995115                                                     
Florida Senate - 2017                                Committee       Amendment
SPB2500                                                 AHS              106


The Committee on Appropriations (Brandes) recommended the following LATE 
FILED amendment:

Section: 03              EXPLANATION:

On Page: 050             Earmarks $200,000 from the graduate medical 
                         education program funding for two addiction medicine 
Spec App:  197           specialist positions located at a substance abuse 
                         treatment facility.

NET IMPACT ON:            Total Funds       General Revenue          Trust Funds
    Recurring -                    0                     0                    0 
Non-Recurring -                    0                     0                    0 
______________________________________________________________________________________

                                               Positions & Amount   Positions & Amount
                                                     DELETE         INSERT

        AGENCY FOR HEALTH CARE ADMINISTRATION
        Program: Health Care Services
        Medicaid Services To Individuals  68501400

        In Section 03  On Page 050
197     Special Categories  101581
        Graduate Medical Education  IOEE

Immediately following Specific Appropriation 197, DELETE:

From   the   funds  in  Specific  Appropriation  197, $30,704,000  from
the General Revenue Fund and $38,380,000 from the Grants and Donations
Trust Fund and $61,620,000 from the Medical Care Trust Fund are provided
to  fund  the Statewide Medicaid  Residency Program  and the Graduate
Medical Education Startup Bonus Program. Of these funds $80,000,000
shall be used to fund the Statewide Medicaid Residency Program in
accordance with section 409.909(3), Florida Statutes. Of these funds,
$42,262,976 shall be distributed to the two hospitals with the largest
number of graduate medical residents in statewide supply/demand deficit;
and  $400,000 is provided to four positions in place during state fiscal
year 2017-2018 at Federally Qualified Health Centers that hold
institutional accreditation from the Accreditation Council for Graduate
Medical Education, which have had those positions for a period of one
year. The remaining funds shall be used to fund the Graduate Medical
Education  Startup Bonus Program in accordance with section 409.909 (5),
Florida   Statutes, and are provided for the following  physician

 995115  Log:0140  RTF/RTF           04/04/17 03:01:58 PM  Senate  Page: 1
specialties and subspecialties, both adult and pediatric, that are in
statewide supply/demand deficit: allergy or immunology; anesthesiology;
cardiology; endocrinology; family medicine; general surgery; hematology; 
  oncology; infectious diseases; nephrology; neurology; 
obstetrics/gynecology; ophthalmology; orthopedic surgery; 
otolaryngology; psychiatry; pulmonary; radiology; hematology; thoracic
surgery; and urology. Funding for the Graduate Medical Education Startup
Bonus Program is contingent on the non-federal share being provided
through intergovernmental transfers in the Grants and Donation Trust
Fund.

AND INSERT:

From   the   funds  in  Specific  Appropriation  197,  $30,704,000  from
the  General  Revenue Fund and $38,380,000 from the Grants and Donations
Trust Fund and $61,620,000 from the Medical Care Trust Fund are provided
to  fund  the  Statewide  Medicaid  Residency  Program  and the Graduate
Medical  Education  Startup  Bonus  Program.  Of these funds $80,000,000
shall  be  used  to  fund  the  Statewide  Medicaid Residency Program in
accordance  with  section  409.909(3), Florida Statutes. Of these funds,
$42,262,976  shall  be distributed to the two hospitals with the largest
number of graduate medical residents in statewide supply/demand deficit;
and  $400,000 is provided to four positions in place during state fiscal
year   2017-2018   at  Federally  Qualified  Health  Centers  that  hold
institutional  accreditation from the Accreditation Council for Graduate
Medical  Education,  which  have had those positions for a period of one
year. Of these funds, $200,000 is provided for two accredited addiction 
medicine positions in place during state fiscal year 2017-2018 at a 
substance abuse treatment facility which has had those positions for a 
period of five years. The  remaining  funds  shall be used to fund the 
Graduate Medical Education  Startup Bonus Program in accordance with 
section 409.909 (5), 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; endocrinology; family    
medicine; general surgery; hematology; oncology; infectious diseases; 
nephrology; neurology; obstetrics/gynecology; ophthalmology;       
orthopedic surgery; otolaryngology;  psychiatry;  pulmonary; radiology; 
hematology; thoracic surgery; and urology. Funding for the Graduate 
Medical Education Startup Bonus  Program  is  contingent  on  the 
non-federal share being provided through  intergovernmental  transfers  
in  the Grants and Donation Trust Fund.









 995115  Log:0140  RTF/RTF           04/04/17 03:01:58 PM  Senate  Page: 2