budget:
Comparison Budget:

   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. Funding
   for  the  Graduate Medical Education Startup Bonus Program is contingent
   on   the  nonfederal  share  being  provided  through  intergovernmental
   transfers in the Grants and Donation Trust Fund.

   From  the  funds  in  Specific  Appropriation  216, $34,136,000 from the
   General  Revenue  Fund  and $45,864,000 from the Medical Care Trust Fund
   are  provided  to  fund the Graduate Medical Education Slots for Doctors
   Program,  and  are  provided for the following physician specialties and
   subspecialties,   both  adult  and  pediatric,  that  are  in  statewide
   supply/demand    deficit:   allergy   or   immunology;   anesthesiology;
   cardiology; colon and rectal surgery; emergency medicine; endocrinology;
   family  medicine; 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 Executive Office of the Governor's Office
   of   Policy   and   Budget,   the  chair  of  the  Senate  Committee  on
   Appropriations,  and  the  chair  of the House of Representatives Budget
   Committee by April 1, 2027.

   From  the  funds  in  Specific  Appropriation  216,  $2,560,200 from the
   General Revenue Fund and $3,439,800 from the Medical Care Trust Fund are
   provided  to the Agency for Health Care Administration for the Slots for
   Doctors  Program  established in s. 409.909, Florida Statutes, for up to
   10  newly  created  positions  for  each  designated  behavioral  health
   teaching hospital designated under s. 395.902(4), Florida Statutes.  The
   agency shall allocate $150,000 for each newly created position.

   From  the  funds  in  Specific  Appropriation  216, $70,832,200 from the
   Grants  and  Donations  Trust Fund and $95,167,800 from the Medical Care
   Trust  Fund  are  provided to statutory teaching hospitals as defined in
   section  408.07(46),  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,  $78,309,504 shall be first
   distributed  equally  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  216,  $8,747,350 from the
   Grants  and  Donations  Trust Fund and $11,752,650 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   A.  Payments  are  distributed
   proportionally  per all the filled State Fiscal Year 2023-2024 Statewide
   Medicaid  Residency  Program  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  216,  $1,941,485 from the