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ENROLLED HB 5001, ENGROSSED 1 2024 LEGISLATURE ______________________________________________________________________________ SECTION 3 - HUMAN SERVICES 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, $10,145,940 from the Grants and Donations Trust Fund and $13,654,060 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 Hospital Uniform Reporting System data as of October 1, 2023. The funds shall be distributed proportionally per the filled primary care State Fiscal Year 2022-2023 Medicaid approved Graduate Medical Education FTEs. Payments to providers under this section of proviso are contingent upon approval of the nonfederal share 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, $1,875,720 from the Grants and Donations Trust Fund and $2,524,280 from the Medical Care Trust Fund are provided to fund up to $200,000 per filled Fiscal Year 2023-2024 unweighted FTE resident, fellow or intern position in an accredited program who rotates through mental health and behavioral health facilities licensed under chapter 394, Florida Statutes, to address the severe deficit of physicians trained in these specialties. 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. The Agency for Health Care Administration is authorized to expend funds in the Grants and Donations Trust Fund and the Medical Care Trust Fund to manage an indirect medical education program and a nursing workforce expansion and education program for institutions participating in a graduate medical education or a nursing education program. The agency is authorized to submit a budget amendment pursuant to chapter 216, Florida Statutes, requesting spending authority to manage the program. For institutions participating in the nursing workforce expansion and education program, the budget amendment shall identify the educational institution partnering with the teaching hospital. Institutions participating in the nursing workforce expansion and education program shall provide quarterly reports to the Agency for Health Care Administration detailing the number of nurses participating in the program. Payments to institutions pursuant to 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, $573,138 in nonrecurring funds from the Grants and Donations Trust Fund, and $771,309 in nonrecurring funds from the Medical Care Trust Fund are provided to Citrus Health Network, Inc. to fund psychiatry residency slots for Federally Qualified Health Centers that hold continued institutional accreditation from the Accreditation Council for Graduate Medical Education in adult and child psychiatry. Payments to providers under this section of proviso are contingent upon approval of the nonfederal share 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 (HF 2011) (SF 1083). From the funds in Specific Appropriation 207, $578,688 in nonrecurring funds from the General Revenue Fund is provided for the Ascension Sacred Heart Nurse Registry Program (HF 2806) (SF 1197). 71