On Nov. 24, 2010, the Centers for Medicare & Medicaid Services published the Final Rule implementing the graduate medical education (GME) provisions of the Patient Protection and Affordable Care Act.1

Most of the GME provisions in the Final Rule are unchanged from those that were set forth in CMS’s Aug. 3, 2010, Proposed Rule.2 However, CMS made several key clarifications in an effort to answer some of the questions raised by the PPACA and the Proposed Rule. The Final Rule went into effect on Jan. 1, 2011.