Bill Text: CA AB2232 | 2013-2014 | Regular Session | Amended

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

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Bill Title: University of California: medical education.

Spectrum: Slight Partisan Bill (Democrat 3-1)

Status: (Engrossed - Dead) 2014-08-14 - In committee: Held under submission. [AB2232 Detail]

Download: California-2013-AB2232-Amended.html

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BILL NUMBER: AB 2232	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MAY 23, 2014

INTRODUCED BY   Assembly Member Gray

                        FEBRUARY 21, 2014

   An act relating to the University of California, and making an
appropriation therefor.


	LEGISLATIVE COUNSEL'S DIGEST


   AB 2232, as amended, Gray. University of California: medical
education.
   Existing provisions of the California Constitution establish the
University of California as a public trust under the administration
of the Regents of the University of California. The University of
California system includes 10 campuses, which are located in
Berkeley, Davis, Irvine, Los Angeles, Merced, Riverside, San Diego,
San Francisco, Santa Barbara, and Santa Cruz.
   This bill would express findings and declarations of the
Legislature relating to the role of the University of California with
respect to access to health care in the San Joaquin Valley.
   The bill would appropriate  $1,855,000  
$1,225,000  from the General Fund to the regents each fiscal
year, commencing with the 2015-16 fiscal year, for allocation to the
University of California to support expansion of the San Joaquin
Valley Program in Medical Education, as specified. 
   The bill would appropriate $1,000,000 from the General Fund to the
Regents of the University of California during the 2014-15 fiscal
year for allocation to the University of California to support a
2-year planning effort geared toward the establishment of a separate
traditional medical school at the University of California, Merced,
as specified. 
   Vote: 2/3. Appropriation: yes. Fiscal committee: yes.
State-mandated local program: no.


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

  SECTION 1.  The Legislature finds and declares all of the
following:
   (a) The federal Patient Protection and Affordable Care Act, when
fully implemented in 2014, will mean that millions of previously
uninsured Californians will be seeking health services, including
physician care. As a result of this additional demand for physician
services, the projected statewide physician shortfall is 17,000 by
2015.
   (b) The San Joaquin Valley, which runs from Stockton to
Bakersfield, is rich in cultural diversity and is the nation's
leading agricultural region. However, the valley is
disproportionately affected by the state's physician shortage, which
is expected to intensify in the years ahead given the high rate of
population growth in the area. Access to health care is 31 percent
lower in the San Joaquin Valley than in the rest of California.
   (c) Several regions of the San Joaquin Valley are federally
designated Medically Underserved Areas (MUAs). The calculation of
MUAs involves four variables: ratio of primary medical care
physicians per 1,000 population, infant mortality rate, percentage of
the population with incomes below the poverty level, and percentage
of the population 65 years of age or over. 
   (d) To help address California's physician workforce needs, the
Regents of the University of California engaged in a comprehensive
strategic planning process and, in May 2008, approved moving forward
with planning efforts leading to the development of a possible
medical school at the campus of the University of California, Merced
(UC Merced). At that time, the regents also approved moving forward
with other preparations, such as planning for the initial basic
sciences and clinical infrastructure. Upon completion of these and
other activities, the regents envisioned that a formal proposal to
establish a new medical school eventually could be developed.
 
   (e) The medical schools of the University of California, including
a possible future medical school at UC Merced, will play an
important role in addressing California's physician shortages.
 
   (f) Medical education and a possible future UC Merced School of
Medicine will further contribute to the economic growth of the San
Joaquin Valley and the state, as well as expand educational
opportunities for valley residents, and will further support UC
Merced's trajectory toward becoming a top-tier university. 

   (g) 
    (   d)  UC Merced's San Joaquin Valley Program
in Medical Education (PRIME) is providing a key  interim
 resource for training valley health care providers. This
program accomplishes all of the following:
   (1) Strengthens the desire for new physicians to practice in the
San Joaquin Valley, which is one of California's most medically
underserved areas.
   (2) Reduces health disparities and inequalities in the San Joaquin
Valley.
   (3) Forms lasting relationships between the program and
communities, hospitals, clinics, and physicians to enhance health
care in the region. 
   (h) 
   (   e)  Students who take part in PRIME benefit
from firsthand experience with interdisciplinary health care by
providing care in medically underserved communities, working with
patients and families from culturally diverse backgrounds, and
developing a true understanding of the issues and conditions that
impact access to and quality of health care in the region. 
   (i) 
    (   f)  Despite its numerous benefits for its
region, PRIME lacks an ongoing source of funding for its current
enrollment as well as the financial resources to expand capacity to
meet the needs of the valley. 
   (j) Given the San Joaquin Valley's health care needs and the
critical role that a possible future medical school at UC Merced
would play in addressing those needs, it is essential for the State
of California to continue developing the valley's health care
resources by sustaining the current PRIME enrollment, expanding that
program's capacity, and continuing to move toward the establishment
of a medical school at UC Merced. 
  SEC. 2.  The sum of one million  eight hundred fifty-five
  two hundred twenty-five  thousand dollars
($1,855,000)   ($1,225,000)  is hereby
appropriated from the General Fund to the Regents of the University
of California each fiscal year, commencing with the 2015-16 fiscal
year, for allocation to the University of California to support
expansion of the San Joaquin Valley PRIME program to admit up to 12
students per year and operate the program with up to 48 student
participants from across the four-year curriculum annually. 
  SEC. 3.    The sum of one million dollars
($1,000,000) is hereby appropriated from the General Fund to the
Regents of the University of California during the 2014-15 fiscal
year for allocation to the University of California, to support a
two-year planning effort geared toward the establishment of a
separate traditional medical school at the University of California,
Merced. The effort shall include determination of the necessary
program components such as basic and clinical science courses,
curriculum, capital needs, one-time and ongoing operational funding,
student support services, and other necessary components. The
University of California shall submit a report to the appropriate
policy and fiscal committees of the Legislature by March 1, 2016,
summarizing its planning efforts and providing recommendations and
estimates for the infrastructure, personnel, and funding, and time
necessary to establish and maintain such a program.