HB 2753
Initials CH Page 1 House Engrossed
ARIZONA HOUSE OF REPRESENTATIVES
Fifty-sixth Legislature
First Regular Session
House: ED DPA 8-0-1-1
HB 2753: graduate medical education; residency programs
Sponsor: Representative Peña, LD 23
House Engrossed
Overview
Directs the Arizona Area Health Education System (System) to establish a program for qualifying
community health centers, rural health clinics and tribal health facilities (qualifying health entities)
that supports the expansion of primary care residency programs. Appropriates monies to the
System and the Arizona Health Care Cost Containment System (AHCCCS) for specified primary
care programs.
History
System
Established in the University of Arizona College of Medicine by the Arizona Board of Regents
(ABOR), the System consists of six area health education centers, five of which represent a
geographic area with identified populations that lack services by the health care professions and
one representing the Indian health care delivery system. Each center conducts physician and
other health professional education programs (such as undergraduate clinical training programs,
graduate programs and postgraduate continuing education), programs to recruit and retain
minority students in health professions and continuing education programs for health
professionals. The System provides administrative services to each center (A.R.S. § 15-1643).
Primary Care Graduate Medical Education (GME)
Laws 2021, Chapter 81 directs AHCCCS to establish, contingent on approval by the Centers for
Medicare and Medicaid Services, a separate GME program to reimburse qualifying community
health centers and rural health clinics that have an approved primary care GME program.
AHCCCS must distribute monies appropriated for GME to approved health entities for primary
care GME program costs. Additionally, AHCCCS must coordinate with local, county and tribal
governments and the public universities that provide funding in addition to state General Fund
(GF) monies appropriated for primary care GME in order to qualify for additional matching federal
monies.
A qualifying community health center is a community-based primary care facility that provides
medical care in or to medically underserved areas or populations through the employment of
specified health professionals (A.R.S. § 36-2907.06).
GME is a program that prepares a physician for the independent practice of medicine by providing
didactic and clinical education in a medical discipline to a medical student who has completed a
recognized undergraduate medical education program (A.R.S. § 36-2901).
Provisions
System Program to Expand Primary Care Residency Programs
1. Instructs the System, by May 1, 2024, to establish a program for qualifying health entities that:
a) supports and expands the number of primary care residency positions;
☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note HB 2753
Initials CH Page 2 House Engrossed
b) provides support and technical assistance for starting or expanding primary care residency
programs in rural areas and health professional shortage areas; and
c) facilitates information and resource sharing and provides training and technical assistance
to support the success of qualifying health entity primary care residency programs. (Sec.
1)
2. Defines primary care and tribal health facility. (Sec. 1)
3. Appropriates $5,000,000 onetime from the state GF in FY 2024 to the System for the program
to expand primary care residency programs for qualifying health entities. (Sec. 2)
4. Authorizes the System to use up to $500,000 of the appropriation to support a collaborative
of qualifying health entities' primary care residency programs. (Sec. 2)
5. Exempts the appropriation from lapsing. (Sec. 2)
Primary Care GME at Qualifying Health Entities
6. Appropriates $5,000,000 from the state GF in FYs 2024, 2025 and 2026 to AHCCCS for the
direct and indirect costs of primary care GME at qualifying health entities. (Sec. 3)
7. Exempts the appropriation from lapsing. (Sec. 3)
Miscellaneous
8. Makes conforming changes. (Sec. 1)