Bill Text: HI HB311 | 2014 | Regular Session | Introduced


Bill Title: Primary Health Care Training; Rural Areas ($)

Spectrum: Moderate Partisan Bill (Republican 6-1)

Status: (Introduced - Dead) 2013-12-18 - Carried over to 2014 Regular Session. [HB311 Detail]

Download: Hawaii-2014-HB311-Introduced.html

HOUSE OF REPRESENTATIVES

H.B. NO.

311

TWENTY-SEVENTH LEGISLATURE, 2013

 

STATE OF HAWAII

 

 

 

 

 

 

A BILL FOR AN ACT

 

 

RELATING TO RURAL PRIMARY HEALTH CARE TRAINING.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 


     SECTION 1.  The legislature finds that there is a severe shortage of primary care providers in the State.  Hawaii has a limited supply of primary care providers, particularly in rural areas, due to our increasing demands for health care services and aging physician population.  The University of Hawaii John A. Burns school of medicine reported that Hawaii had a shortage of over two hundred primary care physicians in 2010.  This shortfall is expected to rapidly rise by 2020.

     The legislature further finds that family physicians are well suited to provide primary health care services in rural areas due to the broad scope of their practice.  Family physicians furnish health care services essential to the prevention and management of pediatric and adult acute and chronic illnesses.  Family physicians also provide maternity care and mental health services.

     In recognition of this shortage, the legislature further finds the need to support and expand the family medicine residency program of the University of Hawaii John A. Burns school of medicine and to develop a permanent statewide rural primary health care training program in the county of Hawaii.  This expanded program is consistent with the impetus of establishing primary care residency programs under section 5508 of the Patient Protection and Affordable Care Act (P.L. 111-148).

     The University of Hawaii John A. Burns school of medicine currently offers a three-year residency program in family medicine.  The program emphasizes a system-based and interdisciplinary team approach to health care.  The mission of the family medicine residency program is to meet the needs of rural and medically underserved areas and populations in Hawaii in a culturally sensitive and medically appropriate manner.  Family medicine program residents provide not only health care but also education and outreach at schools and community events. 

     Presently, family medicine program residents spend two months in a federally-funded rural health care training demonstration project, initiated in Hilo in 2006, in which residents learn how to provide health care to medically underserved patients in rural areas as they rotate among private physician offices, emergency departments, and the community, providing outreach and education. 

     The purpose of this Act is to increase access to primary health care services provided by family physicians or residents in the family medicine residency program at the University of Hawaii to medically underserved residents in rural areas of the state by appropriating funds to:

     (1)  Support and expand the family medicine residency program of the University of Hawaii John A. Burns school of medicine's department of family medicine and community health to provide rural primary health care services; and

     (2)  Develop a permanent statewide rural primary health care training program in the county of Hawaii to expand the rural health care training available for individuals in the family medicine residency program of the University of Hawaii John A. Burns school of medicine.

     SECTION 2.  There is appropriated out of the general revenues of the State of Hawaii the sum of $___________ or so much thereof as may be necessary for fiscal year 2014-2015 to support and expand the family medicine residency program at the University of Hawaii John A. Burns school of medicine's department of family medicine and community health to provide rural primary health care services.

     SECTION 3.  There is appropriated out of the general revenues of the State of Hawaii the sum of $_____________ or so much thereof as may be necessary for fiscal year 2014-2015 to develop a statewide rural primary health care training program to provide access to family physicians in rural areas and improve health care access for the people of Hawaii.

     SECTION 4.  The sums appropriated shall be expended by the University of Hawaii John A. Burns school of medicine for the purposes of this Act.

     SECTION 5.  For the purposes of this Act, the University of Hawaii John A. Burns school of medicine shall solicit and accept grants and donations from public and private sources, including maximizing the use of federal grants and matching funds.

     SECTION 6.  This Act does not change the standards of any medical residency program or affect the existing relationship between the University of Hawaii John A. Burns school of medicine and the various hospitals that take part in any residency program. 

     SECTION 7.  This Act shall take effect on July 1, 2014.

 

 


INTRODUCED BY:

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Report Title:

Primary Health Care Training; Rural Areas

 

Description:

Appropriates funds to support and expand the family medicine residency program of the University of Hawaii John A. Burns school of medicine to provide rural primary health care services and develop a statewide rural primary health care training program.

 

 

 

The summary description of legislation appearing on this page is for informational purposes only and is not legislation or evidence of legislative intent.

 

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