Authority: Title 23, Chapter 6.2, Code of Virginia.

A. The appropriation to the Medical College of Virginia Hospitals Authority provides for the care, treatment, health related services and education activities associated with Virginia patients, including indigent and medically indigent patients. Inasmuch as the Medical College of Virginia Hospitals Authority operates 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 authority will obtain payments from all third party payors, private and governmental, to the extent possible for care and services provided. The authority will account for its 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 authority 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 (Indigent Care Cost Report). Such expenditure report shall not include the cost of any financial loss incurred by any corporations, partnerships, insurers or other entities owned in whole or in part by the authority and not constituting a part of the authority, nor any financial loss incurred as a result of a joint venture arrangement.

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 551.10 and 551.20.

D. Funding for Family Practice, General Internal Medicine, and General Pediatrics is included in Virginia Commonwealth University's Educational and General appropriation. Other residencies, including the first year residencies in these generalist areas, are included in the authority's operating expenses.

E. 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 Medical College of Virginia Hospitals Authority shall reflect the goal of having 50 percent of total residencies in the area of Family Practice, General Internal Medicine, and General Pediatrics. This distribution reflects the recommendations of the Council on Graduate Medical Education.

G. The appropriation includes $330,000 the first year from the general fund for the Medical College of Virginia Hospitals Authority Poison Control Center .