Two closed teaching hospitals' resident slots open for application through MEARIS until February 2, 2027
Published November 8, 2026 · Coverage November 1–7, 2026, Pacific · Lower priority
CMS gave notice of the closure of St. Luke's Des Peres Hospital, Des Peres, MO (CMS certification number (CCN) 260176; Round 32) and Franciscan Health Hammond, Hammond, IN (CCN 150004; Round 33) and opened applications for their resident cap slots. Applications must be submitted through the Medicare Electronic Application Request Information System (MEARIS) no later than February 2, 2027; other methods will not be considered. The cap figures are in Tables 104 and 105 of the rule, which are images and are not transcribed here.
Background
Section 5506 of the Affordable Care Act authorizes the Secretary to redistribute residency slots after a teaching hospital closes. CMS set out regulations at 42 CFR 413.79(o) and an application process in its CY 2011 hospital outpatient final rule, and the application period is 90 days following public notice of a closure. These two closures open the 32nd and 33rd rounds of that process.
Who this affects
Teaching hospitals seeking additional direct and indirect graduate medical education (GME) full time equivalent (FTE) resident cap slots under section 5506 of the Affordable Care Act; priority goes to certain hospitals, including those in the same or a contiguous Core Based Statistical Area (CBSA) or the same State as the closed hospital (Missouri and Indiana).
Why it matters
Inference: the rule gives priority to certain hospitals, including hospitals in the same or a contiguous CBSA or the same State as the closed hospital, so practical relevance for California teaching hospitals is likely low; a GME office could still apply.
Required actions
- Hospitals that want slots must apply via MEARIS no later than February 2, 2027
Recommended action
- GME office to assess eligibility only if expanding programs
Scope and timing
- Authority status
- Final
- Responsible owner
- Graduate Medical Education / Reimbursement
- Publication date
- 2026-11-06
- Other dates
- 2027-02-02 (application deadline)
Not established
Table values are image-only and were not transcribed.
Sources
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