OMB No. 0915-0313
Expiration Date: 11/30/2010
Bureau of Health Professions
December 1, 2008
Dear Hospital:
The Children’s Hospitals Graduate Medical
Education (CHGME) Payment Program was
reauthorized for a period of five years
by the Children’s Hospital GME Support
Reauthorization Act of 2006 (Public Law
109-307) in October 2006. The reauthorizing
legislation requires children’s hospitals
participating in the CHGME Payment Program
to provide information about their residency
training programs in an Annual Report
submitted as an addendum to the hospitals’
annual applications for funds.
Enclosed is the CHGME Payment Program
Annual Report package, which includes
all applicable forms, guidance and instructions.
It is very important to thoroughly read
the detailed annual report guidance and
instructions before completing the required
forms. Additional copies of the annual
report package may be obtained electronically
via the CHGME website at http://bhpr.hrsa.gov/childrenshospitalgme/apply.htm.
Your completed annual report package must
be mailed following the guidance provided
in the “Annual Report and Deadlines” section
of the enclosed package.
If you have questions regarding the annual
report, please call the Graduate Medical
Education Branch at 301-443-1058 or
e-mail at childrenshospitalgme@hrsa.gov.
Sincerely yours,
/s/
Marcia K. Brand, Ph.D.
Associate Administrator
Enclosures
Children’s Hospitals Graduate
Medical Education
Payment Program (CHGME) Annual Report
Package
OMB No. 0915-0313
Expiration Date: 11/30/2010
Introduction
The Children’s Hospital Graduate Medical
Education (CHGME) Payment Program provides
funds to freestanding children’s hospitals
to support the training of pediatric and
other residents in graduate medical education
(GME) programs. This program compensates
for the disparity in the level of Federal
funding for freestanding children’s hospitals
and other teaching hospitals supported
by Centers for Medicare and Medicaid Services
(CMS) GME funds.
Description
The CHGME Payment Program was established
in 1999 when Congress passed the Healthcare
Research and Quality Act. The act was
signed on December 6, 1999 and the legislation
authorized the program for Federal fiscal
year (FY) 2000 and FY 2001. On October
17, 2000, the Children’s Health Act of
2000 amended the Healthcare Research and
Quality Act of 1999 extending the CHGME
Payment Program through FY 2005. On December
23, 2004, additional amendments under
Public Law 108-490 were made to Section
340E of the Public Health Service Act
affecting the CHGME Payment Program. The
Children’s Hospitals Graduate Medical
Education (CHGME) Payment Program was
reauthorized again, for a period of five
years, by the Children’s Hospital GME
Support Reauthorization Act of 2006 (Public
Law 109-307) in October 2006. In FY 2008,
the CHGME Payment Program was funded at
$303 million.
There are about 60 freestanding children’s
teaching hospitals across the country
that train about 30 percent of the Nation’s
pediatricians, nearly half of pediatric
sub-specialists, and provide valuable
training for physicians in many other
specialties. These are the physicians
who care for America’s youngest population
– its children. Almost 50 percent of
the patient care that children’s teaching
hospitals provide is for low-income children,
including those covered by Medicaid and
those who are uninsured. In addition,
these hospitals are regional and national
referral centers for very sick children,
often serving as the only source of care
for many critical pediatric services.
More than 75 percent of inpatient care
at children’s hospitals is devoted to
children with one or more chronic conditions.
The CHGME Payment Program provides a
more adequate level of support for GME
training in U.S. children’s teaching hospitals
that have a separate Medicare provider
number. These hospitals receive relatively
little funding from Medicare for GME.
Funding received by other teaching hospitals
from Medicare was expected to exceed more
than $8 billion in FY 2005.
The CHGME Payment Program law authorized
$280 million for payments in FY 2000,
$285 million in FY 2001, and “such sums
as necessary” for fiscal years 2002 through
2005. Congress appropriated $40 million
for the program in FY 2000, $235 million
in FY 2001, $285 million in FY 2002, $292
million in FY 2003, $305 million for FY
2004, and $303 million for FY 2005. For
both FY 2004 and FY 2005 Congress implemented
a recision reducing total appropriated
amounts. In FY 2005, the CHGME appropriation
provided GME support to 60 children's
hospitals in 31 states supporting more
than 4,100 unweighted resident full-time
equivalents (FTEs) training in these hospitals.
For both FY 2006 and FY 2007, the annual
appropriation for the CHGME Payment Program
was $297 million. In FY 2007, the program
again provided GME support to 60 children’s
hospitals. Since the inception of this
program, the program has disbursed more
than $1.1 billion in Federal GME support
to freestanding children’s teaching hospitals.
Administration
With delegated authority from the Secretary,
Health and Human Services, the CHGME Payment
Program is administered by the Health
Resources and Services Administration,
Bureau of Health Professions.
Questions regarding the CHGME Payment
Program should be directed to the:
Department of Health and Human Services
Health Resources and Services Administration
Bureau of Health Professions
Division of Medicine and Dentistry
Graduate Medical Education Branch
Parklawn Building
5600 Fishers Lane, Room 9A-05
Rockville, Maryland 20857
Telephone: 301-443-1058
Fax: 301-443-1879
next page: Section
II. Annual Report Deadline and Statuatory
Requirements
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