On August 15, 2011, CMS revealed the final results of which teaching hospitals are receiving reductions to their full-time equivalent (FTE) resident caps, and which are receiving increases, pursuant to the redistribution of residency slots mandated by § 5503 of the Patient Protection and Affordable Care Act (Pub. L. No. 111-148). In particular, 267 hospitals had their “excess” direct graduate medical education (GME) and indirect graduate medical education (IME) FTE caps reduced by an aggregate of 726.08 and 628.05 slots, respectively, effective July 1, 2011. Those 726 GME slots and 628 IME slots were redistributed to 58 hospitals that received increases in their FTE caps, effective July 1, 2011.
Pursuant to § 5503, 70% of the resident slots had to be distributed to hospitals located in States with resident-to-population ratios in the lowest quartile, while 30% of the slots had to be distributed to hospitals located in rural areas or hospitals located in the top 10 in terms of the ratio of Health Professional Shortage Area population to the total population. Of the 58 hospitals that received increases in their residency caps, then, 39 received FTE slots from the 70% pool and the remaining 19 hospitals, 5 of which were rural, received FTE slots from the 30% pool. Although 87 hospitals submitted applications for the § 5503 cap increases by the January 21, 2011 deadline, the remaining hospitals either had deficient applications or were simply too low on the priority list to receive any cap increase.
A chart prepared by CMS listing each hospital that had its FTE caps reduced or increased, and the amount of the reduction or increase, can be found in the Downloads section at CMS’s website by clicking on the file named “Section 5503 Cap Decreases and Increases.”