{ "id": "R45067", "type": "CRS Report", "typeId": "R", "number": "R45067", "active": true, "source": "CRSReports.Congress.gov, Federation of American Scientists, EveryCRSReport.com", "versions": [ { "source_dir": "crsreports.congress.gov", "title": "Children\u2019s Hospitals Graduate Medical Education (CHGME)", "retrieved": "2023-07-17T04:03:23.232094", "id": "R45067_10_2023-06-13", "formats": [ { "filename": "files/2023-06-13_R45067_443d1c85db0722907905424996355980617f3aba.pdf", "format": "PDF", "url": "https://crsreports.congress.gov/product/pdf/R/R45067/10", "sha1": "443d1c85db0722907905424996355980617f3aba" }, { "format": "HTML", "filename": "files/2023-06-13_R45067_443d1c85db0722907905424996355980617f3aba.html" } ], "date": "2023-06-13", "summary": null, "source": "CRSReports.Congress.gov", "typeId": "R", "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=R45067", "type": "CRS Report" }, { "source": "Federation of American Scientists", "sourceLink": "https://sgp.fas.org/crs/", "id": "R45067_FAS", "date": "2021-10-22", "retrieved": "2021-10-22T22:05:34", "title": "Children's Hospital Graduate Medical Education (CHGME)", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20211022_R45067_72020b195cc94d8eedac66a1204ed527d907fa18.pdf" }, { "format": "HTML", "filename": "files/20211022_R45067_72020b195cc94d8eedac66a1204ed527d907fa18.html" } ], "topics": [] }, { "source_dir": "crsreports.congress.gov", "title": "Children\u2019s Hospitals Graduate Medical Education (CHGME)", "retrieved": "2023-07-17T04:03:23.229379", "id": "R45067_8_2021-10-21", "formats": [ { "filename": "files/2021-10-21_R45067_72020b195cc94d8eedac66a1204ed527d907fa18.pdf", "format": "PDF", "url": "https://crsreports.congress.gov/product/pdf/R/R45067/8", "sha1": "72020b195cc94d8eedac66a1204ed527d907fa18" }, { "format": "HTML", "filename": "files/2021-10-21_R45067_72020b195cc94d8eedac66a1204ed527d907fa18.html" } ], "date": "2021-10-21", "summary": null, "source": "CRSReports.Congress.gov", "typeId": "R", "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=R45067", "type": "CRS Report" }, { "source": "EveryCRSReport.com", "id": 586350, "date": "2018-10-16", "retrieved": "2019-12-20T20:45:50.559000", "title": "Children\u2019s Hospitals Graduate Medical Education (CHGME)", "summary": "The Children\u2019s Hospitals Graduate Medical Education (CHGME) program provides direct financial support to children\u2019s hospitals to train medical residents and fellows. The program is administered by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services (HHS) and is authorized in Section 340E of the Public Health Service Act (PHSA). CHGME receives annual discretionary appropriations, and its funding has increased in recent years. The program was funded at $315 million in FY2018 and will receive $325 million in FY2019.\nHospitals typically receive support for graduate medical education (GME) through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. Because the Medicare program is used primarily by people who are over the age of 65, and children\u2019s hospitals treat primarily people below the age of 18, children\u2019s hospitals have low Medicare patient volume and receive few Medicare GME payments.\nPrior to the CHGME program, advocates argued that the lack of direct federal support for GME in children\u2019s hospitals impeded the development of the pediatric workforce. Program proponents argued that children\u2019s hospitals, rather than general hospitals, are more likely to have the patient volume necessary to train pediatric subspecialists. Since the program was created in 1999, the size of the pediatric subspecialty workforce has increased. The CHGME program supports the training of nearly half of general pediatricians and more than half of all pediatric subspecialists. In the most recent year for which final training data are available (academic year 2016-2017), the program provided financial support to more than 7,100 medical residents and fellows. In FY2017, the program supported training at 58 free-standing children\u2019s hospitals located in 29 states, the District of Columbia, and Puerto Rico.\nThe program\u2019s appropriations were reauthorized in 2018 by P.L. 115-241, the Dr. Benjy Frances Brooks Children\u2019s Hospital GME Support Reauthorization Act of 2018, which extended the program\u2019s authorizations of appropriations until FY2023 and increased the amount authorized to $325 million. Under prior law, the program\u2019s authorization had been set to expire at the end of FY2018 and the amount authorized had been $300 million. The reauthorization did not include substantive changes to the program. The President\u2019s budget for FY2019 proposed to eliminate funding for this program; instead, it proposed that CHGME funds be combined with other sources of GME support, which would require new legislation.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "https://www.crs.gov/Reports/R45067", "sha1": "4d525e2f49cd22f4dd996712e25db261d1148541", "filename": "files/20181016_R45067_4d525e2f49cd22f4dd996712e25db261d1148541.html", "images": {} }, { "format": "PDF", "encoding": null, "url": "https://www.crs.gov/Reports/pdf/R45067", "sha1": "cb881b4538def5ccdc078d1505a9bb9c3c127aa6", "filename": "files/20181016_R45067_cb881b4538def5ccdc078d1505a9bb9c3c127aa6.pdf", "images": {} } ], "topics": [] }, { "source": "EveryCRSReport.com", "id": 584657, "date": "2018-08-28", "retrieved": "2018-09-10T13:13:32.073011", "title": "Children\u2019s Hospitals Graduate Medical Education (CHGME)", "summary": "The Children\u2019s Hospitals Graduate Medical Education (CHGME) program provides direct financial support to children\u2019s hospitals to train medical residents and fellows. The program is administered by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services (HHS) and is authorized in Section 340E of the Public Health Service Act (PHSA). CHGME receives annual discretionary appropriations and received $299.3 million in FY2017. The program is currently funded at $135 million for FY2018 under P.L. 115-141, which provided full-year appropriations for FY2018. \nHospitals typically receive support for graduate medical education (GME) through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. Because the Medicare program is used primarily by people who are over the age of 65, and children\u2019s hospitals treat primarily people below the age of 18, children\u2019s hospitals have low Medicare patient volume and receive few Medicare GME payments.\nPrior to the CHGME program, advocates argued that the lack of direct federal support for GME in children\u2019s hospitals impeded the development of the pediatric workforce. Program proponents argued that children\u2019s hospitals, rather than general hospitals, are more likely to have the patient volume necessary to train pediatric subspecialists. Since the program was created in 1999, the size of the pediatric subspecialty workforce has increased. The CHGME program supports the training of nearly half of general pediatricians and more than half of all pediatric subspecialists. In the most recent year for which final training data are available (academic year 2016-2017), the program provided financial support to more than 7,100 medical residents and fellows. In FY2017, the program supported training at 58 free-standing children\u2019s hospitals located in 29 states, the District of Columbia, and Puerto Rico.\nThe program\u2019s appropriations are authorized through FY2018. Legislation to reauthorize the CHGME program is under consideration in the 115th Congress. On July 23, 2018, the Dr. Benjy Frances Brooks Children\u2019s Hospital GME Support Reauthorization Act of 2018 (H.R. 5385) passed the House. S. 2597 was introduced in the Senate and reported by the Senate Committee on Health, Education, Labor and Pensions on April 25, 2018. Both bills would reauthorize the program through FY2023 and would increase the program\u2019s authorized appropriations. The House bill would authorize an annual appropriation of $325 million, allocating $105 million for Direct Graduate Medical Education Payments (DGME) and $220 million for Indirect Graduate Medical Education Payments (IME). Neither bill would make substantive changes to the program. The Senate-reported bill would authorize an annual appropriation of $330 million, allocating $110 million for DGME and $220 million for IME. The President\u2019s budget for FY2019 proposed to eliminate funding for this program; instead, it proposed that CHGME funds be combined with other sources of GME support, which would require new legislation. As part of considering the consolidation proposal and the program\u2019s potential reauthorization, Congress may evaluate a number of related policy issues. These include, but are not limited to, whether the program size is appropriate (i.e., whether the current number of residents trained is appropriate to meet the current and future workforce needs), whether the program\u2019s level of support per resident is appropriate, and whether the volume and type of information that the CHGME program collects is appropriate and being utilized effectively.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R45067", "sha1": "982cb10bd5e1f0bb06fe8c4486f70c682cb2b7eb", "filename": "files/20180828_R45067_982cb10bd5e1f0bb06fe8c4486f70c682cb2b7eb.html", "images": {} }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R45067", "sha1": "9b74aa03486d1433f863fba3fe5be94d64613c84", "filename": "files/20180828_R45067_9b74aa03486d1433f863fba3fe5be94d64613c84.pdf", "images": {} } ], "topics": [] }, { "source": "EveryCRSReport.com", "id": 580491, "date": "2018-04-24", "retrieved": "2018-05-10T10:26:09.429147", "title": "Children\u2019s Hospital Graduate Medical Education (CHGME)", "summary": "The Children\u2019s Hospital Graduate Medical Education (CHGME) program provides direct financial support to children\u2019s hospitals to train medical residents and fellows. The program is administered by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services (HHS) and is authorized in Section 340E of the Public Health Service Act (PHSA). CHGME receives annual discretionary appropriations and received $299.3 million in FY2017. The program is currently funded under the FY2018 continuing resolution (P.L. 115-96) until January 19, 2018. \nHospitals typically receive support for graduate medical education (GME) through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. Because the Medicare program is used primarily by people who are over the age of 65, and children\u2019s hospitals treat primarily people below the age of 18, children\u2019s hospitals have low Medicare patient volume and receive few Medicare GME payments.\nPrior to the CHGME program, advocates argued that the lack of direct federal support for GME in children\u2019s hospitals impeded the development of the pediatric workforce. Program proponents argued that children\u2019s hospitals, rather than general hospitals, are more likely to have the patient volume necessary to train pediatric subspecialists. Since the program was created in 1999, the size of the pediatric subspecialty workforce has increased. The CHGME program supports the training of nearly half of general pediatricians and more than half of all pediatric subspecialists. In the most recent year for which final training data are available (academic year 2016-2017), the program provided financial support to more than 7,100 medical residents and fellows. In FY2017, the program supported training at 58 free-standing children\u2019s hospitals located in 29 states, the District of Columbia, and Puerto Rico.\nThe program\u2019s appropriations are authorized through FY2018. The President\u2019s budget for FY2019 proposed to eliminate funding for this program; instead, it proposed that CHGME funds be combined with other sources of GME support, which would require new legislation. As part of considering the consolidation proposal and the program\u2019s potential reauthorization, Congress may evaluate a number of related policy issues. These include, but are not limited to, whether the program size is appropriate (i.e., whether the current number of residents trained is appropriate to meet the current and future workforce needs), whether the program\u2019s level of support per resident is appropriate, and whether the volume and type of information that the CHGME program collects is appropriate and being utilized effectively.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R45067", "sha1": "6cdeaa2578fb2c71f91e8512dc1084ad43bd9c26", "filename": "files/20180424_R45067_6cdeaa2578fb2c71f91e8512dc1084ad43bd9c26.html", "images": {} }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R45067", "sha1": "1f370337adf6a16f8965d16387ccdbb9770f2bd6", "filename": "files/20180424_R45067_1f370337adf6a16f8965d16387ccdbb9770f2bd6.pdf", "images": {} } ], "topics": [] }, { "source": "EveryCRSReport.com", "id": 577360, "date": "2018-01-03", "retrieved": "2018-01-05T14:21:35.099023", "title": "Children\u2019s Hospital Graduate Medical Education (CHGME)", "summary": "The Children\u2019s Hospital Graduate Medical Education (CHGME) program provides direct financial support to children\u2019s hospitals to train medical residents and fellows. The program is administered by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services (HHS) and is authorized in Section 340E of the Public Health Service Act (PHSA). CHGME receives annual discretionary appropriations and received $299.3 million in FY2017. The program is currently funded under the FY2018 continuing resolution (P.L. 115-96) until January 19, 2018. The program\u2019s appropriations are authorized through FY2018. \nHospitals typically receive support for graduate medical education (GME) through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. Because the Medicare program is used primarily by people who are over the age of 65, and children\u2019s hospitals treat primarily people below the age of 18, children\u2019s hospitals have low Medicare patient volume and receive few Medicare GME payments.\nPrior to the CHGME program, advocates argued that the lack of direct federal support for GME in children\u2019s hospitals impeded the development of the pediatric workforce. Program proponents argued that children\u2019s hospitals, rather than general hospitals, are more likely to have the patient volume necessary to train pediatric subspecialists. Since the program was created in 1999, the size of the pediatric subspecialty workforce has increased. The CHGME program supports the training of nearly half of general pediatricians and more than half of all pediatric subspecialists. In the most recent year for which final training data are available (FY2015), the program provided financial support to more than 6,800 medical residents and fellows. In FY2017, the program supported training at 58 free-standing children\u2019s hospitals located in 29 states, the District of Columbia, and Puerto Rico.\nAs part of its potential reauthorization of the program, Congress may evaluate a number of related policy issues. These include, but are not limited to, whether the program size is appropriate (i.e., whether the current number of residents trained is appropriate to meet the current and future workforce needs), whether the program\u2019s level of support per resident is appropriate, and whether the volume and type of information that the CHGME program collects is appropriate and being utilized effectively.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R45067", "sha1": "9f3d709a0ea1aa33d592cf39f40e4774e6f98a87", "filename": "files/20180103_R45067_9f3d709a0ea1aa33d592cf39f40e4774e6f98a87.html", "images": {} }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R45067", "sha1": "a30b9e3c19c01f566b56c49d9cc0c4aa5baa5ef6", "filename": "files/20180103_R45067_a30b9e3c19c01f566b56c49d9cc0c4aa5baa5ef6.pdf", "images": {} } ], "topics": [] } ], "topics": [ "Health Policy" ] }