- $140 million for primary care training and enhancement as authorized by Title VII, Section 747 of the Public Health Service Act;
- $10 million for development grants for teaching health centers; and
- $4 million for rural physician training grants.
“We urge the committee to increase the level of federal funding for primary care training to reinvigorate medical education (and) residency programs, as well as academic and faculty development in primary care to prepare physicians to support the patient-centered medical home.”
The AAFP called for other funding increases, as well, including President Obama’s requested funding of $418.5 million for the National Health Services Corps and at least $405 million for the Agency for Healthcare Research and Quality, or AHRQ.
“AHRQ’s investment in patient-centered outcomes research will help Americans make the informed decisions we must make to focus on paying for quality rather than quantity,” said the AAFP. “By determining what has limited efficacy or does not work, this important research can spare patients from tests and treatments of little value.”
Among other programs that are critical to the primary care physician pipeline, according to the AAFP, is the teaching health center program, which provides resources to qualified, community-based, ambulatory care settings that operate as primary care residency programs. These settings include federally qualified health centers, rural health clinics, community mental health centers, health centers operated by the Indian Health Service and centers that receive Title X grants.
In addition, the Academy continues to call for reforms to graduate medical education programs that encourage training of primary care residents in nonhospital settings, which is where most primary care is delivered.
“We were pleased that the Patient Protection and Affordable Care Act authorized a mandatory appropriations trust fund of $230 million over five years to fund the operations of teaching health centers,” the AAFP said. “However, if this program is to be effective, there must be funds for the planning grants to establish newly accredited or expanded primary care residency programs.”
The Academy also addressed rural health needs in its testimony. For example, the Rural Physician Training Grants Program helps medical schools recruit students who are more likely to practice medicine in rural communities. “This modest program … will help provide rural-focused training and experience and increase the number of recent medical school graduates who practice in underserved rural communities,” the AAFP said.