Bill Text: NY A03747 | 2015-2016 | General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Expands the Doctors Across New York program to include dentists.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2016-01-06 - referred to health [A03747 Detail]

Download: New_York-2015-A03747-Introduced.html
                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         3747
                              2015-2016 Regular Sessions
                                 I N  A S S E M B L Y
                                   January 27, 2015
                                      ___________
       Introduced by M. of A. WRIGHT -- read once and referred to the Committee
         on Health
       AN  ACT  to  amend  the  public health law, in relation to expanding the
         Doctors Across New York program to include dentists
         THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
       BLY, DO ENACT AS FOLLOWS:
    1    Section  1.  Paragraph (d) of subdivision 5-a of section 2807-m of the
    2  public health law, as amended by section 9 of part B of  chapter  60  of
    3  the laws of 2014, is amended to read as follows:
    4    (d)  Physician AND/OR DENTIST loan repayment program. One million nine
    5  hundred sixty thousand dollars for the period January first,  two  thou-
    6  sand  eight  through  December  thirty-first,  two  thousand  eight, one
    7  million nine hundred sixty  thousand  dollars  for  the  period  January
    8  first,  two  thousand  nine  through December thirty-first, two thousand
    9  nine, one million nine hundred sixty thousand  dollars  for  the  period
   10  January first, two thousand ten through December thirty-first, two thou-
   11  sand  ten,  four  hundred ninety thousand dollars for the period January
   12  first, two thousand eleven  through  March  thirty-first,  two  thousand
   13  eleven,  one  million  seven  hundred thousand dollars each state fiscal
   14  year for the period April first, two thousand eleven through March thir-
   15  ty-first, two thousand fourteen, and up to  one  million  seven  hundred
   16  five thousand dollars each state fiscal year for the period April first,
   17  two  thousand  fourteen  through March thirty-first, two thousand seven-
   18  teen, shall be set aside and  reserved  by  the  commissioner  from  the
   19  regional  pools  established pursuant to subdivision two of this section
   20  and shall be available for purposes of  physician  AND/OR  DENTIST  loan
   21  repayment  in  accordance with subdivision ten of this section. Notwith-
   22  standing any contrary provision of this section,  sections  one  hundred
   23  twelve  and  one  hundred  sixty-three  of the state finance law, or any
   24  other contrary  provision  of  law,  such  funding  shall  be  allocated
   25  regionally  with one-third of available funds going to New York city and
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD05173-01-5
       A. 3747                             2
    1  two-thirds of available funds going to the rest of the state  and  shall
    2  be  distributed in a manner to be determined by the commissioner without
    3  a competitive bid or request for proposal process as follows:
    4    (i) Funding shall first be awarded to repay loans of up to twenty-five
    5  physicians AND/OR DENTISTS who train in primary care or specialty tracks
    6  in  teaching general hospitals, and who enter and remain in primary care
    7  or specialty practices in underserved communities, as determined by  the
    8  commissioner.
    9    (ii)  After  distributions in accordance with subparagraph (i) of this
   10  paragraph, all remaining funds shall be awarded to repay loans of physi-
   11  cians AND/OR DENTISTS who enter and remain in primary care or  specialty
   12  practices in underserved communities, as determined by the commissioner,
   13  including  but  not  limited  to  physicians  AND/OR DENTISTS working in
   14  general hospitals, or other health care facilities.
   15    (iii) In no case shall less than fifty percent of the funds  available
   16  pursuant  to  this  paragraph be distributed in accordance with subpara-
   17  graphs (i) and (ii) of this  paragraph  to  physicians  AND/OR  DENTISTS
   18  identified by general hospitals.
   19    S  2. Paragraph (e) of subdivision 5-a of section 2807-m of the public
   20  health law, as amended by section 9 of part B of chapter 60 of the  laws
   21  of 2014, is amended to read as follows:
   22    (e)  Physician  AND/OR  DENTIST  practice  support.  Four million nine
   23  hundred thousand dollars for the  period  January  first,  two  thousand
   24  eight  through  December  thirty-first, two thousand eight, four million
   25  nine hundred thousand dollars annually for the period January first, two
   26  thousand nine through  December  thirty-first,  two  thousand  ten,  one
   27  million  two hundred twenty-five thousand dollars for the period January
   28  first, two thousand eleven  through  March  thirty-first,  two  thousand
   29  eleven,  four  million  three hundred thousand dollars each state fiscal
   30  year for the period April first, two thousand eleven through March thir-
   31  ty-first, two thousand fourteen, and up to four  million  three  hundred
   32  sixty  thousand  dollars  each  state  fiscal  year for the period April
   33  first, two thousand fourteen through March  thirty-first,  two  thousand
   34  seventeen,  shall be set aside and reserved by the commissioner from the
   35  regional pools established pursuant to subdivision two of  this  section
   36  and shall be available for purposes of physician AND/OR DENTIST practice
   37  support.   Notwithstanding  any  contrary  provision  of  this  section,
   38  sections one hundred twelve and one hundred  sixty-three  of  the  state
   39  finance  law, or any other contrary provision of law, such funding shall
   40  be allocated regionally with one-third of available funds going  to  New
   41  York  city  and  two-thirds  of available funds going to the rest of the
   42  state and shall be distributed in a  manner  to  be  determined  by  the
   43  commissioner  without  a competitive bid or request for proposal process
   44  as follows:
   45    (i) Preference in funding shall first be accorded to teaching  general
   46  hospitals  for  up  to  twenty-five awards, to support costs incurred by
   47  physicians AND/OR DENTISTS trained in primary or  specialty  tracks  who
   48  thereafter  establish  or  join practices in underserved communities, as
   49  determined by the commissioner.
   50    (ii) After distributions in accordance with subparagraph (i)  of  this
   51  paragraph,  all  remaining  funds  shall be awarded to physicians AND/OR
   52  DENTISTS to support the cost of establishing  or  joining  practices  in
   53  underserved  communities,  as  determined  by  the  commissioner, and to
   54  hospitals and other health care  providers  to  recruit  new  physicians
   55  AND/OR  DENTISTS  to  provide  services  in  underserved communities, as
   56  determined by the commissioner.
       A. 3747                             3
    1    (iii) In no case shall less than fifty percent of the funds  available
    2  pursuant  to  this  paragraph  be  distributed  to  general hospitals in
    3  accordance with subparagraphs (i) and (ii) of this paragraph.
    4    S  3.  Subdivision  10 of section 2807-m of the public health law,  as
    5  added by section 75-e of part C of chapter 58 of the laws of  2008,  and
    6  paragraphs  (a) and (c) as amended by section 13 of part B of chapter 58
    7  of the laws of 2010, is amended to read as follows:
    8    10. Physician AND/OR DENTIST loan repayment program.    (a)  Beginning
    9  January first, two thousand eight, the commissioner is authorized, with-
   10  in  amounts available pursuant to subdivision five-a of this section, to
   11  make loan repayment awards to primary care physicians AND/OR DENTISTS or
   12  other physician AND/OR DENTIST specialties determined by the commission-
   13  er to be in short supply, licensed to practice medicine AND/OR DENTISTRY
   14  in New York state, who agree to practice for at least five years  in  an
   15  underserved  area,  as  determined  by  the commissioner. Such physician
   16  AND/OR DENTIST shall be eligible for a loan repayment award of up to one
   17  hundred fifty thousand dollars over a five year  period  distributed  as
   18  follows:  fifteen  percent of total loan debt not to exceed twenty thou-
   19  sand dollars for the first year; fifteen percent of total loan debt  not
   20  to  exceed  twenty-five  thousand  dollars  for  the second year; twenty
   21  percent of total loan debt not to exceed  thirty-five  thousand  dollars
   22  for  the  third  year; and twenty-five percent of total loan debt not to
   23  exceed thirty-five thousand dollars per year for the  fourth  year;  and
   24  any  unpaid  balance  of  the  total loan debt not to exceed the maximum
   25  award amount for the fifth year of practice in such area.
   26    (b) Loan repayment awards made to a physician AND/OR DENTIST  pursuant
   27  to paragraph (a) of this subdivision shall not exceed the total qualify-
   28  ing  outstanding debt of the physician AND/OR DENTIST from student loans
   29  to cover tuition and other related  educational  expenses,  made  by  or
   30  guaranteed  by  the federal or state government, or made by a lending or
   31  educational institution approved under title IV of  the  federal  higher
   32  education  act. Loan repayment awards shall be used solely to repay such
   33  outstanding debt.
   34    (c) In the event that a five-year commitment pursuant to the agreement
   35  referenced in paragraph (a) of this subdivision is  not  fulfilled,  the
   36  recipient  shall  be responsible for repayment in amounts which shall be
   37  calculated in accordance with the formula set forth in  subdivision  (b)
   38  of  section  two  hundred  fifty-four-o of title forty-two of the United
   39  States Code, as amended.
   40    (d) The commissioner is authorized to apply any  funds  available  for
   41  purposes  of paragraph (a) of this subdivision for use as matching funds
   42  for federal grants for the purpose of assisting states in operating loan
   43  repayment programs pursuant to section three hundred thirty-eight  I  of
   44  the public health service act.
   45    (e)  The  commissioner may postpone, change or waive the service obli-
   46  gation and repayment amounts  set  forth  in  paragraphs  (a)  and  (c),
   47  respectively of this subdivision in individual circumstances where there
   48  is compelling need or hardship.
   49    (f)(i)  When  a physician AND/OR DENTIST is not actually practicing in
   50  an underserved area, he or she shall be deemed to be  practicing  in  an
   51  underserved  area  if  he  or she practices in a facility or physician's
   52  AND/OR DENTIST'S office that primarily serves an underserved  population
   53  as  determined  by the commissioner, without regard to whether the popu-
   54  lation or the facility or physician's AND/OR DENTIST'S office is located
   55  in an underserved area.
       A. 3747                             4
    1    (ii) In making criteria and determinations as to whether an area is an
    2  underserved area or whether a facility or physician's  AND/OR  DENTIST'S
    3  office  primarily serves an underserved population, the commissioner may
    4  make separate criteria and determinations for different specialties.
    5    S 4. This act shall take effect immediately.
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