Bill Text: CA AB1176 | 2013-2014 | Regular Session | Amended
Bill Title: Medical residency training program grants.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Introduced - Dead) 2014-02-03 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB1176 Detail]
Download: California-2013-AB1176-Amended.html
BILL NUMBER: AB 1176 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY APRIL 23, 2013
AMENDED IN ASSEMBLY MARCH 21, 2013
INTRODUCED BY Assembly Members Bocanegra and Bonta
FEBRUARY 22, 2013
An act to add Article 4 (commencing with Section 128310) to
Chapter 4 of Part 3 of Division 107 of the Health and Safety Code,
relating to health care.
LEGISLATIVE COUNSEL'S DIGEST
AB 1176, as amended, Bocanegra. Medical residency training program
grants.
Existing law, the Song-Brown Family Physician Training Act,
declares the intent of the Legislature to increase the number of
students and residents receiving quality education and training in
the specialty of family practice and as primary care physician's
assistants and primary care nurse practitioners. Existing law
establishes, for this purpose, a state medical contract program with
accredited medical schools, programs that train primary care
physician's assistants, programs that train primary care nurse
practitioners, registered nurses, hospitals, and other health care
delivery systems.
Existing law establishes the California Healthcare Workforce
Policy Commission and requires the commission to, among other things,
identify specific areas of the state that have unmet priority needs,
and review and make recommendations to the Director of the Office of
Statewide Health Planning and Development concerning the funding of
those programs that are submitted to the Health Professions
Development Program for participation in the state medical contract
program.
The bill would establish the Graduate Medical Education Fund in
the State Treasury to consist of annual assessments, on insurers or
health care services plans that provide prescribed health care
coverage, of $5 per covered life. The bill would require that moneys
in the fund be used, upon appropriation by the Legislature, to fund
grants to graduate medical residency training programs. The bill
would require the Office of Statewide Health Planning and
Development, in consultation with the California Healthcare
Workforce Policy Commission, Graduate Medical
Education Council, to develop criteria for distribution of
available funds. The bill would establish the Graduate Medical
Education Council to be composed of 11 members who are to be
appointed as specified. The bill would require the council to, among
other things, review and make recommendations to the Director of the
Office of Statewide Health Planning and Development concerning the
funding of the medical residency training programs and submit to the
Legislature an annual report, as specified.
This bill would include a change in state statute that would
result in a taxpayer paying a higher tax within the meaning of
Section 3 of Article XIII A of the California Constitution, and thus
would require for passage the approval of 2/3 of the membership of
each house of the Legislature.
Vote: 2/3. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. Article 4 (commencing with Section 128310) is added to
Chapter 4 of Part 3 of Division 107 of the Health and Safety Code, to
read:
Article 4. Medical Residency Training Program Grants
128310. (a) The Graduate Medical Education Fund is hereby
established in the State Treasury.
(b) Moneys in the fund shall, upon appropriation by the
Legislature, be used solely for the purpose of funding grants to
graduate medical education residency programs in California.
(c) Notwithstanding Section 16305.7 of the Government Code, all
interest earned on the moneys that have been deposited into the fund
shall be retained in the fund and used for purposes consistent with
the fund.
(d) The fund shall consist of all of the following:
(1) All assessments received pursuant to Section 128311.
(2) Any interest that accrues on amounts in the fund.
(e) The Office of Statewide Health Planning and Development, in
consultation with the California Healthcare Workforce Policy
Commission, Graduate Medical Education Council,
shall develop criteria for distribution of available moneys in the
fund. In developing the criteria, the office shall give priority to
programs that meet the following specifications:
(1) Are located in medically underserved areas, as defined in
Section 128552.
(2) Have a proven record of placing graduates in those medically
underserved areas.
(3) Place an emphasis on training primary care providers.
(4) Place an emphasis on training physician specialties that are
most needed in the community in which the program is located.
(f) Moneys appropriated from the fund may also be used to fund
existing graduate medical education residency slots as well as new
graduate medical education residency slots.
(g) Whenever applicable, the office shall utilize moneys
appropriated from the fund to provide a match for available federal
funds for graduate medical education.
(h) As used in this article:
(1) "Council" means the Graduate Medical Education Council
established pursuant to Section 128312.
(2) "Office" means the Office of Statewide Health Planning and
Development.
128311. (a) Every health insurer or health care service plan that
provides health care coverage in this state shall pay an annual
graduate medical education assessment of five dollars ($5.00) for
each covered life to the California Healthcare Workforce
Policy Commission Graduate Medical Education Council
for deposit into the Graduate Medical Education Fund for the
purposes of this article.
(b) This section shall not apply to dental-only,
vision-only, or Medicare supplement plans or policies or to coverage
provided under any public program, including, but not limited to,
Medi-Cal or the Healthy Families Program. a
specialized health insurance policy that provides excepted benefits
as described in Sections 2722 and 2791 of the federal Public Health
Services Act (42 U.S.C. Sec. 300gg-21; 42 U.S.C. Sec. 300gg-91), or
Medicare supplement coverage, or a specified disease or hospital
indemnity policy, a specialized health care service plan contract, a
health care service plan contract provided in the Medi-Cal program
(Chapter 7 (commencing with Section 14000) of Part 3 of Division 9 of
the Welfare and Institutions Code), the Healthy Familities Program
(Part 6.2 (commencing with Section 12693) of Division 2 of the
Insurance Code), the Access for Infants and Mothers Program (Part 6.3
(commencing with Section 12695) of Division 2 of the Insurance
Code), or the County Health Initiative Matching Fund program under
Part 6.4 (commencing with Section 12699.50) of Division 2 of the
Insurance Code.
128312. The California Graduate Medical Education Council is
hereby established and shall consist of 11 members who serve at the
pleasure of the appointing authorities.
(a) The council shall be appointed as follows:
(1) Seven members of the council shall be appointment by the
Governor, including the following:
(A) One representative of the University of California teaching
hospital participating in Graduate Medical Education (GME).
(B) One representative of a private medical or osteopathic
teaching hospital accredited in California and participating in GME.
(C) Two representative from managed care plans.
(D) One representative of allopathic primary care physicians and
surgeons.
(E) One representative of osteopathic primary care physicians and
surgeons.
(F) One representative of the office.
(2) Two persons who are not elected or appointed officials and who
have experience with GME shall be appointed by the Speaker of the
Assembly.
(3) Two persons who are not elected or appointed officials and who
have experience with GME shall be appointed by the Senate Committee
on Rules.
(b) The members of the Council, other than state employees, shall
receive compensation of twenty-five dollars ($25) for each day's
attendance at a council meeting, in addition to actual and necessary
travel expenses incurred in the course of attendance at a council
meeting.
(c) The council shall do all of the following:
(1) Establish standards and develop criteria for medical residency
training program grants in California in consultation with the
office.
(2) Review and make recommendations to the Director of the office
concerning the funding of the medical residency training programs.
(3) Establish criteria for medical residency training program
grant review.
(4) Require that medical residency training programs that qualify
be accredited by the Accreditation Council for Graduate Medical
Education or the American Osteopathic Association.
(d) The council shall submit to the Legislature an annual report
that includes all of the following:
(1) The number of medical residency training program grant
participants.
(2) The name and location of all practice settings with medical
residency training program grant participants.
(3) The amount expended for the medical residency training program
grants on each participant.
(4) Information on annual performance by the practice setting and
medical residency training program grant participants.
(e) (1) The report described in subdivision (d) shall be submitted
to the Legislature in the manner provided in Section 9795 of the
Government Code.
(2) Subdivision (d) shall be inoperative on January 1, 2018, as
provided in Section 10231.5 of the Government Code.
