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S.B. 132

             1     

UTAH MEDICAL EDUCATION COUNCIL AMENDMENTS

             2     
2013 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Wayne A. Harper

             5     
House Sponsor: Stewart Barlow

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill merges the existing Utah Medical Education Council into the Utah
             10      Department of Health.
             11      Highlighted Provisions:
             12          This bill:
             13          .    moves the existing authority and functions of the Utah Medical Education Council
             14      into the Utah Department of Health;
             15          .    grants authority to the executive director of the Utah Department of Health to
             16      appoint members of the Utah Medical Education Council; and
             17          .    makes technical changes.
             18      Money Appropriated in this Bill:
             19          None
             20      Other Special Clauses:
             21          None
             22      Utah Code Sections Affected:
             23      ENACTS:
             24          26-46a-101, Utah Code Annotated 1953
             25          26-46a-201, Utah Code Annotated 1953
             26          26-46a-301, Utah Code Annotated 1953
             27          26-46a-401, Utah Code Annotated 1953


             28      RENUMBERS AND AMENDS:
             29          26-46a-102, (Renumbered from 63C-8-101, as last amended by Laws of Utah 2000,
             30      Chapter 1)
             31          26-46a-202, (Renumbered from 63C-8-102, as enacted by Laws of Utah 1997, Chapter
             32      202)
             33          26-46a-302, (Renumbered from 63C-8-103, as last amended by Laws of Utah 2010,
             34      Chapter 286)
             35          26-46a-303, (Renumbered from 63C-8-104, as enacted by Laws of Utah 1997, Chapter
             36      202)
             37          26-46a-304, (Renumbered from 63C-8-105, as last amended by Laws of Utah 2008,
             38      Chapter 382)
             39          26-46a-402, (Renumbered from 63C-8-106, as last amended by Laws of Utah 2008,
             40      Chapter 382)
             41     
             42      Be it enacted by the Legislature of the state of Utah:
             43          Section 1. Section 26-46a-101 is enacted to read:
             44     
CHAPTER 46a. UTAH MEDICAL EDUCATION COUNCIL ACT

             45     
Part 1. General Provisions

             46          26-46a-101. Title.
             47          (1) This chapter is known as the "Utah Medical Education Council Act."
             48          (2) This part is known as "General Provisions."
             49          Section 2. Section 26-46a-102 , which is renumbered from Section 63C-8-101 is
             50      renumbered and amended to read:
             51           [63C-8-101].     26-46a-102. Definitions.
             52          As used in this chapter:
             53          (1) "Accredited clinical education program" means a clinical education program for a
             54      health care profession that is accredited by the Accreditation Council on Graduate Medical
             55      Education.
             56          (2) "Accredited clinical training program" means a clinical training program that is
             57      accredited by an entity recognized within medical education circles as an accrediting body for
             58      medical education, advanced practice nursing education, physician assistance education, or


             59      doctor of pharmacy education.
             60          (3) "Council" means the Medical Education Council created under Section
             61      [63C-8-103 ] 26-46a-302 .
             62          (4) "Health Care Financing Administration" means the Health Care Financing
             63      Administration within the United States Department of Health and Human Services.
             64          (5) "Health care professionals in training" means medical students and residents,
             65      advance practice nursing students, physician assistant students, and doctor of pharmacy
             66      students.
             67          (6) "Program" means the Medical Education Program created under Section
             68      [ 63C-8-102 ] 26-46a-202 .
             69          Section 3. Section 26-46a-201 is enacted to read:
             70     
Part 2. Medical Education Program

             71          26-46a-201. Title.
             72          This part is known as the "Medical Education Program."
             73          Section 4. Section 26-46a-202 , which is renumbered from Section 63C-8-102 is
             74      renumbered and amended to read:
             75           [63C-8-102].     26-46a-202. Medical Education Program.
             76          (1) There is created within the department a Medical Education Program to be
             77      administered by the Medical Education Council in cooperation with the Division of Finance.
             78          (2) The program shall be funded from money received for graduate medical education
             79      from:
             80          (a) the federal Health Care Financing Administration or other federal agency;
             81          (b) state appropriations; and
             82          (c) donation or private contributions.
             83          (3) All funding for this program shall be nonlapsing.
             84          (4) Program money may only be expended if:
             85          (a) approved by the council; and
             86          (b) used for graduate medical education in accordance with Subsection [ 63C-8-104 (7)]
             87      26-46a-303 (7).
             88          Section 5. Section 26-46a-301 is enacted to read:
             89     
Part 3. Medical Education Council


             90          26-46a-301. Title.
             91          This part is known as the "Medical Education Council."
             92          Section 6. Section 26-46a-302 , which is renumbered from Section 63C-8-103 is
             93      renumbered and amended to read:
             94           [63C-8-103].     26-46a-302. Medical Education Council.
             95          (1) There is created within the department the Medical Education Council consisting of
             96      the following members appointed by the [governor] executive director of the department:
             97          (a) the dean of the school of medicine at the University of Utah;
             98          (b) a person who represents graduate medical education at the University of Utah;
             99          (c) a person from each institution, other than the University of Utah, that sponsors an
             100      accredited clinical education program;
             101          (d) a person from the health care insurance industry; and
             102          (e) three members of the general public who are not employed by or affiliated with any
             103      institution that offers, sponsors, or finances health care or medical education; however, the
             104      governor may appoint an additional member of the public under this Subsection (1)(e) for each
             105      person the governor appoints that increases the total number of persons appointed under
             106      Subsection (1)(c) beyond two.
             107          (2) Except as provided in Subsection (1)(a) and (b), no two council members may be
             108      employed by or affiliated with the same:
             109          (a) institution of higher education;
             110          (b) state agency outside of higher education; or
             111          (c) private entity.
             112          (3) The dean of the school of medicine at the University of Utah:
             113          (a) shall chair the council;
             114          (b) may not be counted in determining the existence of a quorum; and
             115          (c) may only cast a vote on a matter before the council if the vote of the other council
             116      members results in a tied vote.
             117          (4) The council shall annually elect a vice chair from among the members of the
             118      council.
             119          (5) (a) Consistent with Subsection (6)(b), a majority of the council members constitute
             120      a quorum.


             121          (b) The action of a majority of a quorum is the action of the council.
             122          (6) (a) Except as provided in Subsection (6)(b), members are appointed to four-year
             123      terms of office.
             124          (b) Notwithstanding Subsection (6)(a), the [governor] executive director of the
             125      department shall, at the time of the initial appointment, adjust the length of terms to ensure that
             126      the terms of council members are staggered so that approximately half of the council is
             127      appointed every two years.
             128          (c) If a vacancy occurs in the membership for any reason, the replacement shall be
             129      appointed by the [governor] executive director of the department for the unexpired term in the
             130      same manner as the original appointment was made.
             131          (7) A member may not receive compensation or benefits for the member's service, but
             132      may receive per diem and travel expenses in accordance with:
             133          (a) Section 63A-3-106 ;
             134          (b) Section 63A-3-107 ; and
             135          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
             136      63A-3-107 .
             137          Section 7. Section 26-46a-303 , which is renumbered from Section 63C-8-104 is
             138      renumbered and amended to read:
             139           [63C-8-104].     26-46a-303. Duties of council.
             140          The council shall:
             141          (1) submit an application in accordance with federal law for a demonstration project to
             142      the Health Care Financing Administration before December 31, 1997, for the purpose of
             143      receiving and disbursing federal funds for direct and indirect graduate medical education
             144      expenses;
             145          (2) seek private and public contributions for the program;
             146          (3) study and recommend options for financing graduate medical education to the State
             147      Board of Regents and the Legislature;
             148          (4) advise the State Board of Regents and the Legislature on the status and needs of
             149      health care professionals in training;
             150          (5) determine the method for reimbursing institutions that sponsor health care
             151      professionals in training;


             152          (6) determine the number and type of positions for health care professionals in training
             153      for which program money may be used; and
             154          (7) distribute program money for graduate medical education in a manner that:
             155          (a) prepares postgraduate medical residents, as defined by the accreditation council on
             156      graduate medical education, for inpatient, outpatient, hospital, community, and geographically
             157      diverse settings;
             158          (b) encourages the coordination of interdisciplinary clinical training among health care
             159      professionals in training;
             160          (c) promotes stable funding for the clinical training of health care professionals in
             161      training; and
             162          (d) only funds accredited clinical training programs.
             163          Section 8. Section 26-46a-304 , which is renumbered from Section 63C-8-105 is
             164      renumbered and amended to read:
             165           [63C-8-105].     26-46a-304. Powers of council.
             166          The council may:
             167          (1) conduct surveys, with the assistance of the Division of Occupational and
             168      Professional Licensing within the Department of Commerce, to assess and meet changing
             169      market and education needs;
             170          (2) notwithstanding the provisions of Subsection 35A-4-312 (3), receive information
             171      obtained by the Division of Workforce Information and Payment Services under the provisions
             172      of Section 35A-4-312 for purposes consistent with the council's duties as identified under
             173      Section [ 63C-8-104 ] 26-46a-303 , including identifying changes in the medical and health care
             174      workforce numbers, types, and geographic distribution;
             175          (3) appoint advisory committees of broad representation on interdisciplinary clinical
             176      education, workforce mix planning and projections, funding mechanisms, and other topics as is
             177      necessary;
             178          (4) use federal money for necessary administrative expenses to carry out its duties and
             179      powers as permitted by federal law;
             180          (5) distribute program money in accordance with Subsection [ 63C-8-104 (7)]
             181      26-46a-303 (7); and
             182          (6) as is necessary to carry out its duties under Section [ 63C-8-104 ] 26-46a-303 :


             183          (a) hire employees; and
             184          (b) adopt rules in accordance with Title 63G, Chapter 3, Utah Administrative
             185      Rulemaking Act.
             186          Section 9. Section 26-46a-401 is enacted to read:
             187     
Part 4. Rural Residency Training Program

             188          26-46a-401. Title.
             189          This part is known as the "Rural Residency Training Program."
             190          Section 10. Section 26-46a-402 , which is renumbered from Section 63C-8-106 is
             191      renumbered and amended to read:
             192           [63C-8-106].     26-46a-402. Rural residency training program.
             193          (1) For purposes of this section:
             194          (a) "Physician" means:
             195          (i) a person licensed to practice medicine under Title 58, Chapter 67, Utah Medical
             196      Practice Act or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
             197          (ii) a person licensed to practice dentistry under Title 58, Chapter 69, Dentist and
             198      Dental Hygienist Practice Act.
             199          (b) "Rural residency training program" means an accredited clinical training program
             200      as defined in Section [ 63C-8-101 ] 26-46a-102 which places a physician into a rural county for
             201      a part or all of the physician's clinical training.
             202          (2) (a) Subject to appropriations from the Legislature, the council shall establish a pilot
             203      program to place physicians into rural residency training programs.
             204          (b) The pilot program shall begin July 1, 2005 and sunset July 1, 2015, in accordance
             205      with Section 63I-1-263 .
             206          (3) (a) The council shall report to the Legislature's Health and Human Services Interim
             207      Committee concerning the implementation of the pilot program and the success of the program
             208      in increasing the retention or recruitment of physicians in rural counties in the state.
             209          (b) The report required by this Subsection (3) shall be made by November 30 of each
             210      year.





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