appropriations. 1. a. The university of Iowa hospitals and clinics shall administer state-funded psychiatry 63 DEPARTMENT OF HEALTH AND HUMAN SERVICES — PUBLIC HEALTH, §135.180 residency and fellowship positions for up to seven residents and up to two fellows, annually. In addition, a county medical center, and a medical center operating for more than one hundred forty years, that are members of separate health systems, administer psychiatry residency programs, and are located in a county with a population over five hundred thousand shall each administer state-funded psychiatry residency positions for one resident, annually. The university of Iowa hospitals and clinics and the specified medical centers shall expand their psychiatry residency programs to provide additional residency positions by providing financial support for residency positions which are in excess of the federal residency cap established by the federal Balanced Budget Act of 1997, Pub. L. No. 105-33. b. The university of Iowa hospitals and clinics and the specified medical centers shall cooperate with the state mental health institutes at Independence and Cherokee, the state resource center at Woodward, the state training school at Eldora, and the Iowa medical and classification center at Oakdale in administering the positions. Participating residents and fellows shall complete a portion of their psychiatry training at one of the state mental health institutes, the state resource center, the state training school, or the Iowa medical and classification center at Oakdale. For accreditation-required clinical experiences not available at the state mental health institutes, the state resource center, the state training school, or the Iowa medical and classification center at Oakdale, the residents awarded the residency positions administered by the university of Iowa hospitals and clinics may utilize clinical rotations at the university of Iowa hospitals and clinics and its affiliates across the state and the residents awarded the residency positions administered by the specified medical centers may utilize clinical rotations at affiliates of such medical centers across the state. 2. The university of Iowa hospitals and clinics shall apply to the accreditation council for graduatemedical education for approval of seven additional residency positions for each class of residents and shall award the total number of residency positions approved for each class of residents. The university of Iowa hospitals and clinics shall approve and award up to two fellowship positions annually. The specified medical centers shall apply to the accreditation council for graduate medical education for approval of one additional residency position each for each class of residents and shall award the total number of residency positions approved for each class of residents. Preference in the awarding of residency and fellowship positions shall be given to candidates whoare residents ofIowa, attended and earned an undergraduate degree from an Iowa college or university, or attended and earned a medical degree from a medical school in Iowa. 3. A psychiatry residency and fellowship positions fund is created in the state treasury consisting of the moneys appropriated or credited to the fund by law. Notwithstanding section 8.33, moneys in the fund at the end of each fiscal year shall not revert to any other fund but shall remain in the psychiatry residency and fellowship positions fund for use in subsequent fiscal years. Moneys in the fund are appropriated to the university of Iowa hospitals and clinics to be used for the purposes of this section. For the fiscalyears beginning on or after July 1, 2023, there is appropriated from the general fund of the state to the psychiatry residency and fellowship positions fund one hundred thousand dollars for each residency position approved and awarded and one hundred fiftythousand dollars for each fellowship position approved and awarded under this section. Of the amount appropriated annually from the fund to the university of Iowa hospitals and clinics, the university of Iowa hospitals and clinics shall distribute one hundred thousand dollars to each of the specified medical centers for each residency position approved and awarded. Forfuturerepealofthissectioneffectiveuponthedatethatthedepartmentofhealthandhumanservicesnotifiesthegeneralassembly andtheCode editorofthereceiptoffederalapprovalforaMedicaidsupplementalenhancedpaymentforthepurposesofmaximizing federalfundingopportunitiesforgraduatemedicaleducationandtoincreasethenumberofmedicalresidenciesinthestate,see2025Acts, ch120,§22,26 §135.181, DEPARTMENT OF HEALTH AND HUMAN SERVICES — PUBLIC HEALTH 64
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