Bill Text: HI HB678 | 2020 | Regular Session | Introduced
Bill Title: Relating To Health.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Engrossed - Dead) 2020-06-22 - Received notice of all Senate conferees being discharged (Sen. Com. No. 535). [HB678 Detail]
Download: Hawaii-2020-HB678-Introduced.html
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HOUSE OF REPRESENTATIVES |
H.B. NO. |
678 |
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THIRTIETH LEGISLATURE, 2019 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO HEALTH.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that the continued training and support of advanced practice registered nurses is necessary to address the State's shortage of primary care providers. Residents in rural areas often do not have direct access to physicians. Hospitals have had to expend millions of dollars in order to address the medical issues associated with people experiencing homelessness. For example, in 2017, Hawaii's largest hospital reported that caring for homeless patients had cost about $90 million per year. Further, because Medicaid did not reimburse all of the expenses, the hospital absorbed almost $40 million in expenses over a four-year period.
The purpose of this Act is to support the expansion of primary medical care in the State by: (1) establishing a residency program at the University of Hawaii center for nursing to assist newly-graduated advanced practice registered nurses in transitioning into clinical practice; (2) appropriating funds to the University of Hawaii center for nursing to fund the advanced practice registered nurse residency program; and (3) appropriating funds to the University of Hawaii John A. Burns school of medicine for the advanced practice registered nurse residency loan repayment program.
SECTION 2. Chapter 304A, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§304A- Advanced practice registered nurse
residency program; establishment; center for nursing. (a)
There is established within the University of Hawaii center for nursing
an advanced practice registered nurse residency program. The residency program shall be a six- to
nine-month program to provide eligible residency participants with clinical
practice experience, with the aim of improving patient care.
(b) The dean of the University of Hawaii school
of nursing and dental hygiene shall be responsible for:
(1) Developing and implementing the residency program in cooperation
with the nursing profession, medical residency programs, hospitals, and clinics
located throughout the State;
(2) Overseeing the advanced practice registered nurses supervising
the eligible residency participants;
(3) Ensuring that the advanced practice registered nurses
supervising the eligible residency participants represent a wide range of
specialties;
(4) Using the Fellowship and Residency Electronic Interactive
Database Access System or developing an alternate selection process and
procedure to select eligible residency participants;
(5) Determining the education and training locations for the residency
program; provided that priority consideration shall be given to communities in
the State where the population, facilities, number of advanced practice
registered nurses, and interest in the nursing profession are conducive to
success of the residency program and will augment the provision of health care
in the State; and
(6) Adopting rules pursuant to chapter 91 to effectuate the purpose
of this section, including determining penalties for violations of subsection (c);
establishing the selection criteria for the stipend and loan repayment plans
under subsections (d) and (e), respectively; and detailing the notification and
process to accelerate loans provided under subsection (e).
(c) Service commitment. Upon completion of the residency program, eligible
residency participants may be required to commit to two years of full-time
employment at the facility where the residency occurred in the State. Failure to complete the service commitment by
the eligible residency participant may result in financial penalties.
(d) An eligible residency participant may qualify
for a stipend as part of the residency program.
Any stipend paid to an eligible residency participant shall be paid from
the general medical education fund.
(e) An eligible residency participant may qualify
for a loan repayment plan through the advanced practice registered nurse
residency loan repayment program administered through the University of Hawaii
John A. Burns school of medicine as follows:
(1) The term of any loan to an eligible
residency participant shall not exceed seven years from the date of the
completion of the residency program by the eligible residency participant or
the date that the eligible residency participant leaves full-time practice in a
qualified rural area, whichever is sooner;
(2) If the eligible residency participant
leaves full-time practice in a qualified rural area, the eligible residency
participant shall notify the University of Hawaii John A. Burns school of
medicine within days of leaving full-time practice and
the loan shall accelerate and become due in full within
days after the notice; and
(3) Loans awarded from the advanced practice
registered nurse residency loan repayment program shall not exceed
per cent of the total tuition of the residency
program.
(f) For the purposes of this section:
"Eligible
residency participant" means a person who:
(1) Graduated
from an accredited graduate nursing program recognized by the Accreditation
Commission for Education in Nursing or the Commission on Collegiate Nursing
Education and:
(A) Holds a current unencumbered license as an
advanced practice registered nurse in this State under chapter 457, or
successfully obtains licensure prior to participating in the residency program;
and
(B) Has less than twelve months of experience
working in their field of licensure; or
(2) Applied for the residency program in the final semester of study at an accredited advanced practice registered nurse program or accredited graduate nursing program recognized by the Accreditation Commission for Education in Nursing or the Commission on Collegiate Nursing Education, and successfully obtains licensure prior to participating in the residency program.
"Qualified rural
area" means any area designated as a
medically underserved area/population by the United
States health resources and services administration or an area for which the governor
has requested designation as an exceptional medically underserved area/population
from the United States health resources and services administration."
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 2019-2020 to carry out the purposes of this Act; provided that no funds authorized pursuant to this section shall be released unless the University of Hawaii center for nursing secures dollar-for-dollar matching funds for the residency program.
The sum appropriated shall be expended by the University of Hawaii center for nursing for the purposes of this Act.
SECTION 4. 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 2019-2020 for the advanced practice registered nurse residency loan repayment program.
The sum appropriated shall be expended by the University of Hawaii John A. Burns school of medicine for the purposes of this Act.
SECTION 5. New statutory material is underscored.
SECTION 6. This Act shall take effect on July 1, 2019.
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INTRODUCED BY: |
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Report Title:
Advanced Practice Registered Nurse Residency Program; University of Hawaii; Center for Nursing; Loan Repayment Program
Description:
Establishes a residency program to assist newly-graduated advanced practice registered nurses (APRN)in transitioning into a clinical practice. Appropriating funds for the APRN residency program and the APRN residency loan repayment program.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
