Bill Text: CA AB2216 | 2015-2016 | Regular Session | Amended

California Assembly Bill 2216 (Prior Session Legislation)

NOTE: There are more recent revisions of this legislation. Read Latest Draft

Bill Title: Primary care residency programs: grant program.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2016-11-30 - From Senate committee without further action. [AB2216 Detail]

Download: California-2015-AB2216-Amended.html

BILL NUMBER: AB 2216	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 28, 2016

INTRODUCED BY   Assembly Member Bonta

                        FEBRUARY 18, 2016

    An act to add Section 127941 to   An act to
add Article 1.5 (commencing with Section 128245) to Chapter 4 of Part
3 of Division 107 of  the Health and Safety Code, relating to
health workforce development.



	LEGISLATIVE COUNSEL'S DIGEST


   AB 2216, as amended, Bonta.  Teaching Health Center
Graduate Medical Education:   Primary care residency
programs:  grant program.
   Existing federal and state laws contain programs that authorize
loan forgiveness to physicians, dentists, and individuals enrolled in
a postsecondary institution studying medicine or dentistry who agree
to practice in medically or dentally underserved areas.  The
  Under existing law, the  Teaching Health Center
Graduate Medical Education (THCGME) program was created by the
federal Patient Protection and Affordable Care Act for the purpose of
awarding grants to teaching health centers for the purpose of
establishing new accredited or expanded primary care residency
programs. 
   This bill would require the Office of Statewide Health Planning
and Development and the State Department of Health Care Services to
provide technical assistance as follows: (1) to support the expansion
of primary care residency programs at THCGME programs, (2) to THCGME
programs in federally qualified health centers (FQHCs) and rural
health clinics to support the maximizing of federal financial
participation, and (3) to Medi-Cal providers, including FQHCs,
community mental health centers, rural health clinics, Indian Health
Service or tribal clinics, and Title X family planning clinics
interested in establishing an accredited primary care residency
program.  
   This bill would establish the Teaching Health Center Primary Care
Graduate Medical Education Fund for purposes of funding primary care
residency programs, as specified, subject to appropriation by the
Legislature. The bill would establish criteria for the awarding of
grants under these provisions to teaching health centers, as defined.
The bill would require the Office of Statewide Health Planning and
Development and the Director of Statewide Health Planning and
Development to administer these provisions, as specified. The bill
would require the office to adopt emergency regulations to implement
these provisions. 
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: no.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

   SECTION 1.    Article 1.5 (commencing with Section
128245) is added to Chapter 4 of Part 3 of Division 107 of the 
 Health and Safety Code   , to read:  

      Article 1.5.  Teaching Health Center Primary Care Graduate
Medical Education Act of 2016


   128245.  For purposes of this article, the following terms have
the following meanings:
   (a) "Director" means the Director of Statewide Health Planning and
Development.
   (b) "Fund" means the Teaching Health Center Primary Care Graduate
Medical Education Fund.
   (c) "Office" means the Office of Statewide Health Planning and
Development.
   (d) "Teaching health center" has the same meaning as defined in
Article 1 (commencing with Section 128200).
   128246.  There is in the State Treasury the Teaching Health Center
Primary Care Graduate Medical Education Fund, which fund is hereby
created.
   128247.  (a) Subject to appropriation by the Legislature, the
director shall award planning and development grants from the fund to
teaching health centers for the purpose of establishing new
accredited or expanded primary care residency programs.
   (b) Grants awarded under this section shall be for a term of not
more than three years and the maximum award to a teaching health
center shall not be more than five hundred thousand dollars
($500,000).
   (c) A grant awarded pursuant to this section shall be used to
cover the costs of establishing or expanding a primary care residency
training program described in subdivision (a), including costs
associated with curriculum development, recruitment, training, and
retention of residents and faculty, accreditation by the
Accreditation Council for Graduate Medical Education (ACGME), the
American Dental Association (ADA), or the American Osteopathic
Association (AOA), faculty salaries during the development phase, and
technical assistance.
   (d) A teaching health center seeking a grant under this section
shall submit an application to the office in the format prescribed by
the office. The director shall evaluate those applications and award
grants based on criteria consistent with a teaching health center's
readiness and other factors indicating the likelihood of success at
implementing a primary care residency program.
   128248.  (a) Subject to appropriation by the Legislature, the
director shall award sustaining grants from the fund to teaching
health centers operating primary care residency programs accredited
by the Accreditation Council for Graduate Medical Education (ACGME),
the American Dental Association (ADA), or the American Osteopathic
Association (AOA).
   (b) The office shall determine the amount of grants awarded per
resident by taking into account the direct and indirect costs of
graduate medical education. The amount of grants awarded per resident
shall be updated, as appropriate, on an annual basis.
   128249.  The office shall promulgate emergency regulations to
implement this article.  
  SECTION 1.    Section 127941 is added to the
Health and Safety Code, to read:
   127941.  (a) It is the intent of the Legislature to increase the
number of primary care physicians in California serving underserved
communities by enacting incentives to support the sustainability and
expansion of current federal Teaching Health Center Graduate Medical
Education (THCGME) programs (42 U.S.C. Section 293l-1), for
individuals who participate in, or were recipients of, teaching
health center development grants in federally qualified health
centers (FQHCs), community mental health centers, rural health
clinics, Indian Health Service or tribal clinics, and Title X family
planning clinics (Subchapter VII (commencing with Section 300) of
Chapter 6A of Title 42 of the United States Code).
   (b) The Office of Statewide Health Planning and Development and
the State Department of Health Care Services shall provide technical
assistance to support the expansion of primary care residency
programs at THCGME programs.
   (c) The Office of Statewide Health Planning and Development and
the State Department of Health Care Services shall provide technical
assistance to THCGME programs in FQHCs and rural health clinics to
support the maximizing of federal financial participation.
   (d) The Office of Statewide Health Planning and Development and
the State Department of Health Care Services shall provide technical
assistance to Medi-Cal providers, including FQHCs, community mental
health centers, rural health clinics, Indian Health Service or tribal
clinics, and Title X family planning clinics interested in
establishing an accredited primary care residency program.