Fla. Stat. 409.91256
Training, Education, and Clinicals in Health (TEACH) Funding Program


(1)

PURPOSE AND INTENT.The Training, Education, and Clinicals in Health (TEACH) Funding Program is created to provide a high-quality educational experience while supporting participating federally qualified health centers, community mental health centers, rural health clinics, and certified community behavioral health clinics by offsetting administrative costs and loss of revenue associated with training residents and students to become licensed health care practitioners. Further, it is the intent of the Legislature to use the program to support the state Medicaid program and underserved populations by expanding the available health care workforce.

(2)

DEFINITIONS.As used in this section, the term:“Agency” means the Agency for Health Care Administration.“Preceptor” means a Florida-licensed health care practitioner who directs, teaches, supervises, and evaluates the learning experience of a resident or student during a clinical rotation.“Primary care specialty” means general internal medicine, family medicine, obstetrics and gynecology, general pediatrics, psychiatry, geriatric medicine, or any other specialty the agency identifies as primary care.“Qualified facility” means a federally qualified health center, a community mental health center, rural health clinic, or a certified community behavioral health clinic.

(a)

“Agency” means the Agency for Health Care Administration.

(b)

“Preceptor” means a Florida-licensed health care practitioner who directs, teaches, supervises, and evaluates the learning experience of a resident or student during a clinical rotation.

(c)

“Primary care specialty” means general internal medicine, family medicine, obstetrics and gynecology, general pediatrics, psychiatry, geriatric medicine, or any other specialty the agency identifies as primary care.

(d)

“Qualified facility” means a federally qualified health center, a community mental health center, rural health clinic, or a certified community behavioral health clinic.

(3)

APPLICATION FOR REIMBURSEMENT; AGREEMENTS; PARTICIPATION REQUIREMENTS.The agency shall develop an application process for qualified facilities to apply for funds to offset the administrative costs and loss of revenue associated with establishing, maintaining, or expanding a clinical training program. Upon approving an application, the agency shall enter into an agreement with the qualified facility which, at minimum, must require the qualified facility to do all of the following:Agree to provide appropriate supervision or precepting for one or more of the following categories of residents or students:
Allopathic or osteopathic residents pursuing a primary care specialty.
Dental residents.
Advanced practice registered nursing students pursuing a primary care specialty.
Nursing students.
Allopathic or osteopathic medical students.
Dental students.
Dental hygiene students.
Physician assistant students.
Behavioral health students, including students studying psychology, clinical social work, marriage and family therapy, or mental health counseling.
Meet and maintain all requirements to operate an accredited residency program if the qualified facility operates a residency program.Obtain and maintain accreditation from an accreditation body approved by the agency if the qualified facility provides clinical rotations.Ensure that clinical preceptors meet agency standards for precepting students, including the completion of any training required by the agency.Submit quarterly reports to the agency by the first day of the second month following the end of a quarter to obtain reimbursement. At a minimum, the report must include all of the following:
The type of residency or clinical rotation offered by the qualified facility, the number of residents or students participating in each type of clinical rotation or residency, and the number of hours worked by each resident or student each month.
Evaluations by the residents and student participants of the clinical experience on an evaluation form developed by the agency.
An itemized list of administrative costs associated with the operation of the clinical training program, including accreditation costs and other costs relating to the creation, implementation, and maintenance of the program.
A calculation of lost revenue associated with operating the clinical training program.

(a)

Agree to provide appropriate supervision or precepting for one or more of the following categories of residents or students:Allopathic or osteopathic residents pursuing a primary care specialty.Dental residents.Advanced practice registered nursing students pursuing a primary care specialty.Nursing students.Allopathic or osteopathic medical students.Dental students.Dental hygiene students.Physician assistant students.Behavioral health students, including students studying psychology, clinical social work, marriage and family therapy, or mental health counseling.
1. Allopathic or osteopathic residents pursuing a primary care specialty.
2. Dental residents.
3. Advanced practice registered nursing students pursuing a primary care specialty.
4. Nursing students.
5. Allopathic or osteopathic medical students.
6. Dental students.
7. Dental hygiene students.
8. Physician assistant students.
9. Behavioral health students, including students studying psychology, clinical social work, marriage and family therapy, or mental health counseling.

(b)

Meet and maintain all requirements to operate an accredited residency program if the qualified facility operates a residency program.

(c)

Obtain and maintain accreditation from an accreditation body approved by the agency if the qualified facility provides clinical rotations.

(d)

Ensure that clinical preceptors meet agency standards for precepting students, including the completion of any training required by the agency.

(e)

Submit quarterly reports to the agency by the first day of the second month following the end of a quarter to obtain reimbursement. At a minimum, the report must include all of the following:The type of residency or clinical rotation offered by the qualified facility, the number of residents or students participating in each type of clinical rotation or residency, and the number of hours worked by each resident or student each month.Evaluations by the residents and student participants of the clinical experience on an evaluation form developed by the agency.An itemized list of administrative costs associated with the operation of the clinical training program, including accreditation costs and other costs relating to the creation, implementation, and maintenance of the program.A calculation of lost revenue associated with operating the clinical training program.
1. The type of residency or clinical rotation offered by the qualified facility, the number of residents or students participating in each type of clinical rotation or residency, and the number of hours worked by each resident or student each month.
2. Evaluations by the residents and student participants of the clinical experience on an evaluation form developed by the agency.
3. An itemized list of administrative costs associated with the operation of the clinical training program, including accreditation costs and other costs relating to the creation, implementation, and maintenance of the program.
4. A calculation of lost revenue associated with operating the clinical training program.

(4)

TRAINING.The agency, in consultation with the Department of Health, shall develop, or contract for the development of, training for preceptors and make such training available in either a live or electronic format. The agency shall also provide technical support for preceptors.

(5)

REIMBURSEMENT.Qualified facilities may be reimbursed under this section only to offset the administrative costs or lost revenue associated with training students, allopathic residents, osteopathic residents, or dental residents who are enrolled in an accredited educational or residency program based in this state.Subject to an appropriation, the agency may reimburse a qualified facility based on the number of clinical training hours reported under subparagraph (3)(e)1. The allowed reimbursement per student is as follows:
A medical or dental resident at a rate of $50 per hour.
A first-year medical student at a rate of $27 per hour.
A second-year medical student at a rate of $27 per hour.
A third-year medical student at a rate of $29 per hour.
A fourth-year medical student at a rate of $29 per hour.
A dental student at a rate of $22 per hour.
An advanced practice registered nursing student at a rate of $22 per hour.
A physician assistant student at a rate of $22 per hour.
A behavioral health student at a rate of $15 per hour.
A dental hygiene student at a rate of $15 per hour.
A qualified facility may not be reimbursed more than $75,000 per fiscal year; however, if it operates a residency program, it may be reimbursed up to $100,000 each fiscal year.

(a)

Subject to an appropriation, the agency may reimburse a qualified facility based on the number of clinical training hours reported under subparagraph (3)(e)1. The allowed reimbursement per student is as follows:A medical or dental resident at a rate of $50 per hour.A first-year medical student at a rate of $27 per hour.A second-year medical student at a rate of $27 per hour.A third-year medical student at a rate of $29 per hour.A fourth-year medical student at a rate of $29 per hour.A dental student at a rate of $22 per hour.An advanced practice registered nursing student at a rate of $22 per hour.A physician assistant student at a rate of $22 per hour.A behavioral health student at a rate of $15 per hour.A dental hygiene student at a rate of $15 per hour.
1. A medical or dental resident at a rate of $50 per hour.
2. A first-year medical student at a rate of $27 per hour.
3. A second-year medical student at a rate of $27 per hour.
4. A third-year medical student at a rate of $29 per hour.
5. A fourth-year medical student at a rate of $29 per hour.
6. A dental student at a rate of $22 per hour.
7. An advanced practice registered nursing student at a rate of $22 per hour.
8. A physician assistant student at a rate of $22 per hour.
9. A behavioral health student at a rate of $15 per hour.
10. A dental hygiene student at a rate of $15 per hour.

(b)

A qualified facility may not be reimbursed more than $75,000 per fiscal year; however, if it operates a residency program, it may be reimbursed up to $100,000 each fiscal year.

(6)

DATA.A qualified facility that receives payment under the program shall furnish information requested by the agency for the purpose of the agency’s duties under subsections (7) and (8).

(7)

REPORTS.By December 1, 2025, and each December 1 thereafter, the agency shall submit to the Governor, the President of the Senate, and the Speaker of the House of Representatives a report detailing the effects of the program for the prior fiscal year, including, but not limited to, all of the following:The number of students trained in the program, by school, area of study, and clinical hours earned.The number of students trained and the amount of program funds received by each participating qualified facility.The number of program participants found to be employed by a participating qualified facility or in a federally designated health professional shortage area upon completion of their education and training.Any other data the agency deems useful for determining the effectiveness of the program.

(a)

The number of students trained in the program, by school, area of study, and clinical hours earned.

(b)

The number of students trained and the amount of program funds received by each participating qualified facility.

(c)

The number of program participants found to be employed by a participating qualified facility or in a federally designated health professional shortage area upon completion of their education and training.

(d)

Any other data the agency deems useful for determining the effectiveness of the program.

(8)

EVALUATION.The agency shall contract with an independent third party to develop and conduct a design study to evaluate the impact of the TEACH funding program, including, but not limited to, the program’s effectiveness in both of the following areas:Enabling qualified facilities to provide clinical rotations and residency opportunities to students and medical school graduates, as applicable.Enabling the recruitment and retention of health care professionals in geographic and practice areas experiencing shortages.

The agency shall begin collecting data for the study by January 1, 2025, and shall submit the results of the study to the Governor, the President of the Senate, and the Speaker of the House of Representatives by January 1, 2030.

(a)

Enabling qualified facilities to provide clinical rotations and residency opportunities to students and medical school graduates, as applicable.

(b)

Enabling the recruitment and retention of health care professionals in geographic and practice areas experiencing shortages.

(9)

RULES.The agency may adopt rules to implement this section.

(10)

FEDERAL FUNDING.The agency shall seek federal approval to use Title XIX matching funds for the program.

(11)

SUNSET.This section is repealed on July 1, 2034.

Source: Section 409.91256 — Training, Education, and Clinicals in Health (TEACH) Funding Program, https://www.­flsenate.­gov/Laws/Statutes/2024/0409.­91256 (accessed Aug. 7, 2025).

409.901
Definitions
409.902
Designated single state agency
409.903
Mandatory payments for eligible persons
409.904
Optional payments for eligible persons
409.905
Mandatory Medicaid services
409.906
Optional Medicaid services
409.907
Medicaid provider agreements
409.908
Reimbursement of Medicaid providers
409.909
Statewide Medicaid Residency Program
409.910
Responsibility for payments on behalf of Medicaid-eligible persons when other parties are liable
409.911
Disproportionate share program
409.912
Cost-effective purchasing of health care
409.913
Oversight of the integrity of the Medicaid program
409.914
Assistance for the uninsured
409.915
County contributions to Medicaid
409.916
Grants and Donations Trust Fund
409.918
Public Medical Assistance Trust Fund
409.919
Rules
409.920
Medicaid provider fraud
409.9021
Forfeiture of eligibility agreement
409.9025
Eligibility while an inmate
409.9062
Lung transplant services for Medicaid recipients
409.9063
Coverage of continuous glucose monitors for Medicaid recipients
409.9066
Medicare prescription discount program
409.9071
Medicaid provider agreements for school districts certifying state match
409.9072
Medicaid provider agreements for charter schools and private schools
409.9081
Copayments
409.9082
Quality assessment on nursing home facility providers
409.9083
Quality assessment on privately operated intermediate care facilities for the developmentally disabled
409.9101
Recovery for payments made on behalf of Medicaid-eligible persons
409.9102
A qualified state Long-Term Care Insurance Partnership Program in Florida
409.9113
Disproportionate share program for teaching hospitals
409.9115
Disproportionate share program for mental health hospitals
409.9116
Disproportionate share/financial assistance program for rural hospitals
409.9118
Disproportionate share program for specialty hospitals
409.9119
Disproportionate share program for specialty hospitals for children
409.9121
Legislative findings and intent
409.9122
Medicaid managed care enrollment
409.9123
Quality-of-care reporting
409.9126
Children with special health care needs
409.9127
Preauthorization and concurrent utilization review
409.9128
Requirements for providing emergency services and care
409.9131
Special provisions relating to integrity of the Medicaid program
409.9132
Pilot project to monitor home health services
409.9133
Pilot project for home health care management
409.9134
Agency to distinguish certain services as to skilled home health services
409.9201
Medicaid fraud
409.9203
Rewards for reporting Medicaid fraud
409.9205
Medicaid Fraud Control Unit
409.90201
Recipient address update process
409.90637
Agency to seek federal approval for coverage and reimbursement authority for mobile crisis response services
409.90638
Agency to seek federal approval to implement acute hospital care at home program in state Medicaid program
409.91151
Expenditure of funds generated through mental health disproportionate share program
409.91188
Specialty prepaid health plans for Medicaid recipients with HIV or AIDS
409.91195
Medicaid Pharmaceutical and Therapeutics Committee
409.91196
Supplemental rebate agreements
409.91206
Alternatives for health and long-term care reforms
409.91212
Medicaid managed care fraud
409.91235
Agency review and report on medications, treatments, and services for sickle cell disease
409.91255
Federally qualified health center access program
409.91256
Training, Education, and Clinicals in Health (TEACH) Funding Program

Current through Fall 2025

§ 409.91256. Training, Educ., & Clinicals in Health (TEACH) Funding Program's source at flsenate​.gov