Assistance program
Children's Hospitals Graduate Medical Education Payment Program
$2.9 Billion committed in FY2018–FY2026
- Agency
- Health Resources and Services Administration, Health and Human Services, Department of
- Assistance
- Direct Payments for Specified Use
- CFDA number
- 93.255
- What it does
- The purpose of the CHGME Payment Program is to compensate for the disparity in the level of Federal Graduate Medical Education (GME) funding for freestanding children’s teaching hospitals versus other types of teaching hospitals. Hospitals typically receive support for graduate medical education (GME) through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. Freestanding children’s hospitals receive little to no Graduate Medical Education (GME) funding from Medicare because children’s hospitals have a low Medicare caseload. The CHGME Payment Program supports freestanding children’s teaching hospitals that: 1) Educate and train future pediatricians, pediatric sub-specialists, and other non-pediatric residents, including residents in dentistry; 2) Provide care for vulnerable and underserved children; and 3) Conduct innovative and valuable pediatric research. The CHGME Support Reauthorization Act of 2013 contained a provision to establish a quality bonus system (QBS). The goal of the QBS is to recognize and incentivize those CHGME Payment Program awardees with high quality training to meet the pediatric workforce needs of the nation.
- Who benefits
- Any public or private nonprofit and profit freestanding children's teaching hospital with an accredited residency training program which meets all eligibility requirements may apply.
- Who applies
- A children’s hospital is eligible to apply for CHGME Payment Program funding if it participates in an approved GME program; has a Medicare Provider Agreement; is excluded from the Medicare Inpatient Prospective Payment System (IPPS); and operates as a freestanding children’s teaching hospital. A freestanding children’s teaching hospital does not operate under a Medicare hospital provider number assigned to a larger health care entity that receives Medicare GME payments. A hospital remains eligible for payments as long as it trains residents as a freestanding children’s hospital during the federal fiscal year that HRSA makes CHGME program payments.
- Authorized by
- 42 U.S.C. § 256e (§ 340E of the Public Health Service Act), as amended by the Dr. Benjy Frances Brooks Children's Hospital GME Support Reauthorization Act of 2018 (P.L. 115-241)
- Program site
- https://bhw.hrsa.gov/grants/medicine/chgme ↗
Committed by fiscal year
* FY2026 is year-to-date — the fiscal year is still in progress, so its total is still filling in. The striped band and dashed line mark that provisional stretch.
Top recipients
By dollars committed.
How to read these numbers
- Committed through this program
Money committed under this assistance listing (its CFDA program), counted in the year each action happened.
- How it's paid
Most programs pay out one way — a grant, or a direct payment to individuals; the flow bar only appears when a program genuinely mixes types.
- Some recipients aren't itemized
For entitlement programs like Social Security and Medicare, the government reports one aggregate instead of naming tens of millions of people, so the recipient roster isn't part of the public record.
- Awards, counted once
An award count is the number of distinct awards with at least one action that year — each counted once, however many times it was amended.
- The colored bars
Every bar on this page splits by how the money moves:
Direct payments