75th OREGON LEGISLATIVE ASSEMBLY--2010 Special Session

                            Enrolled

                         House Bill 3639

Sponsored by Representative G SMITH (Presession filed.)

                     CHAPTER ................

                             AN ACT

Relating to student loan repayment program for providers of
  primary care; creating new provisions; amending ORS 348.117,
  442.550, 442.555, 442.560, 442.568, 442.570, 677.141 and
  677.415; appropriating money; and declaring an emergency.

Be It Enacted by the People of the State of Oregon:

                               { +
PRIMARY CARE SERVICES PROGRAM + }

  SECTION 1. ORS 442.550 is amended to read:
  442.550. As used in ORS 442.550 to 442.570:
    { - (1) 'Commission' means the Oregon Student Assistance
Commission. - }
   { +  (1) 'Barriers to accessing health care' means being
enrolled in Medicare or the state medical assistance program or
not having health insurance coverage. + }
  (2) 'Dentist' means any person licensed to practice dentistry
under ORS chapter 679.
   { +  (3) 'Naturopathic physician' means any person who holds a
degree of Doctor of Naturopathic Medicine and who is licensed to
practice medicine under ORS chapter 685. + }
    { - (3) - }  { +  (4) + } 'Nurse practitioner' means any
person licensed under ORS 678.375.
    { - (4) - }  { +  (5) + } 'Pharmacist' means any person
licensed as a pharmacist under ORS chapter 689.
    { - (5) - }  { +  (6) + } 'Physician' means any person { +
who holds a degree of Doctor of Medicine or Doctor of Osteopathy
and who is + } licensed to practice medicine under ORS chapter
677.
    { - (6) - }  { +  (7) + } 'Physician assistant' means any
person licensed under ORS 677.495 and 677.505 to 677.525.
    { - (7) - }  { +  (8) + } 'Qualifying loan' means any loan
made to a  { +  student of naturopathic medicine, + } medical
student, physician assistant student, dental student, pharmacy
student or nursing student under:
  (a) Common School Fund loan program under ORS 348.040 to
348.090;
  (b) Programs under Title IV parts B, D and E, of the Higher
Education Act of 1965, as amended; and
  (c) The Health Professions Student Loan, Nursing Student Loan,
Health Education Assistance Loan and Primary Care Loan programs

Enrolled House Bill 3639 (HB 3639-B)                       Page 1

administered by the United States Department of Health and Human
Services.
    { - (8) - }  { +  (9) + } 'Qualifying practice site' means:
  (a) A rural hospital as defined in ORS 442.470;
  (b) A rural health clinic { +  as defined in 42
U.S.C. 1395x(aa)(2) + };
  (c) A pharmacy that is located in a medically underserved rural
community in Oregon or a federally designated health professional
shortage area and that is not part of a group of six or more
pharmacies under common ownership;   { - or - }
  (d) Another practice site in a medically underserved rural
community in Oregon { + ; or
  (e) An urban practice site at which the practitioner applying
for or receiving loan repayments under ORS 442.550 to 442.570
attests a willingness to serve patients with barriers to
accessing health care in at least the same proportion to the
practitioner's total number of patients as the number of
individuals with barriers to accessing health care residing in
the county where the practice site is located, as determined by
the Office of Rural Health, represents to the total number of
residents in the county + }.
  SECTION 2. ORS 442.555 is amended to read:
  442.555. (1) There is created the   { - Rural Health - }  { +
Primary Care + } Services Program, to be administered by the
 { - Oregon Student Assistance Commission - }  { +  Office of
Rural Health + }, pursuant to rules adopted by the
 { - commission - }  { +  office + }. The purpose of the program
is to provide loan repayments on behalf of  { + naturopathic
physicians, + } physicians, physician assistants, dentists,
pharmacists and nurse practitioners who agree to practice in a
qualifying practice site.
  (2) To be eligible to participate in the program, a prospective
 { + naturopathic physician, + } physician, physician assistant,
dentist, pharmacist or nurse practitioner shall submit
  { - a letter of interest to the commission - }  { +  an
application to the office + }. Applicants who are selected for
participation according to criteria adopted by the
 { - commission in consultation with the Office of Rural
Health - }  { +  office + } shall sign a   { - letter of - }
 { +  primary care service + } agreement stipulating that the
applicant agrees to abide by the terms stated in ORS 442.560.
  (3) Subject to available resources, the   { - commission - }
 { +  office + } may enter into   { - agreements with not to
exceed 10 - }   { + primary care service agreements with + }
prospective  { + naturopathic physicians, + } physicians,
 { - 10 prospective - }  physician assistants,   { - 10
prospective - }  dentists,   { - 10 prospective - }  pharmacists
and   { - 10 prospective - }  nurse practitioners   { - each
year. The commission - }  { + . The office + } may give
preference to prospective  { + naturopathic physicians, + }
physicians, physician assistants, dentists, pharmacists and nurse
practitioners who agree to practice in a  { + qualifying practice
site or a + } community that has contributed funds to the
 { - Rural Health - }  { +  Primary Care + } Services Fund.
  (4) The office   { - of Rural Health - }  shall adopt criteria
to be applied to determine medically underserved  { + rural + }
communities and qualifying practice sites for purposes of ORS
442.550 to 442.570 and for the purposes of compliance with
 { - federal Public Law 95-210, establishing - }  { +  42 U.S.C.
1395x(aa)(2), defining + } rural health clinics.

Enrolled House Bill 3639 (HB 3639-B)                       Page 2

  (5) A qualifying practice site shall submit an application to
the office   { - of Rural Health to participate in the
program - }  { +  to request a designation as a qualifying
practice site + }. The office shall make a list of qualifying
practice sites available to prospective  { + naturopathic
physicians, + } physicians, physician assistants, dentists,
pharmacists and nurse practitioners.
  SECTION 3. ORS 442.560 is amended to read:
  442.560. (1) Prospective  { + naturopathic physicians, + }
physicians, physician assistants, dentists, pharmacists and nurse
practitioners who wish to participate in the   { - Rural
Health - }  { +  Primary Care + } Services Program shall agree
 { - that: - }
    { - (a) For each year of medical, physician assistant,
dental, pharmacy or graduate school, the applicant designates an
agreed amount, not to exceed $25,000, as a qualifying loan
subject to ORS 442.550 to 442.570. - }
    { - (b) In the time period immediately following the
completion of all residency requirements or the time period
immediately following the execution of a Rural Health Services
agreement with the Oregon Student Assistance Commission,
whichever comes later, a physician or dentist agrees to practice
for at least three full years in a rural hospital as defined in
ORS 442.470, in a rural health clinic or in a medically
underserved rural community in Oregon. - }
    { - (c) For not less than three nor more than five years that
a physician or dentist serves in a rural hospital as defined in
ORS 442.470, in a rural health clinic or in a medically
underserved rural community, the commission shall annually pay an
amount that is a percentage of the total of all qualifying loans
made to the physician or dentist through the programs described
in ORS 442.550. - }
    { - (d) In the time period immediately following the
completion of physician assistant or graduate school or the time
period immediately following the execution of a Rural Health
Services agreement with the commission, whichever comes later, a
physician assistant or nurse practitioner agrees to practice for
at least two years in a rural hospital as defined in ORS 442.470,
in a rural health clinic or in a medically underserved rural
community in Oregon. - }
    { - (e) For not less than two nor more than four years that a
physician assistant or nurse practitioner practices in a rural
hospital as defined in ORS 442.470, in a rural health clinic or
in a medically underserved rural community, the commission shall
annually pay an amount that is a percentage of the total of all
qualifying loans made to the physician assistant or nurse
practitioner through the programs described in ORS 442.550. - }
    { - (f) In the time period immediately following the
completion of all pharmacy residency requirements or the time
period immediately following the execution of a Rural Health
Services agreement with the commission, whichever comes later, a
pharmacist agrees to practice for at least three full years in a
rural hospital as defined in ORS 442.470, in a rural health
clinic, in a medically underserved rural community in Oregon or
in a pharmacy that is located in a medically underserved rural
community in Oregon or a federally designated health professional
shortage area and that is not part of a group of six or more
pharmacies under common ownership. - }
    { - (g) For not less than three nor more than five years that
a pharmacist serves in a rural hospital as defined in ORS

Enrolled House Bill 3639 (HB 3639-B)                       Page 3

442.470, in a rural health clinic, in a medically underserved
rural community or in a pharmacy that is located in a medically
underserved rural community or a federally designated health
professional shortage area and that is not part of a group of six
or more pharmacies under common ownership, the commission shall
annually pay an amount that is a percentage of the total of all
qualifying loans made to the pharmacist through the programs
described in ORS 442.550. - }
    { - (2) If the participant does not complete the full service
obligation set forth in subsection (1)(b), (d) or (f) of this
section, the commission shall collect 100 percent of any payments
made by the commission to the participant under this program. In
addition, a penalty equal to 50 percent of the qualifying loans
and interest paid by the commission shall be assessed by the
commission, to be credited to and deposited in the Rural Health
Services Fund established under ORS 442.570. - }  { +  to
practice in a qualifying practice site in Oregon for at least
three full years following completion of any residency
requirements or the execution of the primary care service
agreement, whichever comes later.
  (2) For not less than three and not more than six years, the
Office of Rural Health shall annually pay each participant in the
Primary Care Services Program an amount equal to one-third of the
outstanding balances on qualifying loans made to the participant
up to a maximum of $25,000 each year. To the greatest extent
practicable, 75 percent of the moneys available for the program
shall be paid to participants practicing in rural areas and 25
percent of the moneys available for the program shall be paid to
participants practicing in urban areas.
  (3) If the participant does not complete the full service
obligation under subsection (1) of this section, the participant
shall be liable for the amount of all payments made under
subsection (2) of this section and any penalty assessed according
to criteria adopted by the office. Any amounts determined to be
due under this section shall be collected by the Collections Unit
in the Department of Revenue under ORS 293.250. + }
    { - (3) - }   { + (4) + }   { - The Oregon Student Assistance
Commission, in consultation with the Office of Rural Health,
shall establish rules to allow - }  { +  The office shall adopt
criteria for + } waiver of all or part of the fees and penalties
owed to the   { - commission - }  { +  office + } due to
circumstances that prevent the participant from fulfilling the
service obligation.
  SECTION 4. ORS 442.568 is amended to read:
  442.568. (1) The Oregon Health and Science University shall
develop and implement a program to focus recruitment efforts on
students who reside in or who are interested in practicing in
rural areas.
  (2) The university shall reserve a number of admissions to each
class at the medical school for qualified students who agree to
participate in the   { - Rural Health - }  { +  Primary Care + }
Services Program. The number of admissions under this section is
not required to exceed 15 percent of each class, but that figure
is a goal consistent with the long term intention of the
Legislative Assembly to encourage the availability of medical
services in rural areas.
  (3) In the event that the university is unable to recruit the
number of qualified students required under subsection (2) of
this section, after having made a reasonable effort to do so, the

Enrolled House Bill 3639 (HB 3639-B)                       Page 4

university is authorized to fill the remaining positions with
other eligible candidates.
  SECTION 5. ORS 442.570 is amended to read:
  442.570. (1) There is established in the State Treasury a fund,
separate and distinct from the General Fund, to be known as the
 { - Rural Health - }  { +  Primary Care Services Fund. Moneys in
the Primary Care + } Services Fund { +  are continuously
appropriated to the Oregon Department of Administrative Services
for allocation to the Office of Rural Health + }  { - , - }  for
investments as provided by ORS 293.701 to 293.820, for   { - the
payment of expenses of the Oregon Student Assistance
Commission - }  { +  expenses and payments by the office + } in
carrying out the purposes of ORS 315.613, 315.616, 315.619,
353.450, 442.470, 442.503 and 442.550 to 442.570. Interest earned
by the   { - account - }  { +  fund + } shall be credited to the
 { - account - }  { +  fund + }.
  (2) The office   { - of Rural Health - }  shall seek matching
funds  { +  from the federal government and + } from communities
that benefit from placement of   { - practitioners - }
 { + participants + } under ORS 442.550 to 442.570. The office
shall establish a program to enroll interested communities in
this program and deposit   { - money proceeds from this effort in
the Rural Health - }  { +  moneys from the matching funds and
from the Primary Care Services Program in the Primary Care + }
Services Fund. In addition, the office shall explore other
funding sources including federal grant programs.

                               { +
TRANSFER + }

  SECTION 6.  { + All the duties, functions and powers of the
Oregon Student Assistance Commission with respect to the Primary
Care Services Program created in ORS 442.555 are imposed upon,
transferred to and vested in the Office of Rural Health. + }

                               { +
RECORDS AND PROPERTY + }

  SECTION 7.  { + (1) The Oregon Student Assistance Commission
shall deliver to the Office of Rural Health all records and
property within the jurisdiction of the commission that relate to
the duties, functions and powers transferred by section 6 of this
2010 Act.
  (2) The Governor shall resolve any dispute between the Oregon
Student Assistance Commission and the Office of Rural Health
relating to transfers of records and property under this section,
and the Governor's decision is final. + }

                               { +
UNEXPENDED REVENUES + }

  SECTION 8.  { + (1) The unexpended balances of amounts
authorized to be expended by the Oregon Student Assistance
Commission for the biennium beginning July 1, 2009, from revenues
dedicated, continuously appropriated, appropriated or otherwise
made available for the purpose of administering and enforcing the
duties, functions and powers transferred by section 6 of this
2010 Act are transferred to the Oregon Department of
Administrative Services and allocated to the Office of Rural
Health for expenditure by the office for the biennium beginning

Enrolled House Bill 3639 (HB 3639-B)                       Page 5

July 1, 2011, for the purpose of administering and enforcing the
duties, functions and powers transferred by section 6 of this
2010 Act.
  (2) The expenditure classifications, if any, established by
Acts authorizing or limiting expenditures by the commission
remain applicable to expenditures by the office. + }

                               { +
ACTION, PROCEEDING, PROSECUTION + }

  SECTION 9.  { + The transfer of duties, functions and powers to
the Office of Rural Health by section 6 of this 2010 Act does not
affect any action, proceeding or prosecution involving or with
respect to such duties, functions and powers begun before and
pending at the time of the transfer, except that the office is
substituted for the Oregon Student Assistance Commission in the
action, proceeding or prosecution. + }

                               { +
LIABILITY, DUTY, OBLIGATION + }

  SECTION 10.  { + (1) Nothing in sections 6 to 11 of this 2010
Act relieves a person of a liability, duty or obligation accruing
under or with respect to the duties, functions and powers
transferred by section 6 of this 2010 Act. The Office of Rural
Health may undertake the collection or enforcement of any such
liability, duty or obligation.
  (2) The rights and obligations of the Oregon Student Assistance
Commission legally incurred under contracts, leases and business
transactions executed, entered into or begun before the operative
date of section 6 of this 2010 Act are transferred to the office.
For the purpose of succession to these rights and obligations,
the office is a continuation of the commission and not a new
authority. + }

                               { +
RULES + }

  SECTION 11.  { + Notwithstanding the transfer of duties,
functions and powers by section 6 of this 2010 Act, the rules of
the Oregon Student Assistance Commission in effect on the
operative date specified in section 17 of this 2010 Act continue
in effect until superseded or repealed by rules of the Office of
Rural Health.  References in rules of the commission to the
commission or an officer or employee of the commission are
considered to be references to the office or an officer or
employee of the office. + }
  SECTION 12.  { + The Oregon Student Assistance Commission and
the Office of Rural Health may take any action before the
operative date specified in section 17 of this 2010 Act that is
necessary to enable the commission and office to exercise, on and
after the operative date specified in section 17 of this 2010
Act, the duties, functions and powers of the commission and
office pursuant to sections 6 to 11 of this 2010 Act and the
amendments to ORS 442.550, 442.555, 442.560, 442.568 and 442.570
by sections 1 to 5 of this 2010 Act. + }

                               { +
CONFORMING AMENDMENTS + }

Enrolled House Bill 3639 (HB 3639-B)                       Page 6

  SECTION 13. ORS 348.117 is amended to read:
  348.117. (1) Student borrowers under ORS 348.115 shall be
required to pay at least seven percent interest per annum on the
unpaid balance from the date of the loan as provided in
subsection (5) of this section.
  (2) Repayment of the principal and accruing and deferred
interest on loans shall be commenced not later than 12 months
after the student's completion of the nursing program or other
termination of the student's education.
  (3) Repayment of loans shall be deferred upon application
therefor for up to three years during which:
  (a) The student borrower is enrolled as at least a half-time
student in a subsequent nursing program leading to a nursing
degree higher than that attained in the initial program; or
  (b) The student borrower shows inability to locate suitable
employment.
  (4) Repayment commences under the usual terms if the student
borrower ceases to be employed as a nurse in this state before
completing the practice requirements set forth in ORS 348.115
(4).
  (5) Repayment shall be completed in a maximum of 120 months
from the time repayment is commenced. However, nothing in this
subsection is intended to prevent repayment without penalty at an
earlier date than provided in this subsection or to prohibit the
Oregon Student Assistance Commission from extending the repayment
period to a date other than specified by this subsection.
  (6) A student who borrows under ORS 348.115 shall have 100
percent of principal and accrued interest on loans under this
section, ORS 348.115, 353.450, 442.470, 442.520  { - , 442.550 to
442.570 - }  and 656.256 canceled if it can be documented that,
within five years of graduation:
  (a) The student has completed one calendar year of full-time
employment as a nurse in the State of Oregon for each academic
year in which a loan was received; or
  (b) The student has completed two calendar years of half-time
employment as a nurse in the State of Oregon for each academic
year in which a loan was received.
  (7) A student who borrows under this section, ORS 348.115,
353.450, 442.470, 442.520  { - , 442.550 to 442.570 - }  and
656.256 and completes at least one calendar year of the practice
obligation described in subsection (6) of this section shall have
the amount of principal and accrued interest on loans under this
section, ORS 348.115, 353.450, 442.470 442.520  { - , 442.550 to
442.570 - }  and 656.256 canceled for each calendar year of
qualifying practice that is:
  (a) For full-time practice, equal to the principal and accrued
interest on the loan borrowed for the comparable academic year of
award; or
  (b) For half-time practice, equal to half of the principal and
accrued interest on the loan borrowed for the comparable academic
year of the award.
  (8) Repayment of any remaining principal and interest shall be
waived upon the death or total and permanent disability of the
student borrower.
  SECTION 14. ORS 677.141 is amended to read:
  677.141. (1) A physician issued a license under ORS 677.139 is
subject to all the provisions of this chapter and to all the
rules of the Oregon Medical Board. A physician issued a license
under ORS 677.139 has the same duties and responsibilities and is

Enrolled House Bill 3639 (HB 3639-B)                       Page 7

subject to the same penalties and sanctions as any other
physician licensed under this chapter.
  (2) A physician issued a license under ORS 677.139 may not:
  (a) Act as a dispensing physician as defined in ORS 677.010;
  (b) Administer controlled substances for the treatment of
intractable pain to a person located within this state;
  (c) Employ a physician assistant as defined in ORS 677.495 to
treat a person located within this state;
  (d) Claim the tax deduction provided by ORS 316.076;
  (e) Participate in the   { - Rural Health - }  { +  Primary
Care + } Services Program under ORS 442.550 to 442.570; or
  (f) Assert a lien for services under ORS 87.555.
  (3) A physician licensed under ORS 677.139 shall comply with
all patient confidentiality requirements of this state, except as
those requirements are expressly prohibited by the law of any
other state of the United States where a person's medical records
are maintained.
  SECTION 15. ORS 677.415 is amended to read:
  677.415. (1) As used in this section:
  (a) 'Health care facility' means a facility licensed under ORS
441.015 to 441.087.
  (b) 'Official action' means a restriction, limitation, loss or
denial of privileges of a licensee to practice medicine, or any
formal action taken against a licensee by a government agency or
a health care facility based on a finding of medical
incompetence, unprofessional conduct, physical incapacity or
impairment.
  (2) The Oregon Medical Board on the board's own motion may
investigate any evidence that appears to show that a licensee
licensed by the board is or may be medically incompetent or is or
may be guilty of unprofessional or dishonorable conduct or is or
may be a licensee with a physical incapacity or an impairment as
defined in ORS 676.303.
  (3) A licensee licensed by the Oregon Medical Board, the Oregon
Medical Association, Inc., or any component society thereof, the
Osteopathic Physicians and Surgeons of Oregon, Inc.  or the
Oregon Podiatric Medical Association shall report within 10
working days, and any other person may report, to the board any
information such licensee, association, society or person may
have that appears to show that a licensee is or may be medically
incompetent or is or may be guilty of unprofessional or
dishonorable conduct or is or may be a licensee with a physical
incapacity.
  (4) A licensee shall self-report within 10 working days any
official action taken against the licensee.
  (5) A health care facility shall report to the Oregon Medical
Board any official action taken against a licensee within 10
business days of the date of the official action.
  (6) A licensee's voluntary withdrawal from the practice of
medicine or podiatry, voluntary resignation from the staff of a
health care facility or voluntary limitation of the licensee's
staff privileges at such a health care facility shall be promptly
reported to the Oregon Medical Board by the health care facility
and the licensee if the licensee's voluntary action occurs while
the licensee is under investigation by the health care facility
or a committee thereof for any reason related to possible medical
incompetence, unprofessional conduct or physical incapacity or
impairment as defined in ORS 676.303.
  (7)(a) A report made in accordance with subsection (3) of this
section shall contain:

Enrolled House Bill 3639 (HB 3639-B)                       Page 8

  (A) The name, title, address and telephone number of the person
making the report; and
  (B) Information that appears to show that a licensee is or may
be medically incompetent, is or may be guilty of unprofessional
or dishonorable conduct or is or may be a licensee with a
physical incapacity.
  (b) The Oregon Medical Board may not require in a report made
in accordance with subsection (5) or (6) of this section more
than:
  (A) The name, title, address and telephone number of the
licensee making the report or the name, address and telephone
number of the health care facility making the report;
  (B) The date of an official action taken against the licensee
or the licensee's voluntary action under subsection (6) of this
section; and
  (C) A description of the official action or the licensee's
voluntary action, as appropriate to the report, including:
  (i) The specific restriction, limitation, suspension, loss or
denial of the licensee's medical staff privileges and the
effective date or term of the restriction, limitation,
suspension, loss or denial; or
  (ii) The fact that the licensee has voluntarily withdrawn from
the practice of medicine or podiatry, voluntarily resigned from
the staff of a health care facility or voluntarily limited the
licensee's privileges at a health care facility and the effective
date of the withdrawal, resignation or limitation.
  (c) The Oregon Medical Board may not require in a report made
in accordance with subsection (4) of this section more than:
  (A) The name, title, address and telephone number of the
licensee making the report; and
  (B) The specific restriction, limitation, suspension, loss or
denial of the licensee's staff privileges and the effective date
or term of the restriction, limitation, suspension, loss or
denial.
  (8) A report made in accordance with this section may not
include any data that is privileged under ORS 41.675.
  (9) If, in the opinion of the Oregon Medical Board, it appears
that information provided to it under this section is or may be
true, the board may order an informal interview with the licensee
subject to the notice requirement of ORS 677.320.
  (10)(a) A health care facility's failure to report an official
action as required under subsection (5) of this section
constitutes a violation of this section. The health care facility
is subject to a penalty of not more than $10,000 for each
violation. The Oregon Medical Board may impose the penalty in
accordance with ORS 183.745 and, in addition to the penalty, may
assess reasonable costs the board incurs in enforcing the
requirements of this section against the health care facility if
the enforcement results in the imposition of a civil penalty.
  (b) The Attorney General may bring an action in the name of the
State of Oregon in a court of appropriate jurisdiction to recover
a civil penalty and costs assessed under this subsection.
  (c) A civil penalty assessed or recovered in accordance with
this subsection shall be paid to the State Treasury and the State
Treasurer shall credit the amount of the payment to the
 { - Rural Health - }  { +  Primary Care + } Services Fund
established under ORS 442.570.
  (11) A person who reports in good faith to the Oregon Medical
Board as required by this section is immune from civil liability
by reason of making the report.

Enrolled House Bill 3639 (HB 3639-B)                       Page 9

                               { +
UNIT CAPTIONS + }

  SECTION 16.  { + The unit captions used in this 2010 Act are
provided only for the convenience of the reader and do not become
part of the statutory law of this state or express any
legislative intent in the enactment of this 2010 Act. + }

                               { +
OPERATIVE DATE + }

  SECTION 17.  { + Sections 6 to 11 of this 2010 Act and the
amendments to ORS 442.550, 442.555, 442.560, 442.568, 442.570,
677.141 and 677.415 by sections 1 to 5, 14 and 15 of this 2010
Act become operative on July 1, 2011. + }

                               { +
EMERGENCY DECLARATION + }

  SECTION 18. { +  This 2010 Act being necessary for the
immediate preservation of the public peace, health and safety, an
emergency is declared to exist, and this 2010 Act takes effect on
its passage. + }
                         ----------

Passed by House February 23, 2010

      ...........................................................
                                             Chief Clerk of House

      ...........................................................
                                                 Speaker of House

Passed by Senate February 24, 2010

      ...........................................................
                                              President of Senate

Enrolled House Bill 3639 (HB 3639-B)                      Page 10

Received by Governor:

......M.,............., 2010

Approved:

......M.,............., 2010

      ...........................................................
                                                         Governor

Filed in Office of Secretary of State:

......M.,............., 2010

      ...........................................................
                                               Secretary of State

Enrolled House Bill 3639 (HB 3639-B)                      Page 11