Bill Text: HI SB2298 | 2018 | Regular Session | Amended
Bill Title: Relating To Healthcare Preceptor Tax Credits.
Spectrum: Partisan Bill (Democrat 8-0)
Status: (Passed) 2018-06-14 - Act 043, 06/13/2018 (Gov. Msg. No. 1143). [SB2298 Detail]
Download: Hawaii-2018-SB2298-Amended.html
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THE SENATE |
S.B. NO. |
2298 |
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TWENTY-NINTH LEGISLATURE, 2018 |
S.D. 2 |
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STATE OF HAWAII |
H.D. 3 |
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A BILL FOR AN ACT
RELATING TO HEALTHCARE PRECEPTOR TAX CREDITS.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The legislature finds that demand for healthcare providers in Hawaii is growing because of an increase in population size, particularly among the aged population; an improvement in access to care due to broader insurance coverage; and a higher prevalence of chronic diseases. At the same time, there is a primary care provider shortage in Hawaii that will be exacerbated by the projected retirements of current physicians and advanced practice registered nurses. If nothing is done to address the gap between healthcare supply and demand, patients will suffer from longer wait times to see providers and poorer health outcomes. Even more so, the evolution of healthcare delivery means academic institutions across Hawaii face challenges in ensuring an adequate number of future healthcare professionals who are well-distributed by location and by specialty and who are prepared to deliver primary, specialty, and behavioral health care in rural, urban, and suburban settings across Hawaii. Thus, the legislature acknowledges that in order to meet these growing healthcare demands, the State must work with academic institutions and healthcare professionals to ensure that there is an adequate and well-prepared healthcare workforce.
The legislature further finds that Hawaii high school students and residents are interested in pursuing careers in the healthcare service industry. However, in-state educational institutions are constrained by the lack of clinical education and field work sites in Hawaii and the limited supply of qualified primary and specialty care preceptors. The legislature recognizes that current efforts are underway to address these clinical site limitations, including travel support from health professional schools in Hawaii for students and residents who are incurring high costs for training away from their home island. With out-of-state training having such a high cost, the State must consider expanding in-state healthcare provider education capacity.
The legislature also finds that the development of new clinical preceptors and training sites is increasingly difficult. The cohort of preceptors consists largely of volunteers who share the kuleana of educating the future healthcare workforce. Yet, providers who offer such volunteer-based education assume this responsibility above and beyond their regular patient-care responsibilities, subjecting themselves to preceptor fatigue, especially in busy clinical settings. Developing sufficient clinical training opportunities and field placements in areas of high demand requires a sufficient number of appropriately trained preceptors, but the limited availability of preceptors restricts in-state healthcare academic institutions from expanding healthcare provider training. Some states, including Maryland, Georgia, and Colorado, have identified preceptor tax exemptions as a means to increase the supply of health professional preceptors and trainees.
The purpose of this Act is to create a tax credit that encourages preceptors to offer professional instruction, training, and supervision to students and residents seeking careers as healthcare providers throughout Hawaii, with the intention of building capacity for clinical education at in-state academic programs that are nationally accredited for the training of medical, nursing, dental hygiene, social work, psychology, physical therapist assistant, or pharmacy professionals.
SECTION 2. Chapter 235, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§235- Healthcare
preceptor tax credit. (a) There shall be allowed to each taxpayer
subject to the tax imposed by this chapter, a healthcare preceptor tax credit that
shall be deductible from the taxpayer's net income tax liability, if any,
imposed by this chapter for the taxable year in which the credit is properly
claimed.
(b) The amount of the credit shall be equal to $
for each volunteer-based supervised clinical training rotation supervised by
the taxpayer, up to a maximum of
$ per taxable year regardless
of the number of volunteer-based supervised clinical training rotations
supervised by the taxpayer.
(c) The director of taxation:
(1) Shall
prepare any forms that may be necessary to claim a tax credit under this
section; and
(2) May
require the taxpayer to furnish the certificate issued under subsection (d) and
any other reasonable information necessary to ascertain the validity of the
claim for the tax credit made under this section.
(d) The preceptor credit assurance committee,
established pursuant to section 321- , shall:
(1) Maintain
records of the names, addresses, and license number of the taxpayers claiming
the credit under this section; and
(2) Verify
the number of volunteer-based supervised clinical training rotations each
taxpayer supervised by verifying:
(A) That
the taxpayer meets the requirements to serve as a preceptor;
(B) The
number of hours the taxpayer spent supervising an eligible primary care student
or trainee in each volunteer-based supervised clinical training rotation;
(C) That
the eligible student or trainee was enrolled in an academic program in this State;
and
(D) Whether
the taxpayer was uncompensated; and
(3) Issue a certificate to the taxpayer verifying the number of
volunteer-based supervised clinical training rotations supervised by the
taxpayer. The taxpayer shall file the
certificate with the taxpayer's return to the department.
(e) The preceptor credit assurance committee
shall certify credits on a first come, first served basis. If in any taxable year the annual amount of
certified credits reaches $ in
the aggregate, the preceptor credit assurance committee shall immediately
discontinue certifying credits and notify the department of taxation. In no instance shall the preceptor credit assurance
committee certify a total amount of credits exceeding $
per taxable year.
(f) If the tax credit under this section exceeds
the taxpayer's net income tax liability, the excess of the credit over
liability may be used as a credit against the taxpayer's net income tax
liability in subsequent years until exhausted.
All claims for the tax credit under this section, including amended
claims, shall be filed on or before the end of the twelfth month following the
close of the taxable year for which the credits may be claimed. Failure to comply with the foregoing
provision shall constitute a waiver of the right to claim the credit.
(g) For the purpose of this section:
"Academic
program" means an academic degree granting or graduate medical education
program that:
(1) Holds either its principal accreditation or a physical location
in Hawaii; and
(2) Provides education to students of whom more than fifty per cent
are residents of Hawaii.
"Advanced
practice registered nurse student" means an individual participating in a
degree-granting academic program that is nationally accredited by the
Commission on Collegiate Nursing Education for the education of primary care
advanced practice registered nurses and recognized by the state board of
nursing pursuant to chapter 457.
"Dental
hygienist student" means an individual participating in an academic
program that:
(1) Is nationally accredited for the training of dental hygienists;
and
(2) Meets the requirements established pursuant to chapter 447.
"Eligible
professional degree or training certificate" means a degree or certificate
that fulfills a requirement to be a dental hygienist pursuant to chapter 447, a
physical therapist assistant pursuant to chapter 461J, a physician or
osteopathic physician pursuant to chapter 453, an advanced practice registered
nurse pursuant to chapter 457, a pharmacist pursuant to chapter 461, a
psychologist pursuant to chapter 465, or a social worker pursuant to chapter
467E.
"Eligible
student or trainee" means an advanced practice registered nurse student,
dental hygienist student, medical student, pharmacy student, physical therapist
assistant student, psychology student, or social work student.
"Medical
student" means an individual participating in an academic program
nationally accredited by the Liaison Committee on Medical Education or American
Osteopathic Association Commission on Osteopathic College Accreditation leading
to the doctor of medicine or doctor of osteopathic medicine degree. "Medical student" includes a graduate
from a Liaison Committee on Medical Education or American Osteopathic
Association Commission on Osteopathic College Accreditation program who has continued
their training, as a resident or fellow, to obtain the additional
qualifications needed for both medical licensure pursuant to chapter 453 and
specialty certification.
"Nationally
accredited" means holding an institutional accreditation by name for such
primary care education pursuant to chapter 447, 453, 457, 461, 461J, or 467E.
"Pharmacy
student" means an individual participating in an academic program that:
(1) Is
nationally accredited for the training of individuals to become registered
pharmacists; and
(2) Meets the
requirements established pursuant to chapter 461.
"Physical therapist assistant
student" means an individual participating in an academic program that:
(1) Is
nationally accredited for the training of individuals to become registered
physical therapist assistants; and
(2) Meets the
requirements established pursuant to chapter 461J.
"Preceptor"
means a dentist or dental surgeon licensed pursuant to chapter 448, a physician
or osteopathic physician licensed pursuant to chapter 453, an advanced practice
registered nurse licensed pursuant to chapter 457, a pharmacist licensed
pursuant to chapter 461, a physical therapist licensed pursuant to chapter
461J, a psychologist licensed pursuant to chapter 465, or a social worker
pursuant to chapter 467E who may be either licensed or unlicensed.
"Psychology
student" means an individual participating in an academic program that:
(1) Is nationally accredited for the training
of individuals to become psychologists; and
(2) Meets the requirements established pursuant
to chapter 465.
"Social
worker student" means an individual participating in an academic program
in this State that:
(1) Is
nationally accredited for the training of social work professionals; and
(2) Meets the
requirements established pursuant to chapter 467E.
"Volunteer-based supervised clinical training rotation" means an uncompensated period of supervised clinical training on behalf of an eligible student or trainee that totals at least eighty hours of supervisory time annually, in which a preceptor provides personalized instruction, training, and supervision that is offered to an eligible student or trainee to enable the eligible student or trainee to obtain an eligible professional degree or training certificate."
SECTION 3. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§321- Preceptor credit assurance committee. (a)
There is established the preceptor credit assurance committee within the
department of health. The preceptor
credit assurance committee shall:
(1) Develop
and implement a plan for certifying healthcare preceptor tax credits under
section 235- including:
(A) A
process to ensure that requests for credit certification are reviewed and
verifications are processed by the thirtieth of January of each calendar year;
and
(B) A
documentation process for the deans, directors, or their designees to qualify a
preceptor for the tax credit. This shall
include:
(i) Each
preceptor's name, address, place of practice, and Hawaii provider
license number;
(ii) Dates
and hours of volunteer-based supervised clinical rotation per eligible student
or trainee;
(iii) Attestation
that the volunteer-based supervised clinical rotation per eligible student or
trainee is uncompensated; and
(iv) Other
information deemed necessary by the committee;
(2) Complete
duties as described in section 235- ; and
(3) Be
composed of representatives of:
(A) The university of Hawaii Hawaii/Pacific
basin area health education center;
(B) The university of Hawaii center for
nursing; and
(C) Academic programs with eligible students or
trainees.
(b) There shall be no civil liability for any
member of the preceptor credit assurance committee for any act done in
furtherance of the purpose for which the preceptor credit assurance committee was
established.
(c)
The committee may hold a meeting closed to the public pursuant to
section 92-4 for the purpose of considering information affecting the privacy
of an individual; provided that information in which an individual has a
significant privacy interest as provided in subsection 92F-14(b) shall be
considered to be information affecting the privacy of an individual.
(d) As used in this section:
"Academic
program" shall have the same meaning as in section 235- .
"Eligible
student or trainee" shall have the same meaning as in section
235- .
"Preceptor"
shall have the same meaning as in section
235- .
"Volunteer-based supervised clinical rotation" shall have the same meaning as in section 235- ."
SECTION
4. The department of health shall
evaluate the efficacy of the healthcare preceptor tax credit established by
this Act and submit a report to the legislature no later than June 30, 2024,
which shall include the department's findings and a recommendation of whether
the tax credit should be retained without modification, amended, or repealed.
SECTION 5. New statutory material is underscored.
SECTION 6. This Act shall take effect on July 1, 3000; provided that section 2 shall apply to taxable years beginning after December 31, 2018.
Report Title:
Registered Nurses; Doctors; Dentists; Dental Hygienists; Pharmacists; Physical Therapists; Psychologists; Preceptors; Social Workers; Tax Credits
Description:
Allows advanced practice registered nurses, physicians, dentists, psychologists, pharmacists, physical therapists, and social workers to receive tax credits for acting as preceptors in volunteer-based supervised clinical training rotations provided to eligible students or trainees that enable the students or trainees to obtain an eligible healthcare professional degree or certificate. Establishes the Preceptor Credit Assurance Committee to issue certificates to volunteer preceptors upon verifying that the volunteer preceptors meet the requirements of the tax credit. (SB2298 HD3)
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
