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Lawmakers hear reports on residency expansion; state funding counted as one‑third of training costs

2435972 · February 3, 2025
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Summary

Legislative analysts and program directors described a multi‑year expansion of graduate medical education in Idaho, citing increased resident counts, retention rates and a three‑way funding model in which the state typically provides roughly one‑third of the per‑resident cost.

Legislative staff and program directors told the Joint Finance‑Appropriations Committee that Idaho’s multi‑year effort to expand graduate medical education (GME) is increasing the number of residents training in the state, providing immediate clinical capacity while aiming to boost long‑term retention of physicians.

Kevin Campbell, a Legislative Services Office analyst, presented an overview of several residency programs — Eastern Idaho Medical Residency (EIMR), Boise Internal Medicine and multiple family medicine residency (FMR) campuses — describing both base budgets and the FY2026 funding requests. Campbell reported that residency programs typically operate under a three‑way funding model (sponsoring institution, healthcare system partner(s), and state support) and that the current estimated cost per resident has risen to about $210,000 per year.

Why it matters: increasing residency slots expands the physician workforce in the short term (residents provide patient care while training) and improves long‑term retention: Campbell noted an American Medical Association figure that 55% of Idaho residency graduates remain to practice in the state.

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