Authority: §§ 23-62 through 23-85, Code of Virginia and Chapter 38, Acts of Assembly of 1978.
A. The appropriation to the University of Virginia Medical Center provides for the care, treatment, health related services and education activities associated with Virginia patients, including indigent and medically indigent patients. Inasmuch as the University of Virginia Medical Center is a state teaching hospital, this appropriation is to be used to jointly support the education of health students through patient care provided by this appropriation. The Medical Center will obtain payments from all third party payors, private and governmental, to the extent possible for care and services provided. The Medical Center will account for financial activities based on generally accepted accounting principles for the health care industry and will report expenditures for indigent, medically indigent, and other patients. The Auditor of Public Accounts and the State Comptroller shall monitor the implementation of these procedures. The University shall report by October 31 annually to the Department of Planning and Budget, the Comptroller and the Auditor of Public Accounts on expenditures related to this item.
B. By July 1 of each year, the Director of the Department of Planning and Budget shall approve a common criteria and methodology for determining free care attributable to the appropriations in Items 173 and 174.
C. Funding for Family Practice, General Internal Medicine, and General Pediatrics is included in the University of Virginia's Educational and General appropriation. Other residencies, including the first year residencies in these generalist areas, are included in the hospital appropriation.
D. To increase the utilization of primary care physicians and residents in the delivery of services, it is the intent of the General Assembly that actual staffing of residencies and fellow positions at the University of Virginia Medical Center - Hospital shall reflect the goal of having 50 percent of total residencies in the areas of Family Practice, General Internal Medicine, and General Pediatrics. This distribution reflects the recommendations of the Council on Graduate Medical Education.
E. Included in Item 322 is $40,886,011 from the general fund and $40,886,011 in nongeneral funds the first year and $40,869,175 from the general fund and $40,869,175 in nongeneral funds for Medicaid payments for the University of Virginia Medical Center. In the event that additional funding is available through projected balances in the Department of Medical Assistance Services' budget, the cited amounts may be increased.
F. This appropriation includes $523,000 the first year and $523,000 the second year from the general fund for the University of Virginia Medical Center's Blue Ridge Poison Center, a portion of which will be used to provide poison control services to Northern Virginia. The Blue Ridge center may subcontract with the National Capital Poison Center for the service.