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ENROLLED HB 5001, ENGROSSED 1 2024 LEGISLATURE ______________________________________________________________________________ SECTION 3 - HUMAN SERVICES 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. 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 207, $12,789,000 from the General Revenue Fund and $17,211,000 from the Medical Care Trust Fund are provided to fund the Graduate Medical Education Slots for Doctors Program in accordance with section 409.909(6), Florida Statutes, 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 Governor’s Office of Policy and Budget, the chair of the Senate Committee on Appropriations, and the chair of the House of Representatives Appropriations Committee by April 1, 2025. From the funds in Specific Appropriation 207, $28,135,800 from the Grants and Donations Trust Fund and $37,864,200 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 207, $8,739,150 from the Grants and Donations Trust Fund and $11,760,850 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 207, $1,827,761 from the Grants and Donations Trust Fund and $2,459,739 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 70