[{"_1":2,"_122":-5,"_123":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100,111],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6529580,"mediaKeyId","3797988-103ebacc433fba25a5ec6e66acce3678","parentId",3797988,"title","Votes at a glance: Family Practice Advisory Committee actions, June 10, 2025","audioSeconds",3087,"startMs",623000,"endMs",3710000,"viewUrl","/Search/View?dp=1&key=3797988-103ebacc433fba25a5ec6e66acce3678&start=623&end=3710","thumbnailUrl","https://assets.pipeline.soar.com/3797988-103ebacc433fba25a5ec6e66acce3678/thumbnail_623000.jpg","articleUrl","/articles/6529580/Texas/Votes-at-a-glance-Family-Practice-Advisory-Committee-actions-June-10-2025","mediaUrl","https://secure.pipeline.soar.com/6529580-e16753d873b482d59a6dba965ae7eb91/orig.mp4?Expires=1775415355&Signature=aQJO27befEbKz88JASzZ5LPJcVTExiOMF06SqvnIjkE1pj61mzYXy1ZM29R6RJofC~Gh-O4S9nqIOi5yI-rBDkvbo0CwWQHXTY88S0pxcygopwngXE4~ptze37EBnPrqk9xbOS6krjn884e~a~gv1~JGS045SyLrTt8Tu9dm~B9m5CLN1CqnvAMSkEzei7c2iowSx8GJAHsL62WzQfNBxxqOiwAdMVWILhF5Uxi01PEZ3tlOafbwbNpgXintRRaYixQ6-OryDvKeFZj9GhX2hOX7zq68Y6S1zpTmOnRsHElEo2Y~HI26NFo1VrV7JTU~9dDPwH-A05wsA0Dq3dTIkg__&Key-Pair-Id=KUT5TJCACFTXG","author","Higher Education Coordinating Board (THECB)","date","2025-06-11T04:15:43Z","article","At its June 10, 2025 meeting the Family Practice Advisory Committee recorded the following formal actions and recommendations. These items were adopted by committee vote and will be forwarded to THECB staff or board where indicated.

Votes at a glance

- Approval of minutes (06/26/2024): Motion to approve minutes was made by Zoe (recorded). Outcome: approved by voice vote.

- Program eligibility recommendation (Agenda item 4): Motion to approve eligibility for Baylor College of Medicine / St. Luke's Health East Texas and Texas Tech Trans Mountain. Mover: Ernest Hacchas. Outcome: approved; recommendation to THECB for final action (effective if application and board approval are completed).

- FY2026 funding scenario (Agenda item 5): Motion to approve Option 1b (recommended funding scenario). Mover: Dr. Damon Strands; second: Alicia Cantrell. Outcome: approved. THECB staff will present the recommendation to the July board meeting for final action.

- Allowable/prohibited cost guidance (Agenda item 6): Motion to approve updated \"current use of funds\" guidance for the Family Practice Residency Program. Mover: Zubair Saeed. Outcome: approved. THECB staff to finalize language with legal review and include guidance in the FY2026 RFA and award agreements; equipment per-unit threshold set to $7,500 (items above require THECB approval).

- Selection of committee leadership (Agenda item 9): Vice chair elected: Fred Unger (nominated and approved). Chair re-elected: Mike Reagan (nominated and approved). Outcome: approved.

- Adjournment (Agenda item 11): Motion to adjourn. Outcome: approved.

Notes: Where the transcript records voice votes without a roll-call tally, the committee recorded outcomes by voice vote and noted quorum. THECB staff will document exact counts and include roll-call tallies in board materials where required.","mediaType","Video","parentTitle","Family Practice Residency Advisory Committee (FPRAC) Meeting","oneSentenceSummary","A summary of formal motions and committee outcomes from the June 10 meeting, including program eligibility, funding recommendations, guidance approval and leadership elections.","taxTitle","Higher Education Coordinating Board (THECB), Departments and Agencies, Executive, Texas","taxId",17243,"location","Texas","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6529583,"Faculty Development Center reports outreach and chief-resident attendance; financial summaries show resident pay is majority of spending",3990,1760000,5750000,"/Search/View?dp=1&key=3797988-103ebacc433fba25a5ec6e66acce3678&start=1760&end=5750","https://assets.pipeline.soar.com/3797988-103ebacc433fba25a5ec6e66acce3678/thumbnail_1760000.jpg","/articles/6529583/Texas/Faculty-Development-Center-reports-outreach-and-chief-resident-attendance-financial-summaries-show-resident-pay-is-majority-of-spending","https://secure.pipeline.soar.com/6529583-513b46199dd370b5485fda86d18193f7/orig.mp4?Expires=1775415355&Signature=LPPKWwdoT-sLNZmoPoH3C16q3lt8O2eghXlD4AbHx5bXK0Wy2IcXtextQDNFlAGacbKIcpqooXSvjGSusJtqdMXRWS~fAgVxNWzNSLQ2HmriujX~GIWod3iCYUDhVY~QIWy81K22FaLfDdZoQ8sZbaNALtAUVRjEpIih2eLuMSmAlnrT6KgZYzoUCBvxNQBsSNdn5C0XXQsmsmdMhiLVx8Qm-L4oLLvY14eRVA13NEl9Icw8BQSl3n-EVVC9cFjhlDBW4Pzc7iGS43r0sXgc9nv8ZLV1Cf7kYbS3tNCZmquKUvOZqZ0iifp7BDrC4R6JeTac5IwIzTDPQKvA8z-upg__&Key-Pair-Id=KUT5TJCACFTXG","Sharon Manson, director of the Faculty Development Center (FDC), told the committee on June 10 that the center adapted programming this year after GCAM (the center's main cohort program) did not run. The FDC offered ProTeach, a seven-week CME series credited for 21 hours of GME, and subsidized attendance at a chief resident conference; Manson said 44 family-medicine residents from Texas attended the chief-resident event.

Manson said the FDC visited nearly all residency programs in Texas since 2020 and that the center conducted 25 additional sessions for adjacent health professions. She told the committee the center continues outreach to programs that have not yet attended FDC events and that it used a combination of virtual resources, on-site visits, and discounted registration to increase participation.

THECB staff then summarized the annual written reports and the aggregated expenditure report. Ernest Hacchas said 32 programs submitted written reports that detailed program activities, expansions, and challenges; he noted eight programs reported planned expansions and three reported reductions. Hacchas said rural and public-health rotations were common, with 22 programs reporting rural or public-health rotations as required rotations or electives.

Fred Onger presented the annual expenditure summary. Onger said the operating appropriation for the program year was about $8.1 million and that total expenditures reported were roughly $8.2 million supporting about 900 residency positions. Resident compensation accounted for about 62.17% of reported expenditures; faculty compensation was roughly 21.7% and fringe benefits about 6.9%. Onger and other committee members said the reporting variability made it difficult to interpret some line items; they requested clearer, itemized justification for categories such as \"support compensation,\" \"professional liability insurance,\" and other administrative or supply expenditures.

Committee members repeatedly urged THECB staff to use the new grants-management system and the legislatively requested utilization reporting to increase transparency before seeking additional appropriations. Staff said they will refine reporting templates and provide outreach and training to program directors to reduce confusion and improve comparability across programs.","The committee heard a program update from the Faculty Development Center and summaries of the annual written reports and expenditures showing resident compensation accounted for the majority of family-practice residency grant spending in 2024.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6529589,"Committee tightens allowable and prohibited spending rules for family practice residency funds",2743,3772000,6515000,"/Search/View?dp=1&key=3797988-103ebacc433fba25a5ec6e66acce3678&start=3772&end=6515","https://assets.pipeline.soar.com/3797988-103ebacc433fba25a5ec6e66acce3678/thumbnail_3772000.jpg","/articles/6529589/Texas/Committee-tightens-allowable-and-prohibited-spending-rules-for-family-practice-residency-funds","https://secure.pipeline.soar.com/6529589-068ca9263b684dbd9764fabe51111140/orig.mp4?Expires=1775415355&Signature=LUVUyAkhDWGEY48NJTqaoDDv2ZKoAWXotnQdX24YSFLJmYVFuRl8B6T9athmzsmNqiA-pJhIZrqHhVuZQwCeDt46U8oxlvFws-K3ccdQpzTIo7RLjdI~9NutKj0pcPkJDbc3GW4lK8VM6ZMKo31mkZIglS26zvGOh-Fbk4zuUD8fNqhAfNKyHJvjcua-7VQIkbLAaxIawMlValZMdT4si0iHsYuQ7iZcNKDx~Sk83qMmRGva5FvCJgm754beKBGpjECQhvHPAs3Wce9LGDhj0MoKXGIGmlE5zrrZcLbL9ilZjetKzGOK~c06X~wDCkcYE3RZkyZjmQNO3sspE8czGg__&Key-Pair-Id=KUT5TJCACFTXG","The Family Practice Advisory Committee approved updated guidance June 10 to clarify allowable and prohibited uses of Family Practice Residency Program funds and to align the guidance more closely with the Graduate Medical Education expansion program.

Ernest Hacchas told the committee the proposed changes would \"prioritize direct resident costs\" and align reporting and allowable categories with the GME expansion program to reduce confusion and improve compliance.

Committee members pressed for clarity about how host institutions should account for funds that are commingled with hospital or university accounts. Several members, including Eric Warwick (Baylor College of Medicine) and representatives of UT Southwestern, explained some institutions pay resident stipends through affiliated hospitals; those members said the guidance should allow programs to report how state funds are used even when the payroll pass-through occurs at a hospital. Warwick said family-practice grant dollars often support administrative and faculty costs \"that are not supported under the GME dollars,\" and urged practical flexibility.

THECB staff described the operational approach: award agreements will include an approved budget; programs must attach the initial budget at signing, and any pivot from that budget will require THECB approval. Staff said they will consult the agency\u0000Office of General Counsel before finalizing language and will present a reworked document by administrative action if necessary to meet the upcoming application timeline.

Committee members also agreed to a change discussed during the meeting: increasing the per-unit threshold for equipment purchases that require prior approval. After discussion of point-of-care ultrasound and other devices, the committee agreed to raise the per-unit threshold to $7,500 for equipment purchases that remain eligible for program support; equipment purchases above that amount will require THECB approval as \"other direct costs.\" The committee asked staff to deliver the revised guidance to program directors via the faculty development center and to include the change in application materials.

Zubair Saeed moved to approve the updated \"current use of funds\" guidance as discussed; the motion passed. THECB staff will finalize the text, confirm legal review, and distribute the guidance with the FY2026 Request for Applications and at upcoming gatherings of program directors.","The committee approved revised guidance tightening allowable uses of family-practice residency funds, prioritizing direct resident compensation and requiring board approval for many other direct costs; the panel asked staff to finalize language and provide program outreach.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":46,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6529594,"Committee adds two residency programs to eligibility, selects funding scenario for FY2026",1231,2479000,"/Search/View?dp=1&key=3797988-103ebacc433fba25a5ec6e66acce3678&start=2479&end=3710","https://assets.pipeline.soar.com/3797988-103ebacc433fba25a5ec6e66acce3678/thumbnail_2479000.jpg","/articles/6529594/Texas/Committee-adds-two-residency-programs-to-eligibility-selects-funding-scenario-for-FY2026","https://secure.pipeline.soar.com/6529594-0917387377803acb60ada9ca1068bae9/orig.mp4?Expires=1775415355&Signature=XoDxp-LxuHAj9MXlyXLU5q2La2qD3I-fq45XLSHLPCBXL9TTR3j9lyyd4XJDgk8saRCZTi412g-xwvMRRTWV2J6thiACwKxE0zp1TRIDySPH0Gyn4fsolCdGP8NZHEZ3NOIS5Ve8xVy94IXXk75aks0Eo~a7ScDDD2b70XFAS6fNTOmjsnL81NDAxjkV-LN3-6Czrd2Rpj1el0GSM8deOQ5oIrHspcQFR3~~RBnS3RYhVFpPm7itoiWoo5mpbDGvyQZwdRUz5l2vVZdTLosWC5kF71zjdIKaDzSo3AaxFqIL5be4e7-1OItOqq71yRKPHhePJwjfU5NoEumwXEho7g__&Key-Pair-Id=KUT5TJCACFTXG","The Family Practice Advisory Committee voted June 10 to recommend eligibility for two new family medicine residency programs and to recommend a funding approach for fiscal year 2026 that maintains program support while slightly adjusting grant support levels.

Ernest Hacchas, senior director for academic and health affairs, presented a roster of programs nearing eligibility and said \"Baylor College of Medicine, St. Luke's Health East Texas program, and Texas Tech Trans Mountain\" would be eligible for funding this September pending application and approval. Hacchas told the committee those two programs would add 27 residency positions to the funding pool in the current cycle and that, across four upcoming cycles, the cohort of potentially eligible programs could amount to 135 residents.

After discussion about the long-term effect of adding new programs on per-resident funding, a motion \"to approve the 2 programs\" was made by Hacchas and put to a voice vote; the committee approved the recommendation.

The committee then considered funding scenarios for FY2026. Ernest Hacchas presented three options that vary the per-resident amount by modest shifts in support for the Faculty Development Center (FDC). Under the option the committee approved (Option 1b), the committee recommended keeping FDC support at a level that yields a per-resident allocation of about $8,583. Dr. Damon Strands moved to approve Option 1b; the motion was seconded by Alicia Cantrell, and the committee approved the recommendation. THECB staff said the committee's recommendation will be presented to the coordinating board in July for final action.

Committee members questioned how adding programs affects per-resident funding and urged that THECB use newly required reporting to clarify how GME expansion and family practice residency funds interact. Eric Warwick, identified as an alternate from Baylor College of Medicine, said continuing to extend family-practice grant dollars to newly eligible programs can support administrative and faculty costs that other GME dollars may not cover.

THECB staff agreed to include data in future reports showing how many programs and what positions receive GME expansion funding and to provide breakdowns to inform policy discussion on sustainability and allocation.","The Family Practice Advisory Committee approved eligibility for two new family-medicine residency programs and recommended a funding scenario (Option 1b) to the coordinating board at its June 10 meeting.",{"_33":112,"_35":36,"_37":38,"_39":113,"_41":114,"_43":115,"_45":115,"_47":116,"_49":117,"_51":118,"_53":119,"_55":56,"_57":58,"_59":120,"_61":62,"_63":64,"_65":121,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6529599,"Legislature boosts Texas medical-education funding; coordinating board staff outline new grant programs",0,1209000,"/Search/View?dp=1&key=3797988-103ebacc433fba25a5ec6e66acce3678&start=1209&end=1209","https://assets.pipeline.soar.com/3797988-103ebacc433fba25a5ec6e66acce3678/thumbnail_1209000.jpg","/articles/6529599/Texas/Legislature-boosts-Texas-medical-education-funding-coordinating-board-staff-outline-new-grant-programs","https://secure.pipeline.soar.com/6529599-f47b45f0e2af4de8f2ac295ca1f258c7/orig.mp4?Expires=1775415356&Signature=DRZAwWqE2Rk2mu0jfqjKq9mquNe6SLDYWK6aoTy5sDB1loLheJq2UXoJm6VWeK7h~dABwO6CzNplsdehkMsE-xVYGLXeAaqwSPpY0Z1l5N9W4DX2mu6COyIGHBsZHYeVBQvCoyUXGffzHcTr8iqap7sC64Z7KDCwVgSjWZjoQWlAFM501d7Klz~8iCqmXFGWzlYnoHjmoqGGDE75XZX2QElbk6ZAalgWD5CQZvILBBAsBihrdXctjn3x~cooSHBz67vC10LlZxP63uYaZBuXN4vEbaWA0m4PGHQl5V4b9h0~OVzbX2QuuTVwsW2SYK4YJWPFe9Y94sl397~huS1TTg__&Key-Pair-Id=KUT5TJCACFTXG","The Texas Legislature included a substantial increase for graduate medical education in the 2026–27 budget, and the Texas Higher Education Coordinating Board (THECB) staff briefed the Family Practice Advisory Committee on the changes and new programs on June 10.

John Wyatt, senior director for government relations at THECB, said the final budget \"included a total of $304,000,000 for GME expansion, which is a $71,000,000 increase, over the previous biennium.\" Wyatt described the GME expansion program\u0000as intended to help the state approach a 1.1-to-1 ratio of residency positions to medical-school graduates.

Elizabeth Mayer, assistant commissioner for academic and health affairs, told the committee THECB will administer several funded programs. She recapped amounts in the adopted budget: $304 million for graduate medical education expansion; $16,500,000 for the family practice residency program; $11,600,000 for the Joint Admissions Medical Program (JAMP); $4,800,000 for preceptorships; $3,000,000 continued for the rural residency physician grant program; and $5,000,000 for the forensic psychiatry fellowship program. Mayer also said the Legislature funded two new initiatives: a behavioral health innovation grant program and a family medicine-obstetrics postgraduate training program, each initially funded at $5,000,000, and that the Legislature provided $200,000 for a study on education and retention of obstetricians-gynecologists in Texas.

Wyatt and Mayer said the enacted budget also included a rider directing THECB to provide clearer reporting on how GME expansion funds are used. Wyatt said the rider will require THECB to include, in its next legislative appropriations request, details on utilization, actual and budgeted expenditures by awardees, and other data to help the Legislature review the program in the next session.

Committee members welcomed the new funding but warned that program-level reporting and sustainability would be critical going forward. Several members urged THECB to use the new grants-management system the agency is implementing to provide better financial transparency and to prepare the data the Legislature is asking for.

THECB staff said they will determine whether newly funded programs require statute or rules. Mayer noted that some programs established in prior sessions were created in appropriations language without an accompanying statute and therefore do not automatically trigger negotiated rulemaking.

Mayer and Wyatt said staff will follow up with the committee as rulemaking or program design decisions proceed and that THECB is preparing the reporting mechanisms the Legislature requested.","The Texas Legislature increased funding for graduate medical education and approved new behavioral health and family medicine-obstetrics programs, the Higher Education Coordinating Board staff told the Family Practice Advisory Committee on June 10, 2025.","actionData","errors"]

Article not found

Votes at a glance: Family Practice Advisory Committee actions, June 10, 2025

Faculty Development Center reports outreach and chief-resident attendance; financial summaries show resident pay is majority of spending

Committee tightens allowable and prohibited spending rules for family practice residency funds

Committee adds two residency programs to eligibility, selects funding scenario for FY2026

Legislature boosts Texas medical-education funding; coordinating board staff outline new grant programs