Bill Text: NY A10638 | 2023-2024 | General Assembly | Introduced


Bill Title: Provides for dentist loan repayment and practice support for dentists who agree to practice in an underserved area in the state.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-06-20 - referred to health [A10638 Detail]

Download: New_York-2023-A10638-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          10638

                   IN ASSEMBLY

                                      June 20, 2024
                                       ___________

        Introduced  by COMMITTEE ON RULES -- (at request of M. of A. Woerner) --
          read once and referred to the Committee on Health

        AN ACT to amend the public health law,  in  relation  to  providing  for
          dentist loan repayment and practice support

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. Subdivision 5-a of section 2807-m of the public health  law
     2  is  amended  by  adding  two  new  paragraphs (c-1) and (d-1) to read as
     3  follows:
     4    (c-1) Dentist loan repayment program. Up to one  million  two  hundred
     5  thousand  dollars each state fiscal year for the period April first, two
     6  thousand twenty-four through March thirty-first,  two  thousand  twenty-
     7  seven,  shall  be  set  aside  and reserved by the commissioner from the
     8  regional pools established pursuant to subdivision two of  this  section
     9  and shall be available for purposes of dentist loan repayment in accord-
    10  ance  with  subdivision  ten-a  of  this  section.   Notwithstanding any
    11  contrary provision of this section, sections one hundred twelve and  one
    12  hundred  sixty-three  of  the  state  finance law, or any other contrary
    13  provision of law, such funding shall be allocated regionally  with  one-
    14  third of available funds going to New York city and two-thirds of avail-
    15  able  funds going to the rest of the state and shall be distributed in a
    16  manner to be determined by the commissioner without a competitive bid or
    17  request for proposal process as follows:
    18    (i) Funding shall first be awarded to  repay  loans  of  up  to  eight
    19  dentists who train in general or pediatric dentistry in teaching general
    20  hospitals, including in community clinic settings owned by or affiliated
    21  with  such  hospitals,  and who enter and remain in general or pediatric
    22  dentistry practices in underserved communities,  as  determined  by  the
    23  commissioner.
    24    (ii)  After  distributions in accordance with subparagraph (i) of this
    25  paragraph, all remaining funds  shall  be  awarded  to  repay  loans  of
    26  dentists  who  enter  and remain in general or pediatric dentistry prac-
    27  tices in underserved communities, as  determined  by  the  commissioner,

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD15836-02-4

        A. 10638                            2

     1  including  but  not  limited  to  dentists working in general hospitals,
     2  other health care facilities or qualified private practices.
     3    (iii)  In no case shall less than fifty percent of the funds available
     4  pursuant to this paragraph be distributed in  accordance  with  subpara-
     5  graphs  (i) and (ii) of this paragraph to dentists identified by general
     6  hospitals.
     7    (d-1) Dentist practice support. Up to three million dollars  for  each
     8  fiscal year for the period April first, two thousand twenty-four through
     9  March  thirty-first,  two  thousand twenty-seven, shall be set aside and
    10  reserved by the commissioner from the regional pools established  pursu-
    11  ant  to  subdivision  two  of  this  section  and shall be available for
    12  purposes of  dentist  practice  support.  Notwithstanding  any  contrary
    13  provision  of  this section, sections one hundred twelve and one hundred
    14  sixty-three of the state finance law, or any other contrary provision of
    15  law, such funding shall be allocated regionally with one-third of avail-
    16  able funds going to New York city  and  two-thirds  of  available  funds
    17  going  to  the rest of the state and shall be distributed in a manner to
    18  be determined by the commissioner without a competitive bid  or  request
    19  for proposal process as follows:
    20    (i)  Preference  in funding eight awards, to support costs incurred by
    21  dentists trained in general or pediatric dentistry in  teaching  general
    22  hospitals, including in community clinic settings owned by or affiliated
    23  with  such  hospitals,  who  thereafter  establish  or join practices in
    24  underserved communities, as determined by the commissioner.
    25    (ii) After distributions in accordance with subparagraph (i)  of  this
    26  paragraph,  all  remaining funds shall be awarded to dentists to support
    27  the cost of establishing or joining practices  in  underserved  communi-
    28  ties,  as  determined  by  the  commissioner, and to hospitals and other
    29  health care providers to recruit new dentists  to  provide  services  in
    30  underserved communities, as determined by the commissioner.
    31    (iii)  In no case shall less than fifty percent of the funds available
    32  pursuant to this  paragraph  be  distributed  to  general  hospitals  in
    33  accordance with subparagraphs (i) and (ii) of this paragraph.
    34    §  2. Section 2807-m of the public health law is amended by adding two
    35  new subdivisions 10-a and 13 to read as follows:
    36    10-a. Dentist loan repayment program. (a) Beginning April  first,  two
    37  thousand  twenty-four,  the  commissioner  is authorized, within amounts
    38  available pursuant to subdivision five-a of this section, to  make  loan
    39  repayment  awards  to  general  or pediatric dentists or other dentistry
    40  specialties determined by  the  commissioner  to  be  in  short  supply,
    41  licensed  to practice dentistry in New York state, who agree to practice
    42  for at least three years in an underserved area, as  determined  by  the
    43  commissioner.
    44    (b)  Loan repayment awards made to a dentist pursuant to paragraph (a)
    45  of this subdivision shall not exceed the  total  qualifying  outstanding
    46  debt  of  the  dentist  from  student  loans  to cover tuition and other
    47  related educational expenses, made by or guaranteed by  the  federal  or
    48  state  government,  or  made  by  a  lending  or educational institution
    49  approved under title IV of the  federal  higher  education  act.    Loan
    50  repayment awards shall be used solely to repay such outstanding debt.
    51    (c)  In  the event that a three-year commitment pursuant to the agree-
    52  ment referenced in paragraph (a) of this subdivision is  not  fulfilled,
    53  the  recipient shall be responsible for repayment in amounts which shall
    54  be calculated in accordance with the formula set  forth  in  subdivision
    55  (b) of section two hundred fifty-four-o of title forty-two of the United
    56  States Code, as amended.

        A. 10638                            3

     1    (d)  The  commissioner  is authorized to apply any funds available for
     2  purposes of paragraph (a) of this subdivision for use as matching  funds
     3  for federal grants for the purpose of assisting states in operating loan
     4  repayment  programs  pursuant to section three hundred thirty-eight I of
     5  the public health service act.
     6    (e)  The  commissioner may postpone, change or waive the service obli-
     7  gation and repayment amounts  set  forth  in  paragraphs  (a)  and  (c),
     8  respectively of this subdivision in individual circumstances where there
     9  is compelling need or hardship.
    10    (f)  (i)  When  a dentist is not actually practicing in an underserved
    11  area, such dentist shall be deemed to be practicing  in  an  underserved
    12  area  if  such  dentist practices in a facility or dentist's office that
    13  primarily serves an underserved population as determined by the  commis-
    14  sioner,  without  regard  to  whether  the population or the facility or
    15  dentist's office is located in an underserved area.
    16    (ii) In making criteria and determinations as to whether an area is an
    17  underserved area or whether a facility  or  dentist's  office  primarily
    18  serves  an  underserved  population,  the commissioner may make separate
    19  criteria and determinations for different specialties.
    20    13. Notwithstanding any provision of law to the contrary, applications
    21  submitted for the dentist loan repayment program pursuant  to  paragraph
    22  (c-1)  of  subdivision  five-a  of this section and subdivision ten-a of
    23  this section or the dentist practice support program pursuant  to  para-
    24  graph  (d-1)  of subdivision five-a of this section, shall be subject to
    25  the following:
    26    (a) Awards shall be made from the  total  funding  available  for  new
    27  awards under the dentist loan repayment program and the dentist practice
    28  support  program,  with  neither  program  limited to a specific funding
    29  amount within such total funding available;
    30    (b) An applicant may apply for an award for either dentist loan repay-
    31  ment or dentist practice support, but not both;
    32    (c) An applicant shall either: (i) agree to practice for  three  years
    33  in an underserved area and each award shall provide up to fifty thousand
    34  dollars  for  each  of  the  three years; or (ii) agree to practice as a
    35  dentist engaged in private practice in  an  underserved  area  and  each
    36  award shall provide up to seventy thousand dollars for each of the three
    37  years; and
    38    (d)  To the extent practicable, awards shall be timed to be of use for
    39  job offers made to applicants.
    40    § 3. This act shall take effect immediately and  shall  be  deemed  to
    41  have been in full force and effect on and after April 1, 2024.
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