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AAMC Statement to House Labor-HHS Subcommittee
 

 

Issue Briefs
Health Professions Education FY 2000 Funding


Current Status as of November 10, 1999

The conference report of the FY 2000 Labor-HHS-Education appropriations bill passed by the House on October 28 and the Senate on November 2 provides $324 million for health professions and nursing education. However, this amount includes $20 million for children's hospitals graduate medical education. When this and the 1% across-the-board cut are removed, health professions would receive $301 million, a reduction of about $800,000 from the FY 1999 level. The President vetoed the conference report on November 3.

AAMC Action

The AAMC supports the recommendation of the Health Professions and Nursing Education Coalition (HPNEC) that the Title VII and VIII programs should receive an appropriation of $316 million for FY 2000. This represents a 4 percent increase over the amount the Congress appropriated in FY 1999. The AAMC submitted a statement for the record in support of this increase on April 15, 1999, to the House Labor-HHS-Education Appropriations Subcommittee. The AAMC also co-hosted with HPNEC and the University of Washington a briefing for congressional staff on May 21.

Background

Title VII and Title VIII of the Public Health Service Act authorize a variety of grants for students, programs, and institutions to improve the racial and ethnic diversity, geographic distribution, and quality of the health care work force. These programs are designed to meet the nation's needs by increasing the supply of primary medical and dental care providers and public health and allied health professionals, training more health professionals in fields experiencing shortages, improving the geographic distribution of health professionals, expanding access to health care in underserved areas, and enhancing minority representation in the pool of practicing health professionals.

As this nation's health care delivery system undergoes rapid and dramatic changes, an appropriate supply and distribution of health professionals has never been more essential to the public's health. The Titles VII and VIII programs are critical to help institutions and programs respond to these current and emerging challenges and insure that all Americans have access to appropriate and timely health services.

President's FY 2000 Budget

President Clinton submitted his FY 2000 budget to Congress on February 1. The administration proposed $252 million for health professions and nursing education programs, a decrease of $50 million (17 percent) from last year. The administration proposed:

  • $109 million for the Training for Diversity cluster, a $16 million increase targeted to the Centers of Excellence and the Health Careers Opportunity programs;
  • elimination of the Primary Medicine and Dentistry Program, which received $80 million in FY 1999, and the Public Health Workforce Development Program, which received $9 million in FY 1999;
  • $65 million for the Nursing Workforce Development cluster, the same as FY 1999; and
  • $37 million for the Community-Based Linkages cluster, a decrease of $17 million.

The administration also requested $1 million for Workforce Information and Analysis.

The administration's request for health professions also includes $40 million for a new Children's Hospitals Graduate Medical Education (GME) program that will provide temporary financial assistance for GME at free-standing children's hospitals.

Congressional Activity

After the removal of the GME funding and the 1% cut, the House-passed conference provides $301 million for the health professions and nursing education programs. Funding for programs within health professions all remain at about the same level as 1999.

Contacts

Information: Erica Froyd, AAMC Office of Governmental Relations, 202-828-0525.



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