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1998 Special Session I

Budget Bill - HB4001 (Introduced)

University of Virginia Medical Center

Item 175

Item 175

First Year - FY1999Second Year - FY2000
State Health Services (43000)$307,629,636$312,631,456
Inpatient Medical Services (43007)FY1999 $307,629,636FY2000 $312,631,456
Fund Sources: 
Higher Education OperatingFY1999 $307,629,636FY2000 $312,631,456

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 to the Department of Medical Assistance Services 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 Medical Assistance Services, 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 Medical Assistance Services shall approve a common criteria and methodology for determining free care attributable to the appropriations in Items 174 and 175.


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.