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S.B. 111 Enrolled

             1     

HEALTH CARE WORKFORCE FINANCIAL

             2     
ASSISTANCE PROGRAM AMENDMENTS

             3     
2009 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Gene Davis

             6     
House Sponsor: Lynn N. Hemingway

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill amends the Utah Health Care Workforce Financial Assistance chapter of the
             11      Utah Health Code to include loan repayment assistance to geriatric professionals who
             12      practice in an underserved area.
             13      Highlighted Provisions:
             14          This bill:
             15          .    defines the term, "geriatric professional";
             16          .    provides that the professional education scholarships and loan repayment assistance
             17      provided by the Health Care Workforce Financial Assistance Program are to be
             18      provided within the funds appropriated by the Legislature for that purpose;
             19          .    provides for loan repayment assistance, within funds appropriated by the
             20      Legislature for this purpose, to geriatric professionals who practice in an
             21      underserved area;
             22          .    adds two members to the Utah Health Care Workforce Financial Assistance
             23      Program Advisory Committee; and
             24          .    makes technical changes.
             25      Monies Appropriated in this Bill:
             26          None
             27      Other Special Clauses:
             28          None
             29      Utah Code Sections Affected:


             30      AMENDS:
             31          26-46-101, as enacted by Laws of Utah 2002, Chapter 307
             32          26-46-102, as last amended by Laws of Utah 2008, Chapter 382
             33          26-46-103, as enacted by Laws of Utah 2002, Chapter 307
             34     
             35      Be it enacted by the Legislature of the state of Utah:
             36          Section 1. Section 26-46-101 is amended to read:
             37           26-46-101. Definitions.
             38          (1) "Geriatric professional" means a person who:
             39          (a) is a licensed:
             40          (i) health care professional;
             41          (ii) social worker;
             42          (iii) occupational therapist;
             43          (iv) pharmacist;
             44          (v) physical therapist; or
             45          (vi) psychologist; and
             46          (b) is determined by the department to have adequate advanced training in geriatrics to
             47      prepare the person to provide specialized geriatric care within the scope of the person's
             48      profession.
             49          [(1)] (2) "Health care professional" means [a]:
             50          (a) a licensed:
             51          (i) physician[,];
             52          (ii) physician assistant[,];
             53          (iii) nurse[,];
             54          (iv) dentist[,]; or
             55          (v) mental health therapist[,]; or [other]
             56          (b) another licensed health care professional designated by the department by rule.
             57          [(2)] (3) "Underserved area" means an area designated by the department as


             58      underserved by health care professionals, based upon the results of a needs assessment
             59      developed by the department in consultation with the Utah Health Care Workforce Financial
             60      Assistance Program Advisory Committee created under Section 26-46-103 .
             61          Section 2. Section 26-46-102 is amended to read:
             62           26-46-102. Creation of program -- Duties of department.
             63          (1) There is created within the department the Utah Health Care Workforce Financial
             64      Assistance Program to provide, within funding appropriated by the Legislature for this
             65      purpose:
             66          (a) professional education scholarships and loan repayment assistance to health care
             67      professionals who locate or continue to practice in underserved areas[.]; and
             68          (b) loan repayment assistance to geriatric professionals who locate or continue to
             69      practice in underserved areas.
             70          (2) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
             71      the department shall make rules governing the administration of the program, including rules
             72      that address:
             73          (a) application procedures;
             74          (b) eligibility criteria;
             75          (c) selection criteria;
             76          (d) service conditions, which at a minimum shall include professional service in an
             77      underserved area for a minimum period of time by any person receiving a scholarship or loan
             78      repayment assistance;
             79          (e) penalties for failure to comply with service conditions or other terms of a
             80      scholarship or loan repayment contract;
             81          (f) criteria for modifying or waiving service conditions or penalties in case of extreme
             82      hardship or other good cause; and
             83          (g) administration of contracts entered into before the effective date of this act,
             84      between the department and scholarship or loan repayment recipients [under Title 26, Chapter
             85      9, Part 2, Physicians and Physician Assistants Grant and Scholarship Program, Title 26,


             86      Chapter 9d, Nurse Education Financial Assistance, or Title 26, Chapter 9e, Special Population
             87      Health Care Provider Financial Assistance and Retention Act], as authorized by law.
             88          (3) The department shall seek and consider the recommendations of the Utah Health
             89      Care Workforce Financial Assistance Program Advisory Committee created under Section
             90      26-46-103 as it develops and modifies rules to administer the program.
             91          (4) Funding for the program:
             92          (a) shall be a line item within the appropriations act[,];
             93          (b) shall be nonlapsing unless designated otherwise[,] by the Legislature; and
             94          (c) may be used to cover administrative costs of the program, including
             95      reimbursement expenses of the Utah Health Care Workforce Financial Assistance Program
             96      Advisory Committee created under Section 26-46-103 .
             97          (5) Loan repayments and payments resulting from breach of contract are dedicated
             98      credits to the program.
             99          (6) The department shall prepare an annual report on the revenues, expenditures, and
             100      outcomes of the program.
             101          Section 3. Section 26-46-103 is amended to read:
             102           26-46-103. Advisory committee -- Membership -- Compensation -- Duties.
             103          (1) There is created the Utah Health Care Workforce Financial Assistance Program
             104      Advisory Committee consisting of the following [11] 13 members appointed by the executive
             105      director, [seven] eight of whom shall be residents of rural communities:
             106          (a) one rural representative of Utah Hospitals and Health Systems, nominated by the
             107      association;
             108          (b) [one] two rural [representative] representatives of the Utah Medical Association,
             109      nominated by the association;
             110          (c) one representative of the Utah Academy of Physician Assistants, nominated by the
             111      association;
             112          (d) one representative of the Association for Utah Community Health, nominated by
             113      the association;


             114          (e) one representative of the Utah Dental Association, nominated by the association;
             115          (f) one representative of mental health therapists, selected from nominees submitted by
             116      mental health therapist professional associations;
             117          (g) one representative of the Association of Local Health Officers, nominated by the
             118      association;
             119          (h) one representative of the low-income advocacy community, nominated by the Utah
             120      Human Services Coalition;
             121          (i) one nursing program faculty member, nominated by the Statewide Deans and
             122      Directors Committee;
             123          (j) one administrator of a long-term care facility, nominated by the Utah Health Care
             124      Association; [and]
             125          (k) one nursing administrator, nominated by the Utah Nurses Association[.]; and
             126          (l) one geriatric professional who is:
             127          (i) determined by the department to have adequate advanced training in geriatrics to
             128      prepare the person to provide specialized geriatric care within the scope of the person's
             129      profession; and
             130          (ii) nominated by a professional association for the profession of which the person is a
             131      member.
             132          (2) An appointment to the committee shall be for a four-year term unless the member
             133      is appointed to complete an unexpired term. The executive director may also adjust the length
             134      of term at the time of appointment or reappointment so that approximately 1/2 the committee
             135      is appointed every two years. The executive director shall annually appoint a committee chair
             136      from among the members of the committee.
             137          (3) The committee shall meet at the call of the chair, at least three members of the
             138      committee, or the executive director, but no less frequently than once each calendar year.
             139          (4) A majority of the members of the committee constitutes a quorum. The action of a
             140      majority of a quorum constitutes the action of the committee.
             141          (5) Members of the committee may not receive compensation for their work associated


             142      with the committee, but may receive from the department reimbursement for travel expenses
             143      incurred as a member of the committee, as funds are available, at the rates established by the
             144      Division of Finance under Section 63A-3-107 . Members of the committee may decline
             145      reimbursement.
             146          (6) The committee shall:
             147          (a) make recommendations to the department for the development and modification of
             148      rules to administer the Utah Health Care Workforce Financial Assistance Program; and
             149          (b) advise the department on the development of a needs assessment tool for
             150      identifying underserved areas.
             151          (7) As funding permits, the department shall provide staff and other administrative
             152      support to the committee.


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