Authority: Title 23, Chapter 6.1, Code of Virginia.

A.1. This appropriation includes an amount not to exceed $4,987,449 the first year and $5,146,582 the second year from the general fund for the operation of the Family Practice Residency Program and Family Practice medical student programs. General Internal Medicine and General Pediatrics Residency Programs and related undergraduate medical student programs are considered low-revenue producing because of their location in underserved and rural locations. Consistent with the recommendation of the Council on Graduate Medical Education, Family Practice residencies shall represent 50 percent of the low-revenue residencies and general internal medicine and general pediatrics shall represent 50 percent. Further, it is the intent of the General Assembly that Medicare, Medicaid, and Indigent Care funding, in combination with other revenues, should ultimately fund 75 percent of these programs. This objective should be implemented over a six-year period. This appropriation for Family Practice Programs, whether ultimately implemented by contract, agreement or other means, is considered to be a grant.

2. The University shall report by July 1 annually to the Department of Planning and Budget an operating plan for the Family Practice Residency Program.

3. The University, in cooperation with the University of Virginia, shall establish elective Family Practice Medicine experiences in Southwest Virginia for both students and residents.

B. This appropriation includes an amount not to exceed $500,000 the first year and $500,000 the second year from the general fund for outreach and continuing education programs of the Massey Cancer Center.

C. This appropriation includes $107,154 the first year and $107,154 the second year from the general fund to support the Virginia Labor Center.

D. This appropriation includes $200,000 the first year and $200,000 the second year from the general fund to support the Center on Urban Development.

E. Out of this appropriation shall be expended an amount estimated at $388,468 from the general fund and $168,533 from nongeneral funds the first year and $388,468 from the general fund and $168,533 from nongeneral funds the second year for the educational telecommunications project to provide graduate engineering education, subject to a plan approved by the State Council of Higher Education for Virginia. From these funds, the institution shall pay the Department of Information Technology for transponder and telecommunications services.

F. Out of this appropriation $30,000 shall be expended the first year and $30,000 the second year from the general fund to provide financial support to Virginia resident students during the medical school phase of their MD/PhD program.

G. Out of this appropriation, not less than $285,000 from the general fund the first year and $285,000 from the general fund the second year is provided for the Virginia Center on Aging.

H.1. This appropriation includes $887,688 from the general fund and at least $506,709 from nongeneral funds the first year and $887,688 from the general fund and at least $506,709 from nongeneral funds the second year for the "generalist initiative" to increase the number of medical school graduates entering generalist medical fields. Of the appropriations from the general fund, $300,000 the first year and $300,000 the second year are contingent upon the receipt of matching grants of like amounts.

2. The amounts appropriated shall be used for recruitment and admissions, curriculum enhancement and graduate medical education.

3. It is the intent of the General Assembly that the goals of the Virginia Generalist Initiative shall be as follows:

a. By the year 2000, at least 50 percent of Virginia medical school graduates shall enter generalist practice;

b. By the year 2000, at least 50 percent of Virginia medical school graduates entering generalist practice shall enter practice in Virginia upon completion of residency training;

c. Output of Virginia graduate medical education programs will be consistent with the 50 percent goal;

d. Virginia academic health centers, in cooperation with Virginia's "Practice Sights Initiative," will actively contribute to strategies for eliminating generalist physician shortages in medically underserved areas of Virginia.

4. Further, it is the intent of the General Assembly that:

a. Generalist initiative recruitment and admissions programs shall be designed to increase the number of Virginia medical students with an interest in generalist medicine from medically underserved areas of the Commonwealth; and

b. Generalist initiative education programs shall be designed to increase educational experiences in community settings in general, and in medically underserved communities in particular, for both medical students and generalists.

I.1. This appropriation includes $1,297,000 and 5.00 positions from the general fund and $532,780 from nongeneral funds the first year and $2,000,000 from the general fund and $988,840 from nongeneral funds the second year for operating support for the School of Engineering.

2. Consistent with the agreement entered into with the State Council of Higher Education and the Council's December 13, 1994, approval to initiate a School of Engineering, appropriations for the School of Engineering will be contingent upon the university:

a. Having met the fund-raising goal itemized in HB 29/SB 29 Item 223.L.2. of Chapter 853 (1995) for Fiscal Year 1996;

b. Receiving no more than $2,000,000 in support from the general fund in any future fiscal year, adjusted for inflation, for operating costs of the school;

c. Financing from private contributions all costs of building construction and other fixed costs, including debt service, and all costs of any shelled space in the new engineering building, except for costs related to an economic development project the General Assembly may wish to finance from the general fund;

d. Financing from private contributions all costs for maintenance and operation of the physical plant of the new engineering school and future renovations, repairs, and improvements as they become necessary;

e. Cooperating with Virginia Polytechnic Institute and State University for at least seven years;

f. Setting tuition for students attending the new college at market rates; and

g. Constructing the new engineering building in accordance with State law, but with minimal review by the Department of General Services.

J. This appropriation includes $21,375 the first year and 21,375 the second year from the general fund to support the Virginia Writing Project.

K. Out of this appropriation, not less than $237,500 the first year and $190,000 the second year from the general fund is provided to the ARC Association for Retarded Citizens for the development, implementation and operation of the Autism Training and Family Support Program. The Commonwealth Institute for Child and Family Studies in the Department of Psychiatry shall have oversight responsibility for the program.

L. It is the intent of the General Assembly to assist the three Virginia medical schools as they respond to changes in the need for delivery and financing of medical education, both undergraduate and graduate. The University of Virginia, Virginia Commonwealth University, and the Medical College of Hampton Roads shall present a report to the Council of Higher Education and the Secretary of Education by October 1, 1996, that describes the costs of medical education and current revenues from all sources to meet these costs, and that documents the actual and projected loss of revenues from sources other than the general fund. The Council and the Secretary shall recommend to the Governor and the General Assembly a funding methodology for medical education, including the Generalist Initiative, for the 1997-98 fiscal year.

M. This appropriation includes $1,509,420 from the general fund and $214,930 in nongeneral funds the first year and $1,039,742 from the general fund and $214,930 in nongeneral funds the second year for lease payments to support the cost of equipment purchased with the proceeds of bonds issued by the Virginia College Building Authority. The Director of the Department of Planning and Budget shall transfer to the Virginia College Building Authority on July 1, 1996, the amounts in the first year, and on July 1, 1997, the amounts in the second year to support the authority's debt obligation.

N. This appropriation includes $90,700 the first year and $90,700 the second year and 2.00 positions from the general fund for support of the Virginia Executive Institute and the Commonwealth Management Institute.