Medicare GME
n The Balanced Budget Act of 1997(BBA) placed a
cap or freeze on the number of residency positions
supported by D-GME. The number of residents
for a cost reporting period beginning on or after
October 1, 1997 could not exceed the number of
full-time equivalent residents or the hospital's
most recent cost reporting period ending on or
before 12/31/96
n This was enacted as a Medicare cost saving
measure and in reaction to the perceived
oversupply of physicians
u Dental advocacy by AADS and supported by the ADA
and AAHD convinced Congress to exempt dental
positions from this residency cap