Kids' Hospitals Recalibrate Resident Counts for Federal Funds
Published Date: 5/27/2025
Notice
Summary
Children's hospitals that train medical residents will see a new way to count their full-time residents for funding. This update matches the method used by Medicare, making things simpler and fairer for hospitals involved in both programs. The change starts soon and could affect how much money hospitals get for training future doctors.
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
CHGME FTE Count Aligned With Medicare
HRSA will update how eligible children's hospitals count weighted allopathic and osteopathic full‑time equivalent (FTE) residents for the Children's Hospitals Graduate Medical Education (CHGME) Payment Program so the method matches the Centers for Medicare & Medicaid Services (CMS) Medicare GME methodology. The change applies when the hospital's weighted allopathic and osteopathic FTE resident count exceeds its direct graduate medical education (GME) FTE resident cap and is intended to reduce administrative burden for hospitals that participate in both programs.
CHGME Funding Amounts May Change
Because the CHGME program will use the CMS Medicare methodology for counting weighted allopathic and osteopathic FTE residents when that count exceeds a hospital's direct GME FTE resident cap, the amount of CHGME payment a children's hospital receives for training residents could change. HRSA published the proposal and solicited comments (notice published December 30, 2024) and this notice summarizes and responds to comments from the 30‑day comment period.
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