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.

2019-2020 Grant Cycle (Grant Period: July 2019 – June 2020)

After the spring 2018 program awards were finalized, approximately $2.5 million in available funding remained. In October 2018, the Coordinating Board released a second RFA, with the intention of awarding one-year grants to eligible applicants that have not previously received a GME Expansion Grants award and that intend to create new First-Year Residency Positions by establishing or expanding a GME program in the state. Award amount is $75,000 per year for each residency position awarded and filled in July 2019.

Funding priorities will be informed by research conducted by the Texas Department of State Health Services (DSHS), in accordance with the Texas Health and Safety Code, Section 105.009. Emphasis will be placed on medical specialties and regions of the state with critical physician workforce needs. Priority will be placed on location in rural areas, and primary care specialties and psychiatry.

2018-2020 Grant Cycle (Grant Period: July 2018 – June 2020)

In October 2017 the Coordinating Board released a Request for Applications (RFA) for the GME Expansion Grant Program, with the goal of awarding two-year grants to maintain support for First-Year Residency Positions established with program funding during the previous two biennia. Applications were limited to eligible applicants that received one or more program awards and filled the awarded positions during State Fiscal Years (FY) 2016 and/or 2017. After an initial award announcement in January 2018, awards of $94.9 million were verified and finalized in spring 2018. 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 1,265 residency positions will be supported.


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