Bill Text: IA HSB79 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to educational assistance programs administered by the college student aid commission for nurses, physician assistants, advanced registered nurse practitioners, and nurse educators.
Spectrum: Committee Bill
Status: (N/A - Dead) 2017-02-23 - Committee report, recommending passage. H.J. 464. [HSB79 Detail]
Download: Iowa-2017-HSB79-Introduced.html
House
Study
Bill
79
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
COLLEGE
STUDENT
AID
COMMISSION
BILL)
A
BILL
FOR
An
Act
relating
to
educational
assistance
programs
administered
1
by
the
college
student
aid
commission
for
nurses,
physician
2
assistants,
advanced
registered
nurse
practitioners,
and
3
nurse
educators.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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_____
Section
1.
Section
261.2,
subsection
8,
Code
2017,
is
1
amended
to
read
as
follows:
2
8.
Submit
by
January
15
annually
a
report
to
the
general
3
assembly
which
provides,
by
program,
the
number
of
individuals
4
who
received
loan
forgiveness
or
loan
repayment
in
the
previous
5
fiscal
year,
the
amount
amounts
paid
to
or
on
behalf
of
6
individuals
under
sections
261.73
,
261.112
,
and
261.116
,
and
7
the
institutions
from
which
individuals
graduated,
and
that
8
includes
any
proposed
statutory
changes
and
the
commission’s
9
findings
and
recommendations.
10
Sec.
2.
Section
261.114,
subsection
3,
unnumbered
paragraph
11
1,
Code
2017,
is
amended
to
read
as
follows:
12
A
program
agreement
shall
be
entered
into
by
an
eligible
13
student
and
the
commission
when
the
eligible
student
begins
14
the
final
year
of
study
in
an
academic
program
leading
to
15
eligibility
for
licensure
as
a
nurse
practitioner
or
physician
16
assistant.
The
commission
shall
not
enter
into
any
new
17
program
agreement
under
this
section
on
or
after
July
1,
2017.
18
Under
the
agreement,
to
receive
loan
repayments
pursuant
to
19
subsection
5
,
an
eligible
student
shall
agree
to
and
shall
20
fulfill
all
of
the
following
requirements:
21
Sec.
3.
Section
261.114,
subsection
8,
Code
2017,
is
amended
22
by
striking
the
subsection.
23
Sec.
4.
Section
261.114,
subsection
9,
Code
2017,
is
amended
24
to
read
as
follows:
25
9.
Postponement
and
satisfaction
Satisfaction
of
service
26
obligation.
27
a.
The
obligation
to
engage
in
practice
in
accordance
with
28
subsection
3
shall
be
postponed
for
the
following
purposes:
29
(1)
Active
duty
status
in
the
armed
forces,
the
armed
forces
30
military
reserve,
or
the
national
guard.
31
(2)
Service
in
volunteers
in
service
to
America.
32
(3)
Service
in
the
federal
peace
corps.
33
(4)
A
period
of
service
commitment
to
the
United
States
34
public
health
service
commissioned
corps.
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(5)
A
period
of
religious
missionary
work
conducted
by
an
1
organization
exempt
from
federal
income
taxation
pursuant
to
2
section
501(c)(3)
of
the
Internal
Revenue
Code
.
3
(6)
Any
period
of
temporary
medical
incapacity
during
which
4
the
person
obligated
is
unable,
due
to
a
medical
condition,
to
5
engage
in
full-time
practice
as
required
under
subsection
3
.
6
b.
Except
for
a
postponement
under
paragraph
“a”
,
7
subparagraph
(6),
an
obligation
to
engage
in
practice
under
an
8
agreement
entered
into
pursuant
to
subsection
3
,
shall
not
be
9
postponed
for
more
than
two
years
from
the
time
the
full-time
10
practice
was
to
have
commenced
under
the
agreement.
11
c.
a.
An
obligation
to
engage
in
full-time
practice
under
12
an
agreement
entered
into
pursuant
to
subsection
3
shall
be
13
considered
satisfied
when
any
of
the
following
conditions
are
14
met:
15
(1)
The
terms
of
the
agreement
are
completed.
16
(2)
The
person
who
entered
into
the
agreement
dies.
17
(3)
The
person
who
entered
into
the
agreement,
due
to
a
18
permanent
disability,
is
unable
to
practice
as
an
advanced
19
registered
nurse
practitioner
or
physician
assistant.
20
d.
b.
If
a
loan
repayment
recipient
fails
to
fulfill
21
the
obligation
to
engage
in
practice
in
accordance
with
22
subsection
3
,
the
recipient
shall
be
subject
to
repayment
to
23
the
commission
of
the
loan
amount
plus
interest
as
specified
24
by
rule.
A
loan
repayment
recipient
who
fails
to
meet
the
25
requirements
of
the
obligation
to
engage
in
practice
in
26
accordance
with
subsection
3
may
also
be
subject
to
repayment
27
of
moneys
advanced
by
the
service
commitment
area
as
provided
28
in
any
agreement
with
the
service
commitment
area.
29
Sec.
5.
Section
261.114,
subsection
10,
Code
2017,
is
30
amended
to
read
as
follows:
31
10.
Trust
fund
established.
A
rural
Iowa
advanced
32
registered
nurse
practitioner
and
physician
assistant
trust
33
fund
is
created
in
the
state
treasury
as
a
separate
fund
under
34
the
control
of
the
commission.
The
commission
shall
remit
all
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repayments
made
pursuant
to
this
section
to
the
rural
Iowa
1
advanced
registered
nurse
practitioner
and
physician
assistant
2
trust
fund.
All
moneys
deposited
or
paid
into
the
trust
fund
3
are
appropriated
and
made
available
to
the
commission
to
be
4
used
for
meeting
the
requirements
of
this
section
.
Moneys
in
5
the
fund
up
to
the
total
amount
that
an
eligible
student
may
6
receive
for
an
eligible
loan
in
accordance
with
this
section
7
and
upon
fulfilling
the
requirements
of
subsection
3
shall
be
8
considered
encumbered
for
the
duration
of
the
agreement
entered
9
into
pursuant
to
subsection
3
.
Notwithstanding
section
8.33
,
10
any
balance
in
the
fund
on
June
30
of
each
fiscal
year
shall
not
11
revert
to
the
general
fund
of
the
state,
but
shall
be
available
12
for
purposes
of
this
section
in
subsequent
fiscal
years.
13
Notwithstanding
section
8.33,
any
balance
in
the
fund
on
June
14
30,
2023,
shall
not
revert
to
the
general
fund
of
the
state
but
15
shall
be
transferred
to
the
health
care
loan
repayment
fund
16
established
pursuant
to
section
261.116
to
be
used
for
purposes
17
of
the
health
care
loan
repayment
program.
18
Sec.
6.
Section
261.114,
Code
2017,
is
amended
by
adding
the
19
following
new
subsection:
20
NEW
SUBSECTION
.
10A.
This
section
is
repealed
July
1,
2023.
21
Sec.
7.
Section
261.116,
Code
2017,
is
amended
to
read
as
22
follows:
23
261.116
Registered
nurse
and
nurse
educator
Health
care
loan
24
forgiveness
repayment
program.
25
1.
Definitions.
For
purposes
of
this
section,
unless
the
26
context
otherwise
requires:
27
a.
“Advanced
registered
nurse
practitioner”
means
a
person
28
licensed
as
a
registered
nurse
under
chapter
152
or
152E
who
29
is
licensed
by
the
board
of
nursing
as
an
advanced
registered
30
nurse
practitioner.
31
b.
“Nurse
educator”
means
a
registered
nurse
who
holds
32
a
master’s
degree
or
doctorate
degree
and
is
employed
by
a
33
community
college,
an
accredited
private
institution,
or
an
34
institution
of
higher
education
governed
by
the
state
board
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of
regents
as
a
faculty
member
to
teach
nursing
at
a
nursing
1
education
program
approved
by
the
board
of
nursing
pursuant
to
2
section
152.5.
3
c.
“Physician
assistant”
means
a
person
licensed
as
a
4
physician
assistant
under
chapter
148C.
5
d.
“Qualified
student
loan”
means
a
loan
that
was
made,
6
insured,
or
guaranteed
under
Tit.
IV
of
the
federal
Higher
7
Education
Act
of
1965,
as
amended,
or
under
Tit.
VII
or
VIII
8
of
the
federal
Public
Health
Service
Act,
as
amended,
directly
9
to
the
borrower
for
attendance
at
an
approved
postsecondary
10
educational
institution.
11
e.
“Service
commitment
area”
means
a
city
in
Iowa
with
a
12
population
of
less
than
twenty-six
thousand
that
is
located
13
more
than
fifty
miles
from
a
city
with
a
population
of
fifty
14
thousand
or
more.
15
2.
Program
established.
A
registered
nurse
and
nurse
16
educator
health
care
loan
forgiveness
repayment
program
is
17
established
to
be
administered
by
the
commission
.
The
program
18
shall
consist
of
loan
forgiveness
for
eligible
federally
19
guaranteed
for
purposes
of
repaying
the
qualified
student
20
loans
for
of
registered
nurses
,
advanced
registered
nurse
21
practitioners,
physician
assistants,
and
nurse
educators
who
22
practice
full-time
in
a
service
commitment
area
or
teach
in
23
this
state
,
as
appropriate,
and
who
are
selected
for
the
24
program
in
accordance
with
this
section
.
For
purposes
of
25
this
section
,
unless
the
context
otherwise
requires,
“nurse
26
educator”
means
a
registered
nurse
who
holds
a
master’s
degree
27
or
doctorate
degree
and
is
employed
as
a
faculty
member
who
28
teaches
nursing
as
provided
in
655
IAC
2.6
(152)
at
a
community
29
college,
an
accredited
private
institution,
or
an
institution
30
of
higher
education
governed
by
the
state
board
of
regents.
An
31
applicant
who
is
a
member
of
the
Iowa
national
guard
is
exempt
32
from
the
service
commitment
area
requirement,
but
shall
submit
33
an
affidavit
verifying
the
applicant
is
practicing
full-time
34
in
this
state.
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2.
3.
Application
requirements.
Each
applicant
for
loan
1
forgiveness
repayment
shall,
in
accordance
with
the
rules
of
2
the
commission,
do
the
following:
3
a.
Complete
and
file
an
application
for
registered
nurse
4
or
nurse
educator
loan
forgiveness
repayment
.
The
individual
5
shall
be
responsible
for
the
prompt
submission
of
any
6
information
required
by
the
commission.
7
b.
File
a
new
application
and
submit
information
as
8
required
by
the
commission
annually
on
the
basis
of
which
9
the
applicant’s
eligibility
for
the
renewed
loan
forgiveness
10
repayment
will
be
evaluated
and
determined.
11
c.
Complete
and
return,
on
a
form
approved
by
the
12
commission,
an
affidavit
of
practice
verifying
that
the
13
applicant
is
a
registered
nurse
,
an
advanced
registered
nurse
14
practitioner,
or
a
physician
assistant
who
is
practicing
15
full-time
in
a
service
commitment
area
in
this
state
or
is
a
16
nurse
educator
teaching
at
a
community
college,
an
accredited
17
private
institution,
or
an
institution
of
higher
learning
18
governed
by
the
state
board
of
regents
who
teaches
full-time
19
in
this
state
.
If
practice
in
a
service
commitment
area
is
20
required
as
a
condition
of
receiving
loan
repayment,
the
21
affidavit
shall
specify
the
service
commitment
area
in
which
22
the
applicant
is
practicing
full-time.
23
3.
4.
Loan
repayment
amounts.
24
a.
The
annual
amount
of
registered
nurse
loan
forgiveness
25
for
a
registered
nurse
who
completes
a
course
of
study,
which
26
leads
to
a
baccalaureate
or
associate
degree
of
nursing,
27
diploma
in
nursing,
or
a
graduate
or
equivalent
degree
in
28
nursing,
and
who
practices
in
this
state,
repayment
provided
to
29
a
recipient
under
this
section
shall
not
exceed
the
resident
30
tuition
rate
established
for
institutions
of
higher
learning
31
governed
by
the
state
board
of
regents
for
the
first
year
32
following
the
registered
nurse’s
graduation
from
a
nursing
33
education
program
approved
by
the
board
of
nursing
pursuant
to
34
section
152.5
six
thousand
dollars
,
or
twenty
percent
of
the
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registered
nurse’s
total
federally
guaranteed
Stafford
loan
1
amount
under
the
federal
family
education
loan
program
or
the
2
federal
direct
loan
program,
including
principal
and
interest
3
recipient’s
total
qualified
student
loan
,
whichever
amount
is
4
less.
A
registered
nurse
shall
be
recipient
is
eligible
for
5
the
loan
forgiveness
repayment
program
for
not
more
than
five
6
consecutive
years.
7
b.
The
annual
amount
of
nurse
educator
loan
forgiveness
8
shall
not
exceed
the
resident
tuition
rate
established
for
9
institutions
of
higher
learning
governed
by
the
state
board
10
of
regents
for
the
first
year
following
the
nurse
educator’s
11
graduation
from
an
advanced
formal
academic
nursing
education
12
program
approved
by
the
board
of
nursing
pursuant
to
section
13
152.5
,
or
twenty
percent
of
the
nurse
educator’s
total
14
federally
guaranteed
Stafford
loan
amount
under
the
federal
15
family
education
loan
program
or
the
federal
direct
loan
16
program,
including
principal
and
interest,
whichever
amount
17
is
less.
A
nurse
educator
shall
be
eligible
for
the
loan
18
forgiveness
program
for
not
more
than
five
consecutive
years.
19
4.
5.
Selection
criteria.
The
commission
shall
establish
20
by
rule
the
evaluation
criteria
to
be
used
in
evaluating
21
applications
submitted
under
this
section.
Priority
shall
be
22
given
to
applicants
who
are
residents
of
Iowa
and,
if
requested
23
by
the
adjutant
general,
to
applicants
who
are
members
of
the
24
Iowa
national
guard.
25
6.
Health
care
loan
repayment
fund.
A
registered
nurse
and
26
nurse
educator
health
care
loan
forgiveness
repayment
fund
is
27
created
for
deposit
of
moneys
appropriated
to
or
received
by
28
the
commission
for
use
under
the
program.
Notwithstanding
29
section
8.33
,
moneys
deposited
in
the
health
care
loan
30
repayment
fund
shall
not
revert
to
any
fund
of
the
state
31
at
the
end
of
any
fiscal
year
but
shall
remain
in
the
loan
32
forgiveness
repayment
fund
and
be
continuously
available
for
33
loan
forgiveness
repayment
under
the
program.
Notwithstanding
34
section
12C.7,
subsection
2
,
interest
or
earnings
on
moneys
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deposited
in
the
health
care
loan
fund
shall
be
credited
to
the
1
fund.
2
5.
7.
Report.
The
commission
shall
submit
in
a
report
3
to
the
general
assembly
by
January
1,
annually,
the
number
of
4
individuals
who
received
loan
forgiveness
repayment
pursuant
to
5
this
section
,
where
the
participants
practiced
or
taught,
the
6
amount
paid
to
each
program
participant,
and
other
information
7
identified
by
the
commission
as
indicators
of
outcomes
from
of
8
the
program.
9
6.
8.
Rules.
The
commission
shall
adopt
rules
pursuant
to
10
chapter
17A
to
administer
this
section
.
11
Sec.
8.
REPEAL.
Section
261.129,
Code
2017,
is
repealed.
12
EXPLANATION
13
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
14
the
explanation’s
substance
by
the
members
of
the
general
assembly.
15
This
bill
combines
and
repeals
certain
educational
16
assistance
programs
administered
by
the
college
student
aid
17
commission
for
the
benefit
of
registered
nurses,
physician
18
assistants,
advanced
registered
nurse
practitioners,
and
nurse
19
educators.
20
RURAL
IOWA
ADVANCED
REGISTERED
NURSE
PRACTITIONER
AND
21
PHYSICIAN
ASSISTANT
LOAN
REPAYMENT
PROGRAM
——
FUNDS.
The
bill
22
modifies
the
rural
Iowa
advanced
registered
nurse
practitioner
23
and
physician
assistant
loan
repayment
program
by
prohibiting
24
the
commission
from
entering
into
any
new
program
agreements
on
25
or
after
July
1,
2017;
striking
a
provision
to
allow
a
person
26
who
entered
into
a
program
agreement
to
practice
part-time;
27
striking
language
relating
to
the
postponement
of
program
28
obligations;
repealing
the
program
July
1,
2023;
and
providing
29
for
the
transfer
of
any
balance
in
the
rural
Iowa
advanced
30
registered
nurse
practitioner
and
physician
assistant
trust
31
fund
on
June
30,
2023,
to
the
health
care
loan
repayment
fund
32
established
for
purposes
of
the
health
care
loan
repayment
33
program.
34
COMBINED
LOAN
PROGRAM.
The
bill
expands
the
current
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registered
nurse
and
nurse
educator
program
by
adding
advanced
1
registered
nurse
practitioners
and
physician
assistants
to
the
2
program.
The
bill
changes
the
name
of
the
program,
and
of
the
3
program
fund,
to
the
health
care
loan
repayment
program
and
the
4
health
care
loan
repayment
fund.
5
To
qualify
for
the
program,
applicants
who
are
registered
6
nurses,
advanced
registered
practitioners,
or
physician
7
assistants
must
complete
and
return
an
affidavit
of
practice
8
verifying
that
the
applicant
is
or
will
be
practicing
full-time
9
in
a
service
commitment
area
in
this
state
or
is
a
nurse
10
educator
teaching
full-time
in
this
state.
The
affidavit
must
11
specify
the
service
commitment
area
in
which
the
applicant
will
12
practice
as
a
condition
of
receiving
loan
repayment.
Nurse
13
educators
are
not
required
to
teach
in
service
commitment
14
areas.
An
applicant
who
is
a
member
of
the
Iowa
national
guard
15
is
exempt
from
the
service
commitment
area
requirement,
but
16
must
submit
an
affidavit
verifying
the
applicant
is
practicing
17
in
this
state.
The
bill
defines
a
service
commitment
area
as
18
a
city
in
Iowa
with
a
population
of
less
than
26,000
that
is
19
located
more
than
50
miles
from
a
city
with
a
population
of
20
50,000
or
more.
21
Currently,
the
annual
amount
of
loan
repayment
for
a
22
registered
nurse
or
nurse
educator
shall
not
exceed
the
23
resident
tuition
rate
established
for
regents
universities
or
24
20
percent
of
the
registered
nurse’s
total
federally
determined
25
loan
amount,
including
principal
and
interest,
whichever
26
amount
is
less.
The
bill
limits
the
annual
amount
of
loan
27
repayment
to
a
program
applicant
to
$6,000
or
20
percent
of
28
the
recipient’s
total
qualified
student
loan,
whichever
amount
29
is
less.
The
bill
defines
qualified
student
loan
as
a
loan
30
that
was
made,
insured,
or
guaranteed
under
Tit.
IV
of
the
31
federal
Higher
Education
Act
of
1965,
as
amended,
or
under
32
Tit.
VII
or
VIII
of
the
federal
Public
Health
Service
Act,
as
33
amended,
directly
to
the
borrower
for
attendance
at
an
approved
34
postsecondary
educational
institution.
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The
commission
is
required
to
establish
by
rule
the
criteria
1
to
be
used
in
evaluating
applications,
and
to
give
highest
2
priority
to
applicants
who
are
residents
of
Iowa,
then,
if
3
requested
by
the
adjutant
general,
to
applicants
who
are
4
members
of
the
Iowa
national
guard.
5
The
bill
repeals
Code
section
261.129,
which
establishes
6
the
Iowa
needs
nurses
now
initiative.
The
initiative
never
7
received
funding.
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