Pediatric Subspecialty Workforce

Pediatric Subspecialty Loan Repayment

Section 5203 of the Affordable Care Act establishes a pediatric subspecialty loan repayment program for qualifying individuals who agree to provide two years of pediatric medical subspecialty, pediatric surgical subspecialty, or child and adolescent mental and behavioral services in an area with a shortage of pediatric subspecialty services, a health professions shortage area, a medically underserved area, or an area serving medically underserved populations.

The loan amount is up to $35,000 a year for each year of agreed-upon service, not to extend beyond three years. The law authorizes $30 million for each of FYs 2010-2014 for pediatric medical and surgical subspecialists and $20 million for each of FYs 2010-2014 for qualified health professionals in child and adolescent mental and behavioral health. To date, funding for the program has not been appropriated.

Children’s Hospital Graduate Medical Education Program

The Children’s Hospital Graduate Medical Education (CHGME) Program provides freestanding children’s hospitals with federal GME funding. First authorized in 1999, the program supports 56 U.S. hospitals and trains more than 5,000 medical students each year. Legislation has been introduced in both the House (H.R. 297)that would reauthorize the Children’s Hospitals Graduate Medical Education (CHGME) Program at the current level of $330 million annually through fiscal year (FY) 2017.