This amendment captures $500,000 from the general fund in savings from unsubscribed funds for the Medicaid medical residency program for fiscal year 2018. The 2016 General Assembly provided funding for a new program to fund 25 medical residency slots effective July 1, 2017, of which 13 were for primary care residencies and 12 for high-need specialty residencies. Currently, 15 residency slots have been awarded to hospitals for fiscal year 2018. Typically institutional decisions about medical residencies are made in early fall and awarded to students the following spring, consequently, funding for the unsubscribed slots will not be used in fiscal year 2018. In addition, language specifies the hospitals for which supplemental payments will be made to fund residencies, based on the decisions made in the fall of 2016. Language reserves any unused funding for Medicaid residency slots to be used for future costs of the residency program and requires the Department of Medical Assistance Services to adjust the 2018-20 Medicaid forecast to include funding for the 25 residency slots approved by the 2016 General Assembly.