Bill Text: CA AB443 | 2021-2022 | Regular Session | Amended
Bill Title: Physicians and surgeons: fellowship programs: special faculty permits.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Engrossed - Dead) 2022-06-16 - In committee: Set, first hearing. Hearing canceled at the request of author. [AB443 Detail]
Download: California-2021-AB443-Amended.html
Amended
IN
Assembly
April 19, 2021 |
Amended
IN
Assembly
March 11, 2021 |
Introduced by Assembly Member Carrillo |
February 04, 2021 |
LEGISLATIVE COUNSEL'S DIGEST
Existing law establishes in the California Health and Human Services Agency the Office of Statewide Health Planning and Development, under the control of an executive officer known as the Director of Statewide Health Planning and Development, and makes the office responsible for administering various programs with respect to the health care professions.
This bill would require the office to establish an international medical graduates assistance program to address barriers to practice and facilitate pathways to assist immigrant international medical graduates to integrate into the California health care delivery system, with the goal of increasing access to primary care in rural and underserved areas of the state. The bill would require the office to enter into an agreement with another state agency as the office determines to be appropriate,
based on prescribed criteria, to operate as the managing agency of the program. The bill would require the agreement to include a requirement that, by June 30, 2022, the managing agency shall provide dedicated staffing for the planning and management of the program and that the governing body of the managing agency shall be the entity responsible for the supervision of programmatic operations. The bill would also require the agreement to provide that the office shall oversee the managing agency’s planning, management, and operation of the program.
The bill would require the governing body of the managing agency, in administering the program, to take prescribed actions, including providing overall coordination for the planning, development, and implementation of a comprehensive system for integrating qualified immigrant international medical graduates into the California health care delivery system, developing a system for the assessment and certification of the
clinical readiness of eligible immigrant international medical graduates to serve in a residency program, and studying, in consultation with the Medical Board of California and other stakeholders as determined by the governing body, changes necessary in health professional licensure and regulation to ensure full utilization of immigrant international medical graduates in the California health care delivery system. The bill would also require the governing body of the managing agency to prepare and post on its internet website, commencing June 30, 2022, and annually thereafter, a report with related information.
The bill would authorize the director to develop initial clinical readiness assessments for practice of one or more primary care specialties and would require the director to add additional assessments as they determine resources are available. The bill would authorize the director, in collaboration with the managing agency, to enter into an agreement with
another state agency or an independent entity to conduct assessments.
The bill would require the Secretary of California Health and Human Services to issue a California certificate of clinical readiness for residency to an individual who passes the assessment. The bill would authorize the secretary to impose an unspecified certificate fee to cover the administrative costs to the agency. The bill would require fee revenues to be deposited in the International Medical Graduates Clinical Readiness Fund, which the bill would establish. Moneys in the fund would be available to the agency only for the purpose of reimbursing its administrative costs, subject to appropriation by the Legislature.
Existing law, the Medical Practice Act, establishes the Medical Board of California and sets forth its powers and duties relating to the licensure and regulation of physicians and surgeons. Existing law establishes the University of
California at Los Angeles David Geffen School of Medicine’s International Medical Graduate Program to allow selected international medical graduates in a preresidency training program at the University of California, Los Angeles David Geffen School of Medicine, Department of Family Medicine to receive hands-on clinical instruction, as prescribed.
This bill would require the office, in consultation with the board and other stakeholders as determined by the office, to develop requirements for qualification for an international medical graduate integration license for the practice of medicine to be issued by the board. The bill would require the board to consult with the office and other stakeholders in the development of those requirements. The bill would require an international medical graduate integration license to exempt a qualified immigrant international medical graduate from residency requirements for the practice of medicine under the act. The bill would
authorize the board to issue an international medical graduate integration license if it determines an applicant is qualified for such a license and the practice of the applicant will be primary care in a rural or underserved area.
Digest Key
Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NOBill Text
The people of the State of California do enact as follows:
SECTION 1.
(a) The Legislature finds and declares the following:(a)The Legislature finds and declares that this section is necessary to integrate qualified international medical graduates into the health care delivery system without the time and expense of residency, and is consistent with health equity priorities of the state.
(b)As used in this section, “immigrant international medical graduate” has the same meaning as defined in Section 127850 of the Health and Safety Code.
(c)The board, in accordance with Section 127852 of the Health and Safety Code, shall consult with the Office of Statewide Health Planning and Development and other stakeholders as determined by that office in the development of requirements for qualification for an international
medical graduate integration license for the practice of medicine, to be issued by the board.
(d)The international medical graduate integration license shall exempt a qualified immigrant international medical graduate from residency requirements for the practice of medicine under this chapter.
(e)The board may issue an international medical graduate integration license if it determines the following:
(1)The applicant is qualified for an international medical graduate integration license pursuant to the requirements developed in accordance with subdivision (c).
(2)The practice of the applicant will be primary care in a rural or underserved area.
As used in this article:
(a)“Immigrant international medical graduate” means an international medical graduate who meets all of the following requirements:
(1)Was born outside the United States.
(2)Now resides permanently in the United States.
(3)Did not enter the United States on a J-1 or similar nonimmigrant visa following acceptance into a United States medical residency or fellowship program.
(b)“International medical graduate” means a physician who received a basic medical degree or qualification
from a medical school located outside the United States and Canada.
(c)“Rural community” means a rural community included in the list established pursuant to Section 124425.
(d)“Underserved community” means a California area or population included in the list of designated primary medical care health professional shortage areas, medically underserved areas, or medically underserved populations maintained and updated by the United States Department of Health and Human Services.
(a)The office shall establish an international medical graduates assistance program to address barriers to practice and facilitate pathways to assist immigrant international medical graduates to integrate into the California health care delivery system, with the goal of increasing access to primary care in rural and underserved areas of the state.
(b)(1)The office shall enter into an agreement with another state agency as the office determines to be appropriate to operate as the managing agency of the program in accordance with this article. The office shall base the determination of the appropriate managing agency on criteria that shall include, but is not limited to, experience in health profession licensing,
education and health equity, managing cross-sector, regional, or statewide education workforce partnerships, health professional education, and diversity in medical education.
(2)The agreement shall include that, by June 30, 2022, the managing agency shall provide dedicated staffing for the planning and management of the program and that the governing body of the managing agency shall be the entity responsible for the supervision of programmatic operations. The agreement shall provide that the office shall oversee the managing agency’s planning, management, and operation of the program.
(a)In administering the international medical graduates assistance program pursuant to this article, the governing body of the managing agency shall do the following:
(1)Provide overall coordination for the planning, development, and implementation of a comprehensive system for integrating qualified immigrant international medical graduates into the California health care delivery system, particularly those willing to serve in rural or underserved communities of the state.
(2)Develop and maintain, in partnership with community organizations working with international medical graduates, a voluntary roster of immigrant international medical graduates interested in entering
the California health workforce to assist in planning and program administration.
(3)Work with graduate clinical medical training programs to address barriers faced by immigrant international medical graduates in securing residency positions in California, including the requirement that applicants for residency positions be recent graduates of medical school.
(4)Subject to paragraph (1) of subdivision (b), develop a system for the assessment and certification of the clinical readiness of eligible immigrant international medical graduates to serve in a residency program. The system shall include assessment methods, an operating plan, and a budget.
(5)Explore and facilitate more streamlined pathways for immigrant international medical graduates to serve in nonphysician professions in the California workforce.
(6)Prepare and post on its internet website a report, commencing June 30, 2022, and annually thereafter, with information on the following:
(A)The aggregate number and distribution, by geography and specialty, of immigrant international medical graduates in California.
(B)Progress in addressing barriers as described in paragraph (3).
(C)Recommendations on necessary changes identified pursuant to paragraph (6).
(b)(1)The director may develop initial clinical readiness assessments as described in paragraph (4) of subdivision (a) for practice of one or more primary care specialties and shall add additional assessments as they determine resources are available. In
order to be assessed for clinical readiness for residency, an eligible international medical graduate shall have obtained a certification from the Educational Commission for Foreign Medical Graduates.
(2)The director, in collaboration with the managing agency, may enter into an agreement with another state agency or an independent entity to conduct assessments in accordance with paragraph (1) of this section and paragraph (4) of subdivision (a).
(c)(1)The secretary shall issue a California certificate of clinical readiness for residency to an individual who passes the assessment. The secretary may impose a certificate fee of ____ ($____) to cover the administrative costs to the agency.
(2)Fee revenues pursuant to paragraph (a) shall be deposited in the International Medical Graduates
Clinical Readiness Fund, which is hereby established in the State Treasury. Moneys in the fund shall be available to the agency only for the purpose of reimbursing the costs of administering this article, upon appropriation by the Legislature.
(d)The office, in consultation with the Medical Board of California and other stakeholders as determined by the office, shall develop requirements for qualification for an international medical graduate integration license for the practice of medicine to be issued by the board pursuant to Section 2065.5 of the Business and Professions Code.
(e)Nothing in this section alters the authority of the Medical Board of California to regulate the practice of medicine.