Bill Text: IA HF193 | 2015-2016 | 86th General Assembly | Introduced
Bill Title: A bill for an act relating to programs and services under the purview of the department of public health including the board of hearing aid dispensers and the medical residency training matching grants program and including effective date and retroactive applicability provisions. (Formerly HSB 83)
Sponsorship: Committee Bill
Status: (Introduced - Dead) 2015-04-08 - Withdrawn. H.J. 798. [HF193 Detail]
Download: Iowa-2015-HF193-Introduced.html
House File 193 - Introduced HOUSE FILE BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 83) A BILL FOR 1 An Act relating to programs and services under the purview 2 of the department of public health including the board of 3 hearing aid dispensers and the medical residency training 4 matching grants program and including effective date and 5 retroactive applicability provisions. 6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 1222HV (1) 86 pf/nh PAG LIN 1 1 DIVISION I 1 2 HEARING AID SPECIALISTS 1 3 Section 1. Section 147.1, subsections 3 and 6, Code 2015, 1 4 are amended to read as follows: 1 5 3. "Licensed" or "certified", when applied to a physician 1 6 and surgeon, podiatric physician, osteopathic physician and 1 7 surgeon, physician assistant, psychologist, chiropractor, 1 8 nurse, dentist, dental hygienist, dental assistant, 1 9 optometrist, speech pathologist, audiologist, pharmacist, 1 10 physical therapist, physical therapist assistant, occupational 1 11 therapist, occupational therapy assistant, orthotist, 1 12 prosthetist, pedorthist, respiratory care practitioner, 1 13 practitioner of cosmetology arts and sciences, practitioner 1 14 of barbering, funeral director, dietitian, marital and family 1 15 therapist, mental health counselor, social worker, massage 1 16 therapist, athletic trainer, acupuncturist, nursing home 1 17 administrator, hearing aiddispenserspecialist, or sign 1 18 language interpreter or transliterator means a person licensed 1 19 under this subtitle. 1 20 6. "Profession" means medicine and surgery, podiatry, 1 21 osteopathic medicine and surgery, practice as a physician 1 22 assistant, psychology, chiropractic, nursing, dentistry, 1 23 dental hygiene, dental assisting, optometry, speech pathology, 1 24 audiology, pharmacy, physical therapy, physical therapist 1 25 assisting, occupational therapy, occupational therapy 1 26 assisting, respiratory care, cosmetology arts and sciences, 1 27 barbering, mortuary science, marital and family therapy, mental 1 28 health counseling, social work, dietetics, massage therapy, 1 29 athletic training, acupuncture, nursing home administration, 1 30 practice as a hearing aiddispensingspecialist, sign language 1 31 interpreting or transliterating, orthotics, prosthetics, or 1 32 pedorthics. 1 33 Sec. 2. Section 147.2, subsection 1, Code 2015, is amended 1 34 to read as follows: 1 35 1. A person shall not engage in the practice of medicine 2 1 and surgery, podiatry, osteopathic medicine and surgery, 2 2 psychology, chiropractic, physical therapy, physical 2 3 therapist assisting, nursing, dentistry, dental hygiene, 2 4 dental assisting, optometry, speech pathology, audiology, 2 5 occupational therapy, occupational therapy assisting, 2 6 orthotics, prosthetics, pedorthics, respiratory care, 2 7 pharmacy, cosmetology arts and sciences, barbering, social 2 8 work, dietetics, marital and family therapy or mental health 2 9 counseling, massage therapy, mortuary science, athletic 2 10 training, acupuncture, nursing home administration,hearing aid 2 11 dispensing,or sign language interpreting or transliterating, 2 12 or shall not practice as a physician assistant or a hearing aid 2 13 specialist, unless the person has obtained a license for that 2 14 purpose from the board for the profession. 2 15 Sec. 3. Section 147.13, subsection 22, Code 2015, is amended 2 16 to read as follows: 2 17 22. For hearing aiddispensingspecialists, the board of 2 18 hearing aiddispensersspecialists. 2 19 Sec. 4. Section 147.14, subsection 1, paragraph v, Code 2 20 2015, is amended to read as follows: 2 21 v. For hearing aiddispensersspecialists, three licensed 2 22 hearing aiddispensersspecialists and two members who are not 2 23 licensed hearing aiddispensersspecialists who shall represent 2 24 the general public. No more than two members of the board 2 25 shall be employees of, ordispensersspecialists principally 2 26 for, the same hearing aid manufacturer. 2 27 Sec. 5. Section 154A.1, subsections 1, 3, 6, 7, and 9, Code 2 28 2015, are amended to read as follows: 2 29 1. "Board" means the board of hearing aiddispensers 2 30specialists. 2 31 3. "Dispense" or "sell" means a transfer of title or of 2 32 the right to use by lease, bailment, or any other means, 2 33 but excludes a wholesale transaction with a distributor or 2 34dispenserhearing aid specialist, and excludes the temporary, 2 35 charitable loan or educational loan of a hearing aid without 3 1 remuneration. 3 2 6. "Hearing aid fitting" means the measurement of 3 3 human hearing by any means for the purpose of selections, 3 4 adaptations, and sales of hearing aids,andthe instruction and 3 5 counseling pertainingtheretoto the selections, adaptations, 3 6 and sales of hearing aids,anddemonstration of techniques in 3 7 the use of hearing aids, and the making of earmold impressions 3 8 as part of the fitting of hearing aids. 3 9 7. "License" means a license issued by the state under this 3 10 chapter to a hearing aiddispensersspecialist. 3 11 9. "Temporary permit" means a permit issued while the 3 12 applicant is in training to become a licensed hearing aid 3 13dispenserspecialist. 3 14 Sec. 6. Section 154A.1, subsection 5, Code 2015, is amended 3 15 by striking the subsection. 3 16 Sec. 7. Section 154A.1, Code 2015, is amended by adding the 3 17 following new subsection: 3 18 NEW SUBSECTION. 6A. "Hearing aid specialist" means any 3 19 person engaged in the fitting, dispensing, and sale of hearing 3 20 aids and providing hearing aid services or maintenance, by 3 21 means of procedures stipulated by this chapter or the board. 3 22 Sec. 8. Section 154A.13, Code 2015, is amended to read as 3 23 follows: 3 24 154A.13 Temporary permit. 3 25 A person who has not been licensed as a hearing aiddispenser 3 26specialist may obtain a temporary permit from the department 3 27 upon completion of the application accompanied by the written 3 28 verification of employment from a licensed hearing aid 3 29dispenserspecialist. The department shall issue a temporary 3 30 permit for one year which shall not be renewed or reissued. 3 31 The fee for issuance of the temporary permit shall be set by 3 32 the board in accordance with the provisions for establishment 3 33 of fees in section 147.80. The temporary permit entitles an 3 34 applicant to engage in the fitting or selection and sale of 3 35 hearing aids under the supervision of a person holding a valid 4 1 license. 4 2 Sec. 9. Section 154A.19, Code 2015, is amended to read as 4 3 follows: 4 4 154A.19 Exceptions. 4 5 1. This chapter shall not prohibit a corporation, 4 6 partnership, trust, association, or other organization 4 7 maintaining an established business address from engaging in 4 8 the business of selling or offering for sale hearing aids at 4 9 retail without a license if it employs only licensed hearing 4 10 aiddispensersspecialists in the direct fitting or selection 4 11 and sale of hearing aids. Such an organization shall file 4 12 annually with the board a list of all licensed hearing aid 4 13dispensersspecialists and persons holding temporary permits 4 14 directly or indirectly employed by it. Such an organization 4 15 shall also file with the board a statement on a form approved 4 16 by the board that the organization submits itself to the rules 4 17 and regulations of the board and the provisions of this chapter 4 18 which the department deems applicable. 4 19 2. This chapter shall not apply to a person who engages 4 20 in the practices covered by this chapter if this activity is 4 21 part of the academic curriculum of an accredited institution of 4 22 higher education, or part of a program conducted by a public 4 23 or charitable institution, or nonprofit organization, unless 4 24 the institution or organization also dispenses or sells hearing 4 25 aids. 4 26 3. This chapter shall not prevent any person from engaging 4 27 in practices covered by this chapter, provided the person, or 4 28 organization employing the person, does not dispense or sell 4 29 hearing aids. 4 30 Sec. 10. Section 154A.20, Code 2015, is amended to read as 4 31 follows: 4 32 154A.20 Rights of purchaser. 4 33 1. A hearing aiddispenserspecialist shall deliver, to 4 34 each person supplied with a hearing aid, a receipt which 4 35 contains the licensee's signature and shows the licensee's 5 1 business address and the number of the license, together with 5 2 specifications as to the make, model, and serial number of the 5 3 hearing aid furnished, and full terms of sale clearly stated, 5 4 including the date of consummation of the sale of the hearing 5 5 aid. If a hearing aid is sold which is not new, the receipt and 5 6 the container must be clearly marked "used" or "reconditioned", 5 7 with the terms of guarantee, if any. 5 8 2. The receipt shall bear the following statement in type no 5 9 smaller than the largest used in the body copy portion of the 5 10 receipt: 5 11 The purchaser has been advised that any examination or 5 12 representation made by a licensed hearing aiddispenser 5 13specialist in connection with the fitting or selection and 5 14 selling of this hearing aid is not an examination, diagnosis, 5 15 or prescription by a person licensed to practice medicine in 5 16 this state and therefore, must not be regarded as medical 5 17 opinion or advice. 5 18 3. Whenever any of the following conditions are found to 5 19 exist either from observations by the licensed hearing aid 5 20dispenserspecialist or person holding a temporary permit or on 5 21 the basis of information furnished by a prospective hearing aid 5 22 user, the hearing aiddispenserspecialist or person holding a 5 23 temporary permit shall, prior to fitting and selling a hearing 5 24 aid to any individual, suggest to that individual in writing 5 25 that the individual's best interests would be served if the 5 26 individual would consult a licensed physician specializing 5 27 in diseases of the ear, or if no such licensed physician is 5 28 available in the community, then a duly licensed physician: 5 29 a. Visible congenital or traumatic deformity of the ear. 5 30 b. History of, or active drainage from the ear within the 5 31 previous ninety days. 5 32 c. History of sudden or rapidly progressive hearing loss 5 33 within the previous ninety days. 5 34 d. Acute or chronic dizziness. 5 35 e. Unilateral hearing loss of sudden or recent onset within 6 1 the previous ninety days. 6 2 f. Significant air=bone gap(greatergreater than or equal 6 3 to 15dB ANSI 500, 1000 and 2000 Hz.average)average. 6 4 g. Obstruction of the ear canal, by structures of 6 5 undetermined origin, such as foreign bodies, impacted cerumen, 6 6 redness, swelling, or tenderness from localized infections of 6 7 the otherwise normal ear canal. 6 8 4. A copy of the written recommendation shall be retained by 6 9 the licensed hearing aiddispenserspecialist for the period 6 10 of seven years. A person receiving the written recommendation 6 11 who elects to purchase a hearing aid shall sign a receipt for 6 12 the same, and the receipt shall be kept with the other papers 6 13 retained by the licensed hearing aiddispenserspecialist for 6 14 the period of seven years. Nothing in this section required 6 15 to be performed by a licensed hearing aiddispenserspecialist 6 16 shall mean that the hearing aiddispenserspecialist is engaged 6 17 in the diagnosis of illness or the practice of medicine or any 6 18 other activity prohibited by this chapter. 6 19 5. No hearing aid shall be sold by any individual licensed 6 20 under this chapter to a person twelve years of age or younger, 6 21 unless within the preceding six months a recommendation for 6 22 a hearing aid has been made by a physician specializing in 6 23 otolaryngology. A replacement of an identical hearing aid 6 24 within one year shall be an exception to this requirement. 6 25 6. A licensed hearing aiddispenserspecialist shall, upon 6 26 the consummation of a sale of a hearing aid, keep and maintain 6 27 records in thedispenser'sspecialist's office or place of 6 28 business at all times and each such record shall be kept 6 29 and maintained for a seven=year period. These records shall 6 30 include: 6 31 a. Results of test techniques as they pertain to fitting of 6 32 the hearing aids. 6 33 b. A copy of the written receipt and the written 6 34 recommendation. 6 35 Sec. 11. Section 154A.21, Code 2015, is amended to read as 7 1 follows: 7 2 154A.21 Notice of address. 7 3 1. A licensee or person holding a temporary permit shall 7 4 notify the department in writing of the address of the place 7 5 where the licensee or permittee engages or intends to engage in 7 6 business as a hearing aiddispenserspecialist. The department 7 7 shall keep a record of the place of business of licensees and 7 8 persons holding temporary permits. 7 9 2. Any notice required to be given by the department to a 7 10 licensee shall be adequately served if sent by certified mail 7 11 to the address of the last place of business recorded. 7 12 Sec. 12. Section 154A.24, subsection 3, paragraphs e and i, 7 13 Code 2015, are amended to read as follows: 7 14 e. Representing that the service or advice of a person 7 15 licensed to practice medicine, or one who is certificated as 7 16 a clinical audiologist by the board of speech pathology and 7 17 audiology or its equivalent, will be used or made available in 7 18 the fitting or selection, adjustment, maintenance, or repair 7 19 of hearing aids when that is not true, or using the words 7 20 "doctor", "clinic", "clinical audiologist", "state approved", 7 21 or similar words, abbreviations, or symbols which tend to 7 22 connote the medical or other professions, except where the 7 23 title "certified hearing aid audiologist" has been granted 7 24 by the national hearing aid society, or that the hearing aid 7 25dispenserspecialist has been recommended by this state or the 7 26 board when such is not accurate. 7 27 i. Directly or indirectly giving or offering to give, or 7 28 permitting or causing to be given, money or anything of value 7 29 to a person who advises another in a professional capacity, as 7 30 an inducement to influence the person or cause the person to 7 31 influence others to purchase or contract to purchase products 7 32 sold or offered for sale by a hearing aiddispenserspecialist, 7 33 or to influence others to refrain from dealing in the products 7 34 of competitors. 7 35 Sec. 13. Section 154A.25, subsection 2, Code 2015, is 8 1 amended to read as follows: 8 2 2. Purchase or procure by barter a license or temporary 8 3 permit with intent to use it as evidence of the holder's 8 4 qualifications to engage in business as a hearing aiddispenser 8 5specialist. 8 6 Sec. 14. Section 154F.2, subsection 1, paragraph b, Code 8 7 2015, is amended to read as follows: 8 8 b. Hearing aid fitting, the dispensing or sale of hearing 8 9 aids, and the providing of hearing aid service and maintenance 8 10 by a hearing aiddispenserspecialist or holder of a temporary 8 11 permit as defined and licensed under chapter 154A. 8 12 Sec. 15. Section 154F.2, subsection 2, Code 2015, is amended 8 13 to read as follows: 8 14 2. A person exempted from the provisions of this chapter by 8 15 this section shall not use the title "speech pathologist" or 8 16 "audiologist" or any title or device indicating or representing 8 17 in any manner that the person is a speech pathologist or is 8 18 an audiologist; provided, a hearing aiddispenserspecialist 8 19 licensed under chapter 154A may use the title "certified 8 20 hearing aid audiologist" when granted by the national hearing 8 21 aid society; and provided, persons who meet the requirements 8 22 of section 154F.3, subsection 1, who are certified by the 8 23 department of education as speech clinicians may use the title 8 24 "speech pathologist" and persons who meet the requirements 8 25 of section 154F.3, subsection 2, who are certified by the 8 26 department of education as hearing clinicians may use the 8 27 title "audiologist", while acting within the scope of their 8 28 employment. 8 29 Sec. 16. Section 216E.7, Code 2015, is amended to read as 8 30 follows: 8 31 216E.7 Exemptions. 8 32 This chapter does not apply to a hearing aid sold, leased, 8 33 or transferred to a consumer by an audiologist licensed under 8 34 chapter 154F, or a hearing aiddispenserspecialist licensed 8 35 under chapter 154A, if the audiologist ordispenserspecialist 9 1 provides either an express warranty for the hearing aid or 9 2 provides for service and replacement of the hearing aid. 9 3 Sec. 17. Section 272C.1, subsection 6, paragraph v, Code 9 4 2015, is amended to read as follows: 9 5 v. The board of hearing aiddispensersspecialists, created 9 6 pursuant to chapter 154A. 9 7 DIVISION II 9 8 MEDICAL RESIDENCY TRAINING STATE MATCHING GRANTS PROGRAM == 9 9 REENACTMENT 9 10 Sec. 18. NEW SECTION. 135.176 Medical residency training 9 11 state matching grants program. 9 12 1. The department shall establish a medical residency 9 13 training state matching grants program to provide matching 9 14 state funding to sponsors of accredited graduate medical 9 15 education residency programs in this state to establish, 9 16 expand, or support medical residency training programs. 9 17 Funding for the program may be provided through the health 9 18 care workforce shortage fund or the medical residency training 9 19 account created in section 135.175. For the purposes of this 9 20 section, unless the context otherwise requires, "accredited" 9 21 means a graduate medical education program approved by the 9 22 accreditation council for graduate medical education or the 9 23 American osteopathic association. The grant funds may be 9 24 used to support medical residency programs through any of the 9 25 following: 9 26 a. The establishment of new or alternative campus accredited 9 27 medical residency training programs. For the purposes of 9 28 this paragraph, "new or alternative campus accredited medical 9 29 residency training program" means a program that is accredited 9 30 by a recognized entity approved for such purpose by the 9 31 accreditation council for graduate medical education or the 9 32 American osteopathic association with the exception that 9 33 a new medical residency training program that, by reason 9 34 of an insufficient period of operation is not eligible for 9 35 accreditation on or before the date of submission of an 10 1 application for a grant, may be deemed accredited if the 10 2 accreditation council for graduate medical education or the 10 3 American osteopathic association finds, after consultation with 10 4 the appropriate accreditation entity, that there is reasonable 10 5 assurance that the program will meet the accreditation 10 6 standards of the entity prior to the date of graduation of the 10 7 initial class in the program. 10 8 b. The provision of new residency positions within existing 10 9 accredited medical residency or fellowship training programs. 10 10 c. The funding of residency positions which are in excess of 10 11 the federal residency cap. For the purposes of this paragraph, 10 12 "in excess of the federal residency cap" means a residency 10 13 position for which no federal Medicare funding is available 10 14 because the residency position is a position beyond the cap for 10 15 residency positions established by the federal Balanced Budget 10 16 Act of 1997, Pub. L. No. 105=33. 10 17 2. The department shall adopt rules pursuant to chapter 17A 10 18 to provide for all of the following: 10 19 a. Eligibility requirements for and qualifications 10 20 of a sponsor of an accredited graduate medical education 10 21 residency program to receive a grant. The requirements and 10 22 qualifications shall include but are not limited to all of the 10 23 following: 10 24 (1) Only a sponsor that establishes a dedicated fund to 10 25 support a residency program that meets the specifications of 10 26 this section shall be eligible to receive a matching grant. A 10 27 sponsor funding residency positions in excess of the federal 10 28 residency cap, as defined in subsection 1, paragraph "c", 10 29 exclusive of funds provided under the medical residency 10 30 training state matching grants program established in this 10 31 section, is deemed to have satisfied this requirement and 10 32 shall be eligible for a matching grant equal to the amount of 10 33 funds expended for such residency positions, subject to the 10 34 limitation on the maximum award of grant funds specified in 10 35 paragraph "e". 11 1 (2) A sponsor shall demonstrate, through documented 11 2 financial information as prescribed by rule of the department, 11 3 that funds have been reserved and will be expended by the 11 4 sponsor in the amount required to provide matching funds for 11 5 each residency proposed in the request for state matching 11 6 funds. 11 7 (3) A sponsor shall demonstrate, through objective evidence 11 8 as prescribed by rule of the department, a need for such 11 9 residency program in the state. 11 10 b. The application process for the grant. 11 11 c. Criteria for preference in awarding of the grants, 11 12 including preference in the residency specialty. 11 13 d. Determination of the amount of a grant. The total amount 11 14 of a grant awarded to a sponsor shall be limited to no more 11 15 than twenty=five percent of the amount that the sponsor has 11 16 demonstrated through documented financial information has been 11 17 reserved and will be expended by the sponsor for each residency 11 18 sponsored for the purpose of the residency program. 11 19 e. The maximum award of grant funds to a particular 11 20 individual sponsor per year. An individual sponsor shall not 11 21 receive more than twenty=five percent of the state matching 11 22 funds available each year to support the program. However, 11 23 if less than ninety=five percent of the available funds has 11 24 been awarded in a given year, a sponsor may receive more than 11 25 twenty=five percent of the state matching funds available 11 26 if total funds awarded do not exceed ninety=five percent of 11 27 the available funds. If more than one sponsor meets the 11 28 requirements of this section and has established, expanded, 11 29 or supported a graduate medical residency training program, 11 30 as specified in subsection 1, in excess of the sponsor's 11 31 twenty=five percent maximum share of state matching funds, the 11 32 state matching funds shall be divided proportionately among 11 33 such sponsors. 11 34 f. Use of the funds awarded. Funds may be used to pay the 11 35 costs of establishing, expanding, or supporting an accredited 12 1 graduate medical education program as specified in this 12 2 section, including but not limited to the costs associated with 12 3 residency stipends and physician faculty stipends. 12 4 Sec. 19. EFFECTIVE DATE. This division of this Act, being 12 5 deemed of immediate importance, takes effect upon enactment. 12 6 Sec. 20. APPLICABILITY. This division of this Act applies 12 7 retroactively to June 30, 2014. 12 8 DIVISION III 12 9 MEDICAL RESIDENCY TRAINING STATE MATCHING GRANTS PROGRAM == 12 10 AMENDMENTS 12 11 Sec. 21. Section 135.176, as enacted in this Act, is amended 12 12 to read as follows: 12 13 135.176 Medical residency training state matching grants 12 14 program. 12 15 1. The department shall establish a medical residency 12 16 training state matching grants program to provide matching 12 17 state funding to sponsors of accredited graduate medical 12 18 education residency programs in this state to establish, 12 19 expand, or support medical residency training programs. 12 20 Funding for the program may be provided through the health 12 21 care workforce shortage fund or the medical residency training 12 22 account created in section 135.175. For the purposes of this 12 23 section, unless the context otherwise requires, "accredited" 12 24 means a graduate medical education program approved by the 12 25 accreditation council for graduate medical education or the 12 26 American osteopathic association. The grant funds may be 12 27 used to support medical residency programs through any of the 12 28 following: 12 29 a. The establishment of new or alternative campus accredited 12 30 medical residency training programs. For the purposes of 12 31 this paragraph, "new or alternative campus accredited medical 12 32 residency training program" means a program that is accredited 12 33 by a recognized entity approved for such purpose by the 12 34 accreditation council for graduate medical education or the 12 35 American osteopathic association with the exception that 13 1 a new medical residency training program that, by reason 13 2 of an insufficient period of operation is not eligible for 13 3 accreditation on or before the date of submission of an 13 4 application for a grant, may be deemed accredited if the 13 5 accreditation council for graduate medical education or the 13 6 American osteopathic association finds, after consultation with 13 7 the appropriate accreditation entity, that there is reasonable 13 8 assurance that the program will meet the accreditation 13 9 standards of the entity prior to the date of graduation of the 13 10 initial class in the program. 13 11 b. The provision of new residency positions within existing 13 12 accredited medical residency or fellowship training programs. 13 13 c. The funding of residency positions which are in excess of 13 14 the federal residency cap. For the purposes of this paragraph, 13 15 "in excess of the federal residency cap" means a residency 13 16 position for which no federal Medicare funding is available 13 17 because the residency position is a position beyond the cap for 13 18 residency positions established by the federal Balanced Budget 13 19 Act of 1997, Pub. L. No. 105=33. 13 20 2. The department shall adopt rules pursuant to chapter 17A 13 21 to provide for all of the following: 13 22 a. Eligibility requirements for and qualifications 13 23 of a sponsor of an accredited graduate medical education 13 24 residency program to receive a grant. The requirements and 13 25 qualifications shall include but are not limited to all of the 13 26 following: 13 27 (1)Only a sponsor that establishes a dedicated fund to 13 28 support a residency program that meets the specifications of 13 29 this section shall be eligible to receive a matching grant. A 13 30 sponsor funding residency positions in excess of the federal 13 31 residency cap, as defined in subsection 1, paragraph "c", 13 32 exclusive of funds provided under the medical residency 13 33 training state matching grants program established in this 13 34 section, is deemed to have satisfied this requirement and 13 35 shall be eligible for a matching grant equal to the amount of 14 1 funds expended for such residency positions, subject to the 14 2 limitation on the maximum award of grant funds specified in 14 3 paragraph "e".14 4(2)A sponsor shall demonstrate, through documented 14 5 financial information as prescribed by rule of the department,14 6 that funds have beenreservedbudgeted and will be expended by 14 7 the sponsor in the amount required to provide matching funds 14 8 for each residency proposed in the request for state matching 14 9 funds. 14 10(3)(2) A sponsor shall demonstrate, through objective 14 11 evidence as prescribed by rule of the department, a need for 14 12 such residency program in the state. 14 13 b. The application process for the grant. 14 14 c. Criteria for preference in awarding of the grants, 14 15 including preference in the residency specialty. 14 16 d. Determination of the amount of a grant. The total amount 14 17 of a grant awarded to a sponsor proposing the establishment 14 18 of a new or alternative campus accredited medical residency 14 19 training program as defined in subsection 1, paragraph "a", 14 20 shall be limited to no more thantwenty=fiveone hundred 14 21 percent of the amount the sponsor has budgeted as demonstrated 14 22 under paragraph "a". The total amount of a grant awarded to 14 23 a sponsor proposing the provision of a new residency position 14 24 within an existing accredited medical residency or fellowship 14 25 training program as specified in subsection 1, paragraph "b" 14 26 or the funding of residency positions which are in excess of 14 27 the federal residency cap as defined in subsection 1, paragraph 14 28 "c", shall be limited to no more than twenty=five percent of 14 29 the amount that the sponsor hasdemonstrated through documented 14 30 financial information has been reserved and will be expended by 14 31 the sponsorbudgeted for each residency position sponsored for 14 32 the purpose of the residency program. 14 33 e. The maximum award of grant funds to a particular 14 34 individual sponsor per year. An individual sponsor that 14 35 establishes a new or alternative campus accredited medical 15 1 residency training program as defined in subsection 1, 15 2 paragraph "a" shall not receive more thantwenty=fivefifty 15 3 percent of the state matching funds available each year to 15 4 support the program.However, if less than ninety=five percent 15 5 of the available funds has been awarded in a given year, a 15 6 sponsor may receive more than twenty=five percent of the 15 7 state matching funds available if total funds awarded do not 15 8 exceed ninety=five percent of the available funds. If more 15 9 than one sponsor meets the requirements of this section and 15 10 has established, expanded, or supported a graduate medical 15 11 residency training program, as specified in subsection 1, in 15 12 excess of the sponsor's twenty=five percent maximum share of 15 13 state matching funds, the state matching funds shall be divided 15 14 proportionately among such sponsors.An individual sponsor 15 15 proposing the provision of a new residency position within an 15 16 existing accredited medical residency or fellowship training 15 17 program as specified in subsection 1, paragraph "b" or the 15 18 funding of residency positions which are in excess of the 15 19 federal residency cap as defined in subsection 1, paragraph "c", 15 20 shall not receive more than twenty=five percent of the state 15 21 matching funds available each year to support the program. 15 22 f. Use of the funds awarded. Funds may be used to pay the 15 23 costs of establishing, expanding, or supporting an accredited 15 24 graduate medical education program as specified in this 15 25 section, including but not limited to the costs associated with 15 26 residency stipends and physician faculty stipends. 15 27 EXPLANATION 15 28 The inclusion of this explanation does not constitute agreement with 15 29 the explanation's substance by the members of the general assembly. 15 30 This bill relates to programs and services under the purview 15 31 of the department of public health. 15 32 Division I of the bill changes references to and relating 15 33 to "hearing aid dispensers" to "hearing aid specialists". 15 34 The bill changes the references to the "board of hearing aid 15 35 dispensers" to the "board of hearing aid specialists" and makes 16 1 other conforming changes throughout the Code. 16 2 Division II of the bill relates to the medical residency 16 3 training state matching grants program. The medical residency 16 4 training state matching grants program (Code section 135.176, 16 5 Code 2013), that was repealed on June 30, 2014, is reenacted 16 6 as amended by 2014 Iowa Acts, chapter 1190, section 7. The 16 7 division takes effect upon enactment and is retroactively 16 8 applicable to June 30, 2014. 16 9 Division III of the bill amends the newly reenacted Code 16 10 section 135.176, to provide that instead of a requirement that 16 11 a sponsor establish a dedicated fund to support a residency 16 12 program, a sponsor shall demonstrate that funds have been 16 13 budgeted in the amount required in the request for matching 16 14 funds. Additionally, the bill provides that the limit on the 16 15 total amount of a grant made to a sponsor is based upon the 16 16 type of residency position to be funded. Under the bill, the 16 17 limit is no more than 100 percent of the amount the sponsor 16 18 budgeted if the sponsor is proposing the establishment of 16 19 a new or alternative campus accredited medical residency 16 20 training program, and the limit is not more than 25 percent 16 21 of the amount the sponsor has budgeted if the sponsor is 16 22 proposing provision of a new residency position within an 16 23 existing accredited medical residency or fellowship training 16 24 program or the funding of residency positions which are in 16 25 excess of the federal residency cap. Under the bill, the 16 26 maximum award of grant funds to a particular sponsor that 16 27 establishes a new or alternative campus accredited medical 16 28 residency training program shall be not more than 50 percent 16 29 of the state matching funds available each year; and the 16 30 maximum award to a particular sponsor that is proposing 16 31 provision of a new residency position within an existing 16 32 accredited medical residency or fellowship training program 16 33 or the funding of residency positions which are in excess of 16 34 the federal residency cap shall not be more than 25 percent of 16 35 the state matching funds available each year. Under the bill, 17 1 unlike under the prior program, there is not a formula for the 17 2 awarding of funds if less than 95 percent of the available 17 3 funds were awarded. LSB 1222HV (1) 86 pf/nh
