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HHS 2013 Budget Requests Needed to Ensure Family Medicine Thrives, AAFP Testifies
By News Staff
The March 29 testimony calls on the committee to provide at least $7 billion for HRSA in the FY13 appropriations bill and to allocate specific funding levels, including
- at least $71 million for Health Professions Primary Care Training and Enhancement, a program authorized as part of Title VII, Section 747, of the Public Health Service Act;
- $10 million for teaching health centers development grants;
- $4 million for rural physician training grants;
- $122.2 million for the Office of Rural Health Policy;
- at least $300 million for the National Health Service Corps;
- $120 million for the Primary Care Extension program; and
- $3 million for the National Health Care Workforce Commission.
- The AAFP is urging the House Committee on Appropriations to approve specific funding levels for programs that are vital to sustaining and strengthening the nation's primary care physician workforce.
- In written testimony, the AAFP provided the committee with a brief description of the various programs and explained the role of each in supporting the primary care physician workforce.
- The AAFP also reiterated support for various programs, such as the Agency for Healthcare Research and Quality and the National Health Care Workforce Commission.
"Between 1998 and 2008, in spite of persistent primary care physician shortages, family medicine lost 46 training programs and 390 residency positions, and general medicine lost nearly 900 positions."
Primary care training grants are "vital" to family medicine, general internal medicine and general pediatrics training, said the AAFP. The grants strengthen curricula and offer incentives for training in underserved areas.
"In the coming years, medical services utilization is likely to rise, given the increasing and aging population, as well as the insured status of more people," said the AAFP. "These demographic trends will worsen family physician shortages."
The Academy also called on the committee to support reforms to graduate medical education programs. The AAFP has long advocated that primary care residents be trained in nonhospital settings, which is where most primary care is delivered, and teaching health centers development grants help in this process.
"Federal financing of graduate medical education has led to training that occurs mainly in hospital inpatient settings, even though most patient care is delivered outside of hospitals in ambulatory settings," said the AAFP in its testimony. The teaching health centers program, on the other hand, provides resources to qualified community-based ambulatory care settings that operate a primary care residency, the Academy said, calling on the committee to invest $10 million in program grants.
The AAFP also reiterated its support for AHRQ and the National Health Care Workforce Commission, asking for at least $400 million for AHRQ and $3 million for the workforce commission.