Effective August 1, 2015, the reimbursements include in paragraph 109 shall be for the following amounts: 1) Breakfast $9.00 2) Lunch $11.00 3) Dinner $11.75

Also effective August 1, 2015, the departments of Neurosurgery, Orthopedic Surgery, Surgery and Urology distribution of monthly amount for qualifying House Officers would be adjusted to $228. It is also understood that paragraph 112 still applies for the meal ticket plan for these four (4) departments, including the plan being evaluated on an annual basis.

It is the goal moving forward from the effective date, that JOC will address the administrative burden on programs and the inequity in the current system. Specifically, removing the time restraints for sub groups to qualify and will focus on total shift hours, regardless of start and stop times. We will work toward simplifying and streamlining the process with a deadline for implementation for the next fiscal year.

For The Regents of The University of Michigan
By: ____________

The University of Michigan House Officers Association
By: ____________

signed copy of MOU