One example of a recently authorized GME fund is the Professional Education Fund in New York State. This removes any incentive to increase the number of residents since the amount a hospital receives will not vary if residency slots are increased or decreased. By using a hospital's cost per resident, an individual facility cost factor is included in the formula. Funds are collected and distributed on a regional basis within the state. After the first year, the goals will also include training residents in ambulatory care sites, producing graduates that enter practice in underserved areas, and improved in-state retention rates for primary care physicians.
Participation is voluntary.
Hospitals and consortia can apply for a share of their region's pool.