
VA MISSION Act Sect. 403
Pilot Program for Graduate Medical Education and Residency (PPGMER)
The John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Network (MISSION) Act of 2018 (Public Law 115-182) Section 403

About VA MISSION Act, Section 403:
The John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Network (MISSION) Act of 2018 (Public Law 115-182) Section 403 establishes the Pilot Program on Graduate Medical Education and Residency (PPGMER), which aims to improve health care access for Veterans and others living in rural and underserved regions. The program provides funding to support resident physician rotations and new graduate medical education (GME) programs at high-priority locations including facilities operated by Indian Health Service, Indian Tribes or Tribal organizations. Other health care facilities located in areas designated by VA as underserved, Federally Qualified Health Center programs, and those operated by the Department of Defense are also eligible to participate in the pilot.
The pilot program is authorized to reimburse the stipends and benefits of 100 individual resident physicians from accredited GME training programs while rotating in these facilities.
The program is also authorized to reimburse some costs associated with establishing new residency programs in these facilities.
VA has authorized reimbursement for sponsoring institutions outlined below for academic year 20205-2026 rotations at covered facilities. VA will be issuing additional requests for proposals to solicit the interest of academic institutions and programs participating in the pilot.
Participants in Cohort 1 and 2
| Sponsoring Institution | Covered Facility |
|---|---|
| Icahn at Mount Sinai | Cheyenne River Health Center |
| Louisiana State University Medical Center of New Orleans | Northern Navajo Medical Center |
| Massachusetts General Hospital | Rosebud Indian Service Unit |
| Providence Alaska | Southeast Alaska Regional Health Consortium (SEARHC)-Mt. Edgecumbe Medical Center |
| Providence Alaska | Yukon-Kuskokwim Health Corporation |
| University of California Davis Health | Cares Community Health |
| University of Minnesota | White Earth Indian Health Service |
| University of New Mexico | Northern Navajo Medical Center |
| University of New Mexico | Gallup Indian Medical Center |
| University of Utah Health | Northern Navajo Medical Center |
| University of Utah Health | Chinle Comprehensive Health Care Facility |
| University of Utah Health | Tuba City Regional Health Care |
| University of Utah Health | Wind River Family & Community Health Center |
| University of Washington | Gallup Indian Medical Center |
| Washington University in St. Louis School of Medicine | Northern Navajo Medical Center |
Useful links
MISSION 403 One Page PDF
VA MISSION ACT Section 403 – Pilot Program on GME and Residency (PPGMER)
Press Release link:
VA announces new graduate medical education program to help expand health care access to Veterans in underserved communities – VA News
Federal Register link:
Federal Register :: VA Pilot Program on Graduate Medical Education and Residency
For more information
Should you have any questions or requests for further information, please contact: Office of Academic Affiliations, Department of Veterans Affairs, at VAMission403Help@va.gov.