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

A.1. Out of this appropriation, an amount not to exceed $5,5,917,069 the first year and $5,984,791 the second year from the general fund is designated for the operation of the Family Practice Residency Program and Family Practice medical student programs. 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. Out of this appropriation, an amount not to exceed $500,000 the first year and $500,000 the second year is designated from the general fund for outreach and continuing education programs of the Massey Cancer Center.

C. Out of this appropriation, $237,154 the first year and $237,154 the second year from the general fund is designated to support the Virginia Labor Center.

D. Out of this appropriation, $200,000 the first year and $200,000 the second year from the general fund is designated 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 is designated for the educational telecommunications project to provide graduate engineering education, subject to a plan approved by the State Council of Higher Education for Virginia.

F. Out of this appropriation, $30,000 the first year and $30,000 the second year shall be expended 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 $315,000 from the general fund the first year and $315,000 from the general fund the second year is designated for the Virginia Center on Aging.

H.1. Out of this appropriation, $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 is designated for the "generalist initiative" to sustain the successful increase in output from Virginia medical schools and generalist residency training programs achieved between 194 and 2000. Virginia Commonwealth University in conjunction with the University of Virginia and the Medical College of Hampton Roads shall jointly collect and report the yearly outcomes of the Virginia Generalist Initiative to the Secretary of Education and the State Council of Higher Education annually by October 2. The State Council shall report on the status of the Generalist Initiative to the House Appropriations and Senate Finance Committees at their regularly scheduled meetings in November.

2. Funding from the general fund for this Item shall not be continued unless the university continues to meet the goals identified below.

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

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

a. At least 50 percent of Virginia medical school graduates shall enter generalist program.

b. At least 50 percent of Virginia graduates shall enter generalist practice upon completion of residency training and at least 50 percent of those graduates shall practice in Virginia.

c. Virginia academic health centers, in cooperation with the Commonwealth of Virginia 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 actively recruit and retain 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 sustain educational experiences in community settings in general, and in medically underserved communities in particular, for both medical students and generalists.

5. Out of this appropriation, $253,606 the first year and $253,606 the second year from the general fund is designated for the Virginia Statewide Generalist Center for the Advancement of Generalist Medicine’s portion of the “generalist initiative” to increase the number of medical school graduates entering generalist medical fields.

I.1. Out of this appropriation, $2,350,000 from the general fund and at least $1,830,500 from nongeneral funds the first year and $2,350,000 from the general fund and at least $1,830,500 from nongeneral funds the second year is designated for operating support for the School of Engineering.

2. 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 shall be financed from nongeneral funds.

3. Out of this appropriation, $500,000 and 3.31 positions from the general fund and $462,500 and 3.07 positions from nongeneral funds the first year and $500,000 and 3.31 positions from the general fund and $925,000 and 5.31 positions from nongeneral funds the second year is designated to continue expansion of the undergraduate programs in the School of Engineering.

J. Out of this appropriation, $30,000 the first year and $30,000 the second year from the general fund is designated to support the Virginia Writing Project.

K. Out of this appropriation, $440,000 the first year and $440,000 the second year from the general fund is provided for the continued operation and expansion of The Autism Program of Virginia. The Commonwealth Institute for Child and Family Studies shall have oversight responsibility for the program and shall retain five percent each year for administration. The balance each year shall be provided to The Autism Program of Virginia for operation and expansion of 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.

M. Included in Item 291, paragraph C 3 of this act is $4,572,839 from the general fund and $214,930 in nongeneral funds the first year and $4,163,583 from the general fund and $214,930 in nongeneral funds the second year to support the debt service on bonds issued by the Virginia College Building Authority to finance equipment. The Treasury Board shall transfer to the Virginia College Building Authority on July 1, 2000, the amounts in the first year, and on July 1, 2001, the amounts in the second year to support the authority's debt obligation.

N. Out of this appropriation, $140,700 and 2.00 positions the first year and $140,700 and 2.00 positions the second year from the general fund is designated for support of the Virginia Executive Institute and the Commonwealth Management Institute.

O. Out of this appropriation, $405,054 and 2.33 positions the first year and $405,054 and 2.33 positions the second year from the general fund is designated to support the Winchester Family Practice program at Warren County Memorial Hospital.

P. This appropriation authorizes Virginia Commonwealth University to charge students a technology service fee in conformity with § 4-2.01 c of this act. This appropriation includes $774,512 the first year and $774,512 the second year from nongeneral funds, the unexpended balance of which shall not revert to the general fund in any fiscal year but shall be carried forward on the books of the Department of Accounts and allotted for expenditure each July 1. The fee charged resident undergraduate students each year shall not exceed one percent of the total of tuition and required fees charged in FY 1998, and the amounts appropriated in this Item reflect that policy. The Department of Planning and Budget shall allot technology fee revenues in excess of the amounts appropriated in this Item provided that the revenues are not generated by resident undergraduate students and provided that such revenues reflect a fee that does not exceed three percent of the total of tuition and required fees charged in FY 1998 to nonresident undergraduate students and three percent of the total of tuition and required fees charged in FY 1998 to graduate and professional students.

Q. Out of this appropriation, $400,000 the first year and $400,000 the second year from the general fund is provided in recognition of unreimbursed indigent care provided by medical school faculty separate from the care provided by the Medical College of Virginia Hospitals. These funds are in partial support of the direct cost of the first-professional medical education program for Virginia students. Cost study policies similar to those established in Item 215 of this act shall apply to these patients and financial transactions. The annual report required in Item 215 on financial activities and the qualification of patients shall be reported to the State Council of Higher Education and the Department of Planning and Budget.

R. Out of this appropriation, $400,000 the first year and $400,000 the second year from the general fund is designated for support of the Council on Economic Education.

S. Out of this appropriation, $150,000 the first year and $150,000 the second year from the general fund is designated for support of the Education Policy Institute.