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

A.1. This appropriation includes an amount not to exceed $4,874,030 the first year and $5,009,375 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. In recognition of the statewide contribution of the Virginia Center on Aging to the Commonwealth and its statutory mandate from the General Assembly to conduct interdisciplinary studies and research and to provide information services for the benefit of older Virginians, the Center shall be exempt from the provisions of Item 158 A. of this act.

H.1. This appropriation includes $687,688 from the general fund and at least $506,709 from nongeneral funds the first year and $687,688 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. This appropriation includes $1,297,000 and 5.00 positions from the general fund and $532,780 from nongeneral funds the first year and $2,047,000 from the general fund and $988,840 from nongeneral funds the second for operating support for the School of Engineering.