COBI 2015 - Medical Education Council

Overview
Issues
Performance
Background
Financials

Sources Uses

FY 2016 Appropriation

The Utah Medical Education Council (UMEC) focuses its efforts in three major areas: (1) retaining the Utah trained healthcare workforce, (2) facilitating rural training opportunities, and (3) strengthening public-private partnerships. Additionally, the UMEC is identifying approaches that use revenue sources more efficiently to stabilize funding for clinical training programs. However, within the past year changes to rules by the CMS, combined with economic factors, have led to diminished funding to the UMEC from teaching hospitals. This funding comprised the Dedicated Credits Revenue for the Council.

Funding History

Related Publications

Trend Analysis - 2015 General Session - State Board of Regents - Medical Education Council

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $1,195,200 from all sources for Medical Education Council. This is a 1.2 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $573,700 from the General/Education Funds, an increase of 2.5 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Compensation - USHE & UCAT$10,000$0

OngoingOne-TimeFinancing Source

$10,000$0General Fund

No Description

Health Insurance - USHE & UCAT$4,100$0

OngoingOne-TimeFinancing Source

$4,100$0General Fund

No Description

Health Provider Ratio

The measure shows the number of Utah health providers. The largest group is patient care physicians.

State Board of Regents Medical Education Council

Resident and Fellow Growth

The measure below shows the growth of residency and fellowship positions in Utah.

Retention

The measure below shows the retention rates of residents and fellows who received training in Utah.

Statute

The following laws govern the Medical Education Program:

UCA 53B-24-202 creates the Medical Education Program and details the sources of funding,
UCA 53B-24-302 creates the Medical Education Council to administer the program,
UCA 53B-24-303 outlines the duties of the Medical Education Council, and
UCA 53B-24-304 outlines the powers of the council.

Historically, federal funding for state medical education was sent directly to hospitals providing healthcare workforce training. As part of the Center for Medicare and Medicaid Services (CMS) Demonstration Project, the UMEC received and disbursed federal funds for Graduate Medical Education (GME) expenses allowing the UMEC to directly tie the funding of medical education to workforce needs. By utilizing data from workforce surveys prepared by the Department of Workforce Services and the Division of Occupational and Professional Licensing, the UMEC determines where the most critical healthcare workforce needs are in the state and enters into contractual agreements with institutions that provide medical education training. In this way, the UMEC helps to alleviate shortages of healthcare professionals, particularly in rural and underserved communities.

The Medical Education Program funding consists of General Funds and Dedicated Credits (contracts and fees for services).

Display By:

Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Programs	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Medical Education Council	923,700	1,043,800	1,010,900	1,091,400	1,034,000	147,100	1,181,100	14,100	1,195,200
Total	$923,700	$1,043,800	$1,010,900	$1,091,400	$1,034,000	$147,100	$1,181,100	$14,100	$1,195,200

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	561,000	517,300	528,900	548,100	559,600	0	559,600	14,100	573,700
Dedicated Credits Revenue	401,700	474,400	518,200	500,100	474,400	2,100	476,500	0	476,500
Beginning Nonlapsing	686,400	725,400	673,300	709,500	673,300	(7,000)	666,300	0	666,300
Closing Nonlapsing	(725,400)	(673,300)	(709,500)	(666,300)	(673,300)	152,000	(521,300)	0	(521,300)
Total	$923,700	$1,043,800	$1,010,900	$1,091,400	$1,034,000	$147,100	$1,181,100	$14,100	$1,195,200

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	487,700	577,800	543,000	532,700	568,100	35,000	603,100	14,100	617,200
In-state Travel	13,100	3,400	20,100	25,200	6,000	17,000	23,000	0	23,000
Out-of-state Travel	11,000	15,400	0	0	15,500	(15,500)	0	0	0
Current Expense	407,700	443,800	124,700	533,500	444,400	110,600	555,000	0	555,000
DP Current Expense	4,200	3,400	0	0	0	0	0	0	0
Capital Outlay	0	0	18,000	0	0	0	0	0	0
Other Charges/Pass Thru	0	0	305,100	0	0	0	0	0	0
Total	$923,700	$1,043,800	$1,010,900	$1,091,400	$1,034,000	$147,100	$1,181,100	$14,100	$1,195,200

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	6	6	0	6.50	8	(1)	7	1	8
Actual FTE	5	6.40	6.50	7	0	0	0	0	0

COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.