Grants and Donations Trust Fund and $2,608,515 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 B. Payments are
distributed proportionally per 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, $10,155,460 from the
Grants and Donations Trust Fund and $13,644,540 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 Region F 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 2023 Florida
Hospital Uniform Reporting System data as of November 1, 2024. The funds
shall be distributed proportionally per the filled primary care 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 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 216, $1,877,480 from the
Grants and Donations Trust Fund and $2,522,520 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 for institutions
participating in a graduate medical education program. The agency is
authorized to submit a budget amendment pursuant to chapter 216, Florida
Statutes, requesting spending authority to manage 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.
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 a nursing workforce expansion and education program for
institutions participating in 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. 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 216, $16,129,260 from the