There is a shortage of primary care services in the United States due to increasing demand and declining supply.1 In 2010, in its 20th Report to Congress, the Council on Graduate Medical Education called for increasing the percentage of primary care physicians from 32% to at least 40% to address this shortage.2 Although the Affordable Care Act (ACA) contains several important provisions to expand the primary care workforce, the effect of these policies is likely to be modest and their implementation likely limited if Congress does not appropriate the authorized funds.
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