Bill Text: IA SSB3168 | 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 certain physicians, nurses, physician assistants, advanced registered nurse practitioners, doctors of nursing practice, and nurse educators.
Spectrum: Committee Bill
Status: (N/A - Dead) 2018-02-13 - Subcommittee recommends amendment and passage. [SSB3168 Detail]
Download: Iowa-2017-SSB3168-Introduced.html
Senate
Study
Bill
3168
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HUMAN
RESOURCES
BILL
BY
CHAIRPERSON
SEGEBART)
A
BILL
FOR
An
Act
relating
to
educational
assistance
programs
administered
1
by
the
college
student
aid
commission
for
certain
2
physicians,
nurses,
physician
assistants,
advanced
3
registered
nurse
practitioners,
doctors
of
nursing
practice,
4
and
nurse
educators.
5
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
6
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Section
1.
Section
261.113,
subsection
5,
paragraph
a,
Code
1
2018,
is
amended
to
read
as
follows:
2
a.
(1)
The
amount
of
loan
repayment
an
eligible
student
who
3
enters
into
an
agreement
pursuant
to
subsection
3
prior
to
July
4
1,
2018,
shall
receive
if
in
compliance
with
obligations
under
5
the
agreement
shall
not
exceed
forty
thousand
dollars
annually
6
for
an
eligible
loan.
Payments
under
this
section
and
pursuant
7
to
agreements
entered
into
prior
to
July
1,
2018,
may
be
made
8
for
each
year
of
eligible
practice
during
a
period
of
five
9
consecutive
years
and
shall
not
exceed
a
total
of
two
hundred
10
thousand
dollars.
11
(2)
The
amount
of
loan
repayment
an
eligible
student
who
12
enters
into
an
agreement
pursuant
to
subsection
3
on
or
after
13
July
1,
2018,
shall
receive
if
in
compliance
with
obligations
14
under
the
agreement
shall
not
exceed
twenty
thousand
dollars
15
annually
for
an
eligible
loan.
Payments
under
this
section
and
16
pursuant
to
agreements
entered
into
on
or
after
July
1,
2018,
17
may
be
made
for
each
year
of
eligible
practice
during
a
period
18
of
five
consecutive
years
and
shall
not
exceed
a
total
of
one
19
hundred
thousand
dollars.
20
Sec.
2.
Section
261.114,
subsection
3,
unnumbered
paragraph
21
1,
Code
2018,
is
amended
to
read
as
follows:
22
A
program
agreement
shall
be
entered
into
by
an
eligible
23
student
and
the
commission
when
the
eligible
student
begins
24
the
final
year
of
study
in
an
academic
program
leading
to
25
eligibility
for
licensure
as
a
nurse
practitioner
or
physician
26
assistant.
The
commission
shall
not
enter
into
any
new
27
program
agreement
under
this
section
on
or
after
July
1,
2018.
28
Under
the
agreement,
to
receive
loan
repayments
pursuant
to
29
subsection
5
,
an
eligible
student
shall
agree
to
and
shall
30
fulfill
all
of
the
following
requirements:
31
Sec.
3.
Section
261.114,
subsection
8,
Code
2018,
is
amended
32
by
striking
the
subsection.
33
Sec.
4.
Section
261.114,
subsection
9,
Code
2018,
is
amended
34
to
read
as
follows:
35
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9.
Postponement
and
satisfaction
Satisfaction
of
service
1
obligation.
2
a.
The
obligation
to
engage
in
practice
in
accordance
with
3
subsection
3
shall
be
postponed
for
the
following
purposes:
4
(1)
Active
duty
status
in
the
armed
forces,
the
armed
forces
5
military
reserve,
or
the
national
guard.
6
(2)
Service
in
volunteers
in
service
to
America.
7
(3)
Service
in
the
federal
peace
corps.
8
(4)
A
period
of
service
commitment
to
the
United
States
9
public
health
service
commissioned
corps.
10
(5)
A
period
of
religious
missionary
work
conducted
by
an
11
organization
exempt
from
federal
income
taxation
pursuant
to
12
section
501(c)(3)
of
the
Internal
Revenue
Code
.
13
(6)
Any
period
of
temporary
medical
incapacity
during
which
14
the
person
obligated
is
unable,
due
to
a
medical
condition,
to
15
engage
in
full-time
practice
as
required
under
subsection
3
.
16
b.
Except
for
a
postponement
under
paragraph
“a”
,
17
subparagraph
(6),
an
obligation
to
engage
in
practice
under
an
18
agreement
entered
into
pursuant
to
subsection
3
,
shall
not
be
19
postponed
for
more
than
two
years
from
the
time
the
full-time
20
practice
was
to
have
commenced
under
the
agreement.
21
c.
a.
An
obligation
to
engage
in
full-time
practice
under
22
an
agreement
entered
into
pursuant
to
subsection
3
shall
be
23
considered
satisfied
when
any
of
the
following
conditions
are
24
met:
25
(1)
The
terms
of
the
agreement
are
completed.
26
(2)
The
person
who
entered
into
the
agreement
dies.
27
(3)
The
person
who
entered
into
the
agreement,
due
to
a
28
permanent
disability,
is
unable
to
practice
as
an
advanced
29
registered
nurse
practitioner
or
physician
assistant.
30
d.
b.
If
a
loan
repayment
recipient
fails
to
fulfill
31
the
obligation
to
engage
in
practice
in
accordance
with
32
subsection
3
,
the
recipient
shall
be
subject
to
repayment
to
33
the
commission
of
the
loan
amount
plus
interest
as
specified
34
by
rule.
A
loan
repayment
recipient
who
fails
to
meet
the
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requirements
of
the
obligation
to
engage
in
practice
in
1
accordance
with
subsection
3
may
also
be
subject
to
repayment
2
of
moneys
advanced
by
the
service
commitment
area
as
provided
3
in
any
agreement
with
the
service
commitment
area.
4
Sec.
5.
Section
261.114,
subsection
10,
Code
2018,
is
5
amended
to
read
as
follows:
6
10.
Trust
fund
established.
A
rural
Iowa
advanced
7
registered
nurse
practitioner
and
physician
assistant
trust
8
fund
is
created
in
the
state
treasury
as
a
separate
fund
under
9
the
control
of
the
commission.
The
commission
shall
remit
all
10
repayments
made
pursuant
to
this
section
to
the
rural
Iowa
11
advanced
registered
nurse
practitioner
and
physician
assistant
12
trust
fund.
All
moneys
deposited
or
paid
into
the
trust
fund
13
are
appropriated
and
made
available
to
the
commission
to
be
14
used
for
meeting
the
requirements
of
this
section
.
Moneys
in
15
the
fund
up
to
the
total
amount
that
an
eligible
student
may
16
receive
for
an
eligible
loan
in
accordance
with
this
section
17
and
upon
fulfilling
the
requirements
of
subsection
3
shall
be
18
considered
encumbered
for
the
duration
of
the
agreement
entered
19
into
pursuant
to
subsection
3
.
Notwithstanding
section
8.33
,
20
any
balance
in
the
fund
on
June
30
of
each
fiscal
year
shall
not
21
revert
to
the
general
fund
of
the
state,
but
shall
be
available
22
for
purposes
of
this
section
in
subsequent
fiscal
years.
23
Notwithstanding
section
8.33,
any
balance
in
the
fund
on
June
24
30,
2023,
shall
not
revert
to
the
general
fund
of
the
state
but
25
shall
be
transferred
to
the
health
care
loan
repayment
fund
26
established
pursuant
to
section
261.116
to
be
used
for
purposes
27
of
the
health
care
loan
repayment
program.
28
Sec.
6.
Section
261.114,
Code
2018,
is
amended
by
adding
the
29
following
new
subsection:
30
NEW
SUBSECTION
.
10A.
This
section
is
repealed
July
1,
2023.
31
Sec.
7.
Section
261.116,
Code
2018,
is
amended
to
read
as
32
follows:
33
261.116
Registered
nurse
and
nurse
educator
Health
care
loan
34
forgiveness
repayment
program.
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1.
Definitions.
For
purposes
of
this
section,
unless
the
1
context
otherwise
requires:
2
a.
“Advanced
registered
nurse
practitioner”
means
a
person
3
licensed
as
a
registered
nurse
under
chapter
152
or
152E
who
4
is
licensed
by
the
board
of
nursing
as
an
advanced
registered
5
nurse
practitioner.
6
b.
“Nurse
educator”
means
a
registered
nurse
who
holds
7
a
master’s
degree
or
doctorate
degree
and
is
employed
by
a
8
community
college,
an
accredited
private
institution,
or
an
9
institution
of
higher
education
governed
by
the
state
board
10
of
regents
as
a
faculty
member
to
teach
nursing
at
a
nursing
11
education
program
approved
by
the
board
of
nursing
pursuant
to
12
section
152.5.
13
c.
“Physician
assistant”
means
a
person
licensed
as
a
14
physician
assistant
under
chapter
148C.
15
d.
“Qualified
student
loan”
means
a
loan
that
was
made,
16
insured,
or
guaranteed
under
Tit.
IV
of
the
federal
Higher
17
Education
Act
of
1965,
as
amended,
or
under
Tit.
VII
or
VIII
18
of
the
federal
Public
Health
Service
Act,
as
amended,
directly
19
to
the
borrower
for
attendance
at
an
approved
postsecondary
20
educational
institution.
21
e.
“Service
commitment
area”
means
a
city
in
Iowa
with
a
22
population
of
less
than
twenty-six
thousand
that
is
located
23
more
than
fifty
miles
from
a
city
with
a
population
of
fifty
24
thousand
or
more.
25
2.
Program
established.
A
registered
nurse
and
nurse
26
educator
health
care
loan
forgiveness
repayment
program
27
is
established
to
be
administered
by
the
commission
.
The
28
program
shall
consist
of
loan
forgiveness
for
eligible
29
federally
guaranteed
for
purposes
of
repaying
the
qualified
30
student
loans
for
of
registered
nurses
,
advanced
registered
31
nurse
practitioners,
doctors
of
nursing
practice,
physician
32
assistants,
and
nurse
educators
who
practice
full-time
in
a
33
service
commitment
area
or
teach
in
this
state
,
as
appropriate,
34
and
who
are
selected
for
the
program
in
accordance
with
this
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section
.
For
purposes
of
this
section
,
unless
the
context
1
otherwise
requires,
“nurse
educator”
means
a
registered
nurse
2
who
holds
a
master’s
degree
or
doctorate
degree
and
is
employed
3
as
a
faculty
member
who
teaches
nursing
as
provided
in
655
4
IAC
2.6
(152)
at
a
community
college,
an
accredited
private
5
institution,
or
an
institution
of
higher
education
governed
by
6
the
state
board
of
regents.
An
applicant
who
is
a
member
of
7
the
Iowa
national
guard
is
exempt
from
the
service
commitment
8
area
requirement,
but
shall
submit
an
affidavit
verifying
the
9
applicant
is
practicing
full-time
in
this
state.
10
2.
3.
Application
requirements.
Each
applicant
for
loan
11
forgiveness
repayment
shall,
in
accordance
with
the
rules
of
12
the
commission,
do
the
following:
13
a.
Complete
and
file
an
application
for
registered
nurse
14
or
nurse
educator
loan
forgiveness
repayment
.
The
individual
15
shall
be
responsible
for
the
prompt
submission
of
any
16
information
required
by
the
commission.
17
b.
File
a
new
application
and
submit
information
as
18
required
by
the
commission
annually
on
the
basis
of
which
19
the
applicant’s
eligibility
for
the
renewed
loan
forgiveness
20
repayment
will
be
evaluated
and
determined.
21
c.
Complete
and
return,
on
a
form
approved
by
the
22
commission,
an
affidavit
of
practice
verifying
that
the
23
applicant
is
a
registered
nurse
,
an
advanced
registered
nurse
24
practitioner,
a
doctor
of
nursing
practice,
or
a
physician
25
assistant
who
is
practicing
full-time
in
a
service
commitment
26
area
in
this
state
or
is
a
nurse
educator
teaching
at
a
27
community
college,
an
accredited
private
institution,
or
an
28
institution
of
higher
learning
governed
by
the
state
board
of
29
regents
who
teaches
full-time
in
this
state
.
If
practice
in
a
30
service
commitment
area
is
required
as
a
condition
of
receiving
31
loan
repayment,
the
affidavit
shall
specify
the
service
32
commitment
area
in
which
the
applicant
is
practicing
full-time.
33
3.
4.
Loan
repayment
amounts.
34
a.
The
annual
amount
of
registered
nurse
loan
forgiveness
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for
a
registered
nurse
who
completes
a
course
of
study,
which
1
leads
to
a
baccalaureate
or
associate
degree
of
nursing,
2
diploma
in
nursing,
or
a
graduate
or
equivalent
degree
in
3
nursing,
and
who
practices
in
this
state,
repayment
provided
to
4
a
recipient
under
this
section
shall
not
exceed
the
resident
5
tuition
rate
established
for
institutions
of
higher
learning
6
governed
by
the
state
board
of
regents
for
the
first
year
7
following
the
registered
nurse’s
graduation
from
a
nursing
8
education
program
approved
by
the
board
of
nursing
pursuant
to
9
section
152.5
six
thousand
dollars
,
or
twenty
percent
of
the
10
registered
nurse’s
total
federally
guaranteed
Stafford
loan
11
amount
under
the
federal
family
education
loan
program
or
the
12
federal
direct
loan
program,
including
principal
and
interest
13
recipient’s
total
qualified
student
loan
,
whichever
amount
is
14
less.
A
registered
nurse
shall
be
recipient
is
eligible
for
15
the
loan
forgiveness
repayment
program
for
not
more
than
five
16
consecutive
years.
17
b.
The
annual
amount
of
nurse
educator
loan
forgiveness
18
shall
not
exceed
the
resident
tuition
rate
established
for
19
institutions
of
higher
learning
governed
by
the
state
board
20
of
regents
for
the
first
year
following
the
nurse
educator’s
21
graduation
from
an
advanced
formal
academic
nursing
education
22
program
approved
by
the
board
of
nursing
pursuant
to
section
23
152.5
,
or
twenty
percent
of
the
nurse
educator’s
total
24
federally
guaranteed
Stafford
loan
amount
under
the
federal
25
family
education
loan
program
or
the
federal
direct
loan
26
program,
including
principal
and
interest,
whichever
amount
27
is
less.
A
nurse
educator
shall
be
eligible
for
the
loan
28
forgiveness
program
for
not
more
than
five
consecutive
years.
29
4.
5.
Selection
criteria.
The
commission
shall
establish
30
by
rule
the
evaluation
criteria
to
be
used
in
evaluating
31
applications
submitted
under
this
section.
Priority
shall
be
32
given
to
applicants
who
are
residents
of
Iowa
and,
if
requested
33
by
the
adjutant
general,
to
applicants
who
are
members
of
the
34
Iowa
national
guard.
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6.
Health
care
loan
repayment
fund.
A
registered
nurse
and
1
nurse
educator
health
care
loan
forgiveness
repayment
fund
is
2
created
for
deposit
of
moneys
appropriated
to
or
received
by
3
the
commission
for
use
under
the
program.
Notwithstanding
4
section
8.33
,
moneys
deposited
in
the
health
care
loan
5
repayment
fund
shall
not
revert
to
any
fund
of
the
state
6
at
the
end
of
any
fiscal
year
but
shall
remain
in
the
loan
7
forgiveness
repayment
fund
and
be
continuously
available
for
8
loan
forgiveness
repayment
under
the
program.
Notwithstanding
9
section
12C.7,
subsection
2
,
interest
or
earnings
on
moneys
10
deposited
in
the
health
care
loan
fund
shall
be
credited
to
the
11
fund.
12
5.
7.
Report.
The
commission
shall
submit
in
a
report
13
to
the
general
assembly
by
January
1,
annually,
the
number
of
14
individuals
who
received
loan
forgiveness
repayment
pursuant
to
15
this
section
,
where
the
participants
practiced
or
taught,
the
16
amount
paid
to
each
program
participant,
and
other
information
17
identified
by
the
commission
as
indicators
of
outcomes
from
of
18
the
program.
19
6.
8.
Rules.
The
commission
shall
adopt
rules
pursuant
to
20
chapter
17A
to
administer
this
section
.
21
EXPLANATION
22
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
23
the
explanation’s
substance
by
the
members
of
the
general
assembly.
24
This
bill
combines
and
repeals
certain
educational
25
assistance
programs
administered
by
the
college
student
aid
26
commission
for
the
benefit
of
registered
nurses,
physician
27
assistants,
advanced
registered
nurse
practitioners,
doctors
of
28
nursing
practice,
and
nurse
educators.
The
bill
reduces
the
29
amount
of
loan
repayment
an
individual
may
qualify
for
under
30
the
rural
Iowa
primary
care
loan
repayment
program.
31
RURAL
IOWA
PRIMARY
CARE
LOAN
REPAYMENT
PROGRAM.
Currently,
32
an
individual
who
enters
into
an
agreement
is
eligible
to
33
receive
up
to
$40,000
annually
or
a
total
of
$200,000
in
loan
34
repayment.
The
bill
reduces
these
amounts
by
half
for
an
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individual
who
enters
into
an
agreement
on
or
after
July
1,
1
2018.
2
RURAL
IOWA
ADVANCED
REGISTERED
NURSE
PRACTITIONER
AND
3
PHYSICIAN
ASSISTANT
LOAN
REPAYMENT
PROGRAM
——
FUNDS.
The
bill
4
modifies
the
rural
Iowa
advanced
registered
nurse
practitioner
5
and
physician
assistant
loan
repayment
program
by
prohibiting
6
the
commission
from
entering
into
any
new
program
agreements
on
7
or
after
July
1,
2018;
striking
a
provision
to
allow
a
person
8
who
entered
into
a
program
agreement
to
practice
part-time;
9
striking
language
relating
to
the
postponement
of
program
10
obligations;
repealing
the
program
July
1,
2023;
and
providing
11
for
the
transfer
of
any
balance
in
the
rural
Iowa
advanced
12
registered
nurse
practitioner
and
physician
assistant
trust
13
fund
on
June
30,
2023,
to
the
health
care
loan
repayment
fund
14
established
for
purposes
of
the
health
care
loan
repayment
15
program.
16
COMBINED
LOAN
PROGRAM.
The
bill
expands
the
current
17
registered
nurse
and
nurse
educator
program
by
adding
advanced
18
registered
nurse
practitioners,
doctors
of
nursing
practice,
19
and
physician
assistants
to
the
program.
The
bill
changes
the
20
name
of
the
program,
and
of
the
program
fund,
to
the
health
21
care
loan
repayment
program
and
the
health
care
loan
repayment
22
fund.
23
To
qualify
for
the
program,
applicants
who
are
registered
24
nurses,
advanced
registered
nurse
practitioners,
doctors
of
25
nursing
practice,
or
physician
assistants
must
complete
and
26
return
an
affidavit
of
practice
verifying
that
the
applicant
is
27
or
will
be
practicing
full-time
in
a
service
commitment
area
28
in
this
state
or
is
a
nurse
educator
teaching
full-time
in
29
this
state.
The
affidavit
must
specify
the
service
commitment
30
area
in
which
the
applicant
will
practice
as
a
condition
of
31
receiving
loan
repayment.
Nurse
educators
are
not
required
32
to
teach
in
service
commitment
areas.
An
applicant
who
is
a
33
member
of
the
Iowa
national
guard
is
exempt
from
the
service
34
commitment
area
requirement,
but
must
submit
an
affidavit
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verifying
the
applicant
is
practicing
in
this
state.
The
bill
1
defines
a
service
commitment
area
as
a
city
in
Iowa
with
a
2
population
of
less
than
26,000
that
is
located
more
than
50
3
miles
from
a
city
with
a
population
of
50,000
or
more.
4
Currently,
the
annual
amount
of
loan
repayment
for
a
5
registered
nurse
or
nurse
educator
shall
not
exceed
the
6
resident
tuition
rate
established
for
regents
universities
or
7
20
percent
of
the
registered
nurse’s
total
federally
determined
8
loan
amount,
including
principal
and
interest,
whichever
9
amount
is
less.
The
bill
limits
the
annual
amount
of
loan
10
repayment
to
a
program
applicant
to
$6,000
or
20
percent
of
11
the
recipient’s
total
qualified
student
loan,
whichever
amount
12
is
less.
The
bill
defines
qualified
student
loan
as
a
loan
13
that
was
made,
insured,
or
guaranteed
under
Tit.
IV
of
the
14
federal
Higher
Education
Act
of
1965,
as
amended,
or
under
15
Tit.
VII
or
VIII
of
the
federal
Public
Health
Service
Act,
as
16
amended,
directly
to
the
borrower
for
attendance
at
an
approved
17
postsecondary
educational
institution.
18
The
commission
is
required
to
establish
by
rule
the
criteria
19
to
be
used
in
evaluating
applications,
and
to
give
highest
20
priority
to
applicants
who
are
residents
of
Iowa,
then,
if
21
requested
by
the
adjutant
general,
to
applicants
who
are
22
members
of
the
Iowa
national
guard.
23
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