Graduate Medical Education Expansion Programs

The Coordinating Board administers grant programs that support efforts to increase first-year residency positions through the Graduate Medical Education (GME) Expansion.

Beginning in 2013, the 83rd Texas Legislature appropriated $14 million to support several efforts to increase the number of first-year residency positions available in the state. In 2015, the 84th Texas Legislature streamlined these efforts and appropriated $53 million to increase the number of first-year residency positions and to establish new residency programs. The 85th Texas Legislature increased funding to $97.1 million to continue support for the program in the 2018-2019 biennium. A portion of the funding, $21.8 million, was appropriated from the Permanent Fund for GME.

Before the funds are disbursed, statute requires awarded applicants to verify that residency positions selected for funding are filled. The verification process is completed in the spring of each year, after resident matching results are announced.

2018-2019 Grant Cycle

 In January 2018, the Coordinating Board announced awards of $96.9 million under the GME Expansion Grant Program. The primary goal in FY 2018 and FY 2019 is to continue support for residency programs established with program funding during the previous two biennia. Twenty-three health science centers, medical schools, hospitals, and foundations received awards for 63 medical residency programs. The funding available was allocated to eligible GME programs based on the number of qualified residency positions projected to be filled during the two-year grant period. A total of 1,292 residency positions will be supported.

2016-2017 Grant Cycle

 In FY 2016 and FY 2017, the GME Expansion Grant Program awarded $48.3 million in funding to support the maintenance or creation of 680 residency positions at 63 existing and new GME programs over an approximate two-year period. The program continued support for positions previously funded in FY 2014 and FY 2015 under Unfilled Position Grants, Grants for New and Expanded Programs, and the Resident Physician Expansion Program.

Of the total residency position awards, approximately 75 percent were in the primary care medical specialties of internal medicine, family medicine, pediatrics, and obstetrics and gynecology.


If you have questions or require additional information about Graduate Medical Education Expansion Programs, please contact Suzanne Pickens at