Request for Proposal | Pilot Program for Graduate Medical Education and Residency | Under Mission Act Section 403

The Department of Veterans Affairs (VA), Office of Academic Affiliations (OAA) has issued a Request for Proposal (RFP) for the VA Pilot Program on Graduate Medical Education and Residency (PPGMER).  The RFP is offered under John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018, P.L. 115-182 §403. 

The RFP announcement provides information to Accreditation Council for Graduate Medical Education (ACGME) Sponsoring Institutions (SIs) about program requirements and procedures to apply for VA’s PPGMER program. The pilot program provides funding to establish new residency programs by facilities operated by Indian Health Service (IHS), Indian Tribes, Tribal organizations, Federally Qualified Health Centers (FQHCs), or Department of War (DoW). Other health care facilities located in areas designated by VA as underserved are also eligible. NOTE: Per the MISSION Act Section 403 Final Rule, VA will not use this program to increase resident positions at VA facilities.

VA is offering two separate RFPs:

1. Model A: Stipends and Benefits for Individual Residents

SIs will be reimbursed for the proportionate share of resident physician salary and benefits during the time individual residents spent in clinical and educational activities at covered facilities participating in the PPGMER.

Title	Detail
Funding Opportunity	PPGMER- Established Residency Programs Model A Cohort 3
Resident Rotations	Academic Years (AY) 27-28, 28-29, 29-30
RFP Application Window	September – November 2026
Application Deadline	November 30, 2026
Estimated Notification	February 2027

2. Model B: Costs Associated with New Residency Programs at Covered Facilities

SIs with new ACGME-accredited residency programs may be eligible for limited reimbursement for certain startup costs and resident physician salary and benefits as described above for Model A.

Title	Detail
Funding Opportunity	PPGMER – New Residency Programs Model B
RFP Application Window	September – November 2026
Application Deadline	November 30, 2026
Estimated Notification	February 2027
Maximum Recipients	3

TECHNICAL ASSISTANCE

Information Sessions:

VA will host two Information Sessions on the following dates:

Dates	Registration Link
October 7, 2026 2:00 – 3:00 pm EST	Click to Register
October 28, 2026 2:00 – 3:00 pm EST	Click to Register

• AMS Technical Guide

CONTACT

For information concerning this RFP program announcement, please contact VAMission403Help@va.gov

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