Bill Text: IA SF2251 | 2019-2020 | 88th General Assembly | Introduced


Bill Title: A bill for an act relating to specialty areas, service commitment area distance requirements, and practice-related requirements under the rural Iowa primary care loan repayment program. (Formerly SSB 3079.)

Spectrum: Committee Bill

Status: (Engrossed - Dead) 2020-03-09 - Subcommittee recommends passage. [SF2251 Detail]

Download: Iowa-2019-SF2251-Introduced.html
Senate File 2251 - Introduced SENATE FILE 2251 BY COMMITTEE ON EDUCATION (SUCCESSOR TO SSB 3079) A BILL FOR An Act relating to specialty areas, service commitment area 1 distance requirements, and practice-related requirements 2 under the rural Iowa primary care loan repayment program. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5717SV (1) 88 kh/jh
S.F. 2251 Section 1. Section 261.113, subsection 3, paragraph d, Code 1 2020, is amended to read as follows: 2 d. Within nine months of graduating from the residency 3 program and receiving a permanent license in accordance with 4 paragraph “b” , engage in the full-time practice of medicine 5 and surgery or osteopathic medicine and surgery specializing 6 in family medicine, pediatrics, psychiatry, internal medicine, 7 obstetrics and gynecology, or general surgery for a period of 8 five consecutive years in the service commitment area specified 9 under subsection 6 , unless the loan repayment recipient 10 receives a waiver from the commission to complete the years 11 of practice required under the agreement in another service 12 commitment area pursuant to subsection 6 . 13 Sec. 2. Section 261.113, subsection 8, Code 2020, is amended 14 to read as follows: 15 8. Part-time practice —— agreement amended. A person who 16 entered into an agreement pursuant to subsection 3 may apply 17 to the commission to amend the agreement to allow the person 18 to engage in less than the full-time practice specified in 19 the agreement and under subsection 3 , paragraph “d” . If the 20 commission determines exceptional circumstances exist, the The 21 commission and the person may consent to amend the agreement 22 under which the person shall engage in less than full-time 23 practice of medicine and surgery or osteopathic medicine 24 and surgery specializing in family medicine, pediatrics, 25 psychiatry, internal medicine, obstetrics and gynecology, or 26 general surgery in a service commitment area for an extended 27 period of part-time practice determined by the commission to 28 be proportional to the amount of full-time practice remaining 29 under the original agreement. For purposes of this subsection, 30 “less than the full-time practice” means at least seventy 31 percent of a forty-hour workweek. 32 Sec. 3. Section 261.113, subsection 11, paragraph c, Code 33 2020, is amended to read as follows: 34 c. “Service commitment area” means a city in Iowa with a 35 -1- LSB 5717SV (1) 88 kh/jh 1/ 3
S.F. 2251 population of less than twenty-six thousand that is located 1 more than twenty miles from a city with a population of fifty 2 thousand or more and which that provides a twenty thousand 3 dollar contribution for deposit in the rural Iowa primary 4 care trust fund for each physician in the community who is 5 participating in the loan repayment program and which meets any 6 of the following conditions: 7 (1) Is a city within a federal mental health shortage 8 area, as designated by the health resources and services 9 administration of the United States department of health and 10 human services, if the physician participating in the loan 11 repayment program specializes in psychiatry . 12 (2) Is a city in Iowa with a population of less than 13 twenty-six thousand that is located more than twenty miles from 14 a city with a population of fifty thousand. The commission 15 shall determine the distance between cities by calculating the 16 most direct driving route. 17 EXPLANATION 18 The inclusion of this explanation does not constitute agreement with 19 the explanation’s substance by the members of the general assembly. 20 This bill modifies the requirements for the rural Iowa 21 primary care loan repayment program. 22 The bill adds obstetrics and gynecology as an area of 23 specialization that qualifies for loan repayment under the 24 program. 25 Currently, a person can engage in less than full-time 26 practice under the program if the person applies to the college 27 student aid commission to amend their program agreement and the 28 commission determines that exceptional circumstances exist. 29 The bill eliminates the language relating to exceptional 30 circumstances, thereby allowing the commission and the person 31 to consent to amend the agreement to allow the person to engage 32 in less than full-time practice for an extended period of 33 part-time practice. Under the bill, “less than full-time” 34 means at least 70 percent of a 40-hour workweek. 35 -2- LSB 5717SV (1) 88 kh/jh 2/ 3
S.F. 2251 The bill modifies the definition of “service commitment 1 area” to include a city within a designated federal mental 2 health shortage area that provides a $20,000 contribution 3 for deposit in the rural Iowa primary care trust fund for a 4 physician specializing in psychiatry, and to require that the 5 distance between a city with a population of less than 26,000 6 that is located 20 miles from a city of at least 50,000 be 7 calculated using the shortest driving distance between the 8 cities. 9 -3- LSB 5717SV (1) 88 kh/jh 3/ 3
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