- Introduced May 15, 2018 by Representatives Joseph Crowley (D-NY) and Ryan Costello (R-PA) and Senators Bill Nelson (D-Fla.) and Dean Heller (R-Nev.)
- Increases, by 1,000, the number of Medicare supported direct graduate medical education (DGME) and indirect medical education (IME) slots available to hospitals that have or are in the process of establishing approved residency programs in addiction medicine, addiction psychiatry, or pain management.
Distribution Methodology for Additional Slots
- Increases the number of residency slots available to qualifying hospitals nationally by 1,000 between 2019-2023.
- In 2019, one-half of the new residency slots (500) are available only to teaching hospitals that have existing established approved programs in addiction medicine, addiction psychiatry or pain management.
- Hospitals may receive slots for the associated number of residents training in a pre-requisite program, such as internal medicine, necessary for the number of full-time residents that will ultimately train in the addiction medicine, addiction psychiatry, and/or pain management program.
- Between 2020-2023, one-half of the new residency slots (500) are available only to teaching hospitals that have demonstrated they are establishing a program in addiction medicine, addiction psychiatry, and/or pain management. Slots received under this provision must be used in an addiction medicine, addiction psychiatry, pain management, or a prerequisite residency program.
- A hospital may not receive more than 25 slots.
- Hospitals may apply for slots under both the new and existing categories (i.e., a hospital with an established pain management program that is also in the process of establishing an addiction psychiatry program may apply for slots under both the ‘new’ and ‘existing’ buckets.)
The legislation is supported by the AAMC and the Addiction Medicine Foundation, Addiction Medicine Fellowship Directors Association, American Society of Addiction Medicine, American Academy of Addiction Psychiatry, American Osteopathic Academy of Addiction Medicine, Addiction Treatment Providers Association, Association of American Medical Colleges, American Psychiatric Association, American Hospital Association, America’s Essential Hospitals, Federation of American Hospitals, American Association of Colleges of Osteopathic Medicine, Greater New York Hospital Association, California Hospital Association, Healthcare Leadership Council, Hospital and Healthsystem Association of Pennsylvania, Healthcare Association of New York State, and Safety Net Hospital Alliance of Florida
For more information on the Opioid Workforce Act of 2018, please contact Len Marquez, Senior Director, Government Relations, AAMC, ator Catie Spivey, Sr. Legislative Analyst, at or 202-828-0525.
For more information on what medical schools and teaching hospitals are doing to respond to the opioid epidemic, please visit.