Finds that: (1) Many rural and urban communities, and economically disadvantaged and minority populations, are medically underserved and are likely to become even more so if, as predicted by the health resources and services administration in 2006, a national shortage of physicians emerges by 2020;

(2) Community health centers provide primary and preventive health care services for people living in rural and urban medically underserved communities; and

(3) Community health centers are already facing a health workforce crisis.

Establishes a family medicine residency training grant program.

Requires the joint legislative audit and review committee to conduct a performance audit and evaluation of the family medicine residency training grant program every five years.

Creates the family medicine residency training account.

Imposes an additional tax on the sale, use, consumption, handling, possession, or distribution of cigarettes, in an amount equal to seven and one-half cents per pack.