135.176 - MEDICAL RESIDENCY TRAINING STATE MATCHING GRANTS PROGRAM -- REPEAL.

        135.176  MEDICAL RESIDENCY TRAINING STATE MATCHING
      GRANTS PROGRAM -- REPEAL.
         1.  The department shall establish a medical residency training
      state matching grants program to provide matching state funding to
      sponsors of accredited graduate medical education residency programs
      in this state to establish, expand, or support medical residency
      training programs.  Funding for the program may be provided through
      the health care workforce shortage fund or the medical residency
      training account created in section 135.175.  For the purposes of
      this section, unless the context otherwise requires, "accredited"
      means a graduate medical education program approved by the
      accreditation council for graduate medical education or the American
      osteopathic association.  The grant funds may be used to support
      medical residency programs through any of the following:
         a.  The establishment of new or alternative campus accredited
      medical residency training programs.  For the purposes of this
      paragraph, "new or alternative campus accredited medical residency
      training program" means a program that is accredited by a
      recognized entity approved for such purpose by the accreditation
      council for graduate medical education or the American osteopathic
      association with the exception that a new medical residency training
      program that, by reason of an insufficient period of operation is not
      eligible for accreditation on or before the date of submission of an
      application for a grant, may be deemed accredited if the
      accreditation council for graduate medical education or the American
      osteopathic association finds, after consultation with the
      appropriate accreditation entity, that there is reasonable assurance
      that the program will meet the accreditation standards of the entity
      prior to the date of graduation of the initial class in the program.

         b.  The provision of new residency positions within existing
      accredited medical residency or fellowship training programs.
         c.  The funding of residency positions which are in excess of
      the federal residency cap.  For the purposes of this paragraph, "in
      excess of the federal residency cap" means a residency position for
      which no federal Medicare funding is available because the residency
      position is a position beyond the cap for residency positions
      established by the federal Balanced Budget Act of 1997, Pub. L. No.
      105-33.
         2.  The department shall adopt rules pursuant to chapter 17A to
      provide for all of the following:
         a.  Eligibility requirements for and qualifications of a
      sponsor of an accredited graduate medical education residency program
      to receive a grant.  The requirements and qualifications shall
      include but are not limited to all of the following:
         (1)  Only a sponsor that establishes a dedicated fund to support a
      residency program that meets the specifications of this section shall
      be eligible to receive a matching grant.  A sponsor funding residency
      positions in excess of the federal residency cap, as defined in
      subsection 1, paragraph "c", exclusive of funds provided under
      the medical residency training state matching grants program
      established in this section, is deemed to have satisfied this
      requirement and shall be eligible for a matching grant equal to the
      amount of funds expended for such residency positions, subject to the
      limitation on the maximum award of grant funds specified in paragraph
      "e".
         (2)  A sponsor shall demonstrate, through documented financial
      information as prescribed by rule of the department, that funds have
      been reserved and will be expended by the sponsor in the amount
      required to provide matching funds for each residency proposed in the
      request for state matching funds.
         (3)  A sponsor shall demonstrate, through objective evidence as
      prescribed by rule of the department, a need for such residency
      program in the state.
         b.  The application process for the grant.
         c.  Criteria for preference in awarding of the grants,
      including preference in the residency specialty.
         d.  Determination of the amount of a grant.  The total amount
      of a grant awarded to a sponsor shall be limited to no more than
      twenty-five percent of the amount that the sponsor has demonstrated
      through documented financial information has been reserved and will
      be expended by the sponsor for each residency sponsored for the
      purpose of the residency program.
         e.  The maximum award of grant funds to a particular
      individual sponsor per year.  An individual sponsor shall not receive
      more than twenty-five percent of the state matching funds available
      each year to support the program.  However, if less than ninety-five
      percent of the available funds has been awarded in a given year, a
      sponsor may receive more than twenty-five percent of the state
      matching funds available if total funds awarded do not exceed
      ninety-five percent of the available funds.  If more than one sponsor
      meets the requirements of this section and has established, expanded,
      or supported a graduate medical residency training program, as
      specified in subsection 1, in excess of the sponsor's twenty-five
      percent maximum share of state matching funds, the state matching
      funds shall be divided proportionately among such sponsors.
         f.  Use of the funds awarded.  Funds may be used to pay the
      costs of establishing, expanding, or supporting an accredited
      graduate medical education program as specified in this section,
      including but not limited to the costs associated with residency
      stipends and physician faculty stipends.
         3.  This section is repealed June 30, 2014.  
         Section History: Recent Form
         2009 Acts, ch 118, §46, 54
         Referred to in § 135.175 
         Footnotes
         Implementation of section conditioned upon availability of
      funding; 2009 Acts, ch 118, §54