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S.B. 132 Enrolled

             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 moves the existing Utah Medical Education Council into the State System of
             10      Higher Education.
             11      Highlighted Provisions:
             12          This bill:
             13          .    moves the existing authority and functions of the Utah Medical Education Council
             14      into the State System of Higher Education; and
             15          .    makes technical changes.
             16      Money Appropriated in this Bill:
             17          None
             18      Other Special Clauses:
             19          None
             20      Utah Code Sections Affected:
             21      AMENDS:
             22          63I-1-263 (Effective 05/01/13), as last amended by Laws of Utah 2012, Chapters 126,
             23      206, 347, 369, and 395
             24          63J-7-102, as last amended by Laws of Utah 2012, Chapters 201 and 212
             25          63J-1-602.4, as last amended by Laws of Utah 2011, Chapters 18, 303, 338, and 438
             26      ENACTS:
             27          53B-24-101, Utah Code Annotated 1953
             28          53B-24-201, Utah Code Annotated 1953
             29          53B-24-301, Utah Code Annotated 1953


             30          53B-24-401, Utah Code Annotated 1953
             31      RENUMBERS AND AMENDS:
             32          53B-24-102, (Renumbered from 63C-8-101, as last amended by Laws of Utah 2000,
             33      Chapter 1)
             34          53B-24-202, (Renumbered from 63C-8-102, as enacted by Laws of Utah 1997, Chapter
             35      202)
             36          53B-24-302, (Renumbered from 63C-8-103, as last amended by Laws of Utah 2010,
             37      Chapter 286)
             38          53B-24-303, (Renumbered from 63C-8-104, as enacted by Laws of Utah 1997, Chapter
             39      202)
             40          53B-24-304, (Renumbered from 63C-8-105, as last amended by Laws of Utah 2008,
             41      Chapter 382)
             42          53B-24-402, (Renumbered from 63C-8-106, as last amended by Laws of Utah 2008,
             43      Chapter 382)
             44     
             45      Be it enacted by the Legislature of the state of Utah:
             46          Section 1. Section 53B-24-101 is enacted to read:
             47     
CHAPTER 24. UTAH MEDICAL EDUCATION COUNCIL ACT

             48     
Part 1. General Provisions

             49          53B-24-101. Title.
             50          (1) This chapter is known as the "Utah Medical Education Council Act."
             51          (2) This part is known as "General Provisions."
             52          Section 2. Section 53B-24-102 , which is renumbered from Section 63C-8-101 is
             53      renumbered and amended to read:
             54           [63C-8-101].     53B-24-102. Definitions.
             55          As used in this chapter:
             56          (1) "Accredited clinical education program" means a clinical education program for a
             57      health care profession that is accredited by the Accreditation Council on Graduate Medical


             58      Education.
             59          (2) "Accredited clinical training program" means a clinical training program that is
             60      accredited by an entity recognized within medical education circles as an accrediting body for
             61      medical education, advanced practice nursing education, physician assistance education, [or]
             62      doctor of pharmacy education, or registered nursing education.
             63          (3) "Council" means the Medical Education Council created under Section
             64      [ 63C-8-103 ] 53B-24-302 .
             65          (4) "Health Care Financing Administration" means the Health Care Financing
             66      Administration within the United States Department of Health and Human Services.
             67          (5) "Health care professionals in training" means medical students and residents,
             68      advance practice nursing students, physician assistant students, [and] doctor of pharmacy
             69      students, and registered nursing students.
             70          (6) "Program" means the Medical Education Program created under Section
             71      [ 63C-8-102 ] 53B-24-202 .
             72          Section 3. Section 53B-24-201 is enacted to read:
             73     
Part 2. Medical Education Program

             74          53B-24-201. Title.
             75          This part is known as the "Medical Education Program."
             76          Section 4. Section 53B-24-202 , which is renumbered from Section 63C-8-102 is
             77      renumbered and amended to read:
             78           [63C-8-102].     53B-24-202. Medical Education Program.
             79          (1) There is created a Medical Education Program to be administered by the Medical
             80      Education Council in cooperation with the Division of Finance.
             81          (2) The program shall be funded from money received for graduate medical education
             82      from:
             83          (a) the federal Health Care Financing Administration or other federal agency;
             84          (b) state appropriations; and
             85          (c) donation or private contributions.


             86          (3) All funding for this program shall be nonlapsing.
             87          (4) Program money may only be expended if:
             88          (a) approved by the council; and
             89          (b) used for graduate medical education in accordance with Subsection [ 63C-8-104 ]
             90      53B-24-303 (7).
             91          Section 5. Section 53B-24-301 is enacted to read:
             92     
Part 3. Medical Education Council

             93          53B-24-301. Title.
             94          This part is known as the "Medical Education Council."
             95          Section 6. Section 53B-24-302 , which is renumbered from Section 63C-8-103 is
             96      renumbered and amended to read:
             97           [63C-8-103].     53B-24-302. Medical Education Council.
             98          (1) There is created the Medical Education Council consisting of the following
             99      members appointed by the governor:
             100          (a) the dean of the school of medicine at the University of Utah;
             101          (b) a person who represents graduate medical education at the University of Utah;
             102          (c) a person from each institution, other than the University of Utah, that sponsors an
             103      accredited clinical education program;
             104          (d) a person from the health care insurance industry; and
             105          (e) three members of the general public who are not employed by or affiliated with any
             106      institution that offers, sponsors, or finances health care or medical education; however, the
             107      governor may appoint an additional member of the public under this Subsection (1)(e) for each
             108      person the governor appoints that increases the total number of persons appointed under
             109      Subsection (1)(c) beyond two.
             110          (2) Except as provided in Subsection (1)(a) and (b), no two council members may be
             111      employed by or affiliated with the same:
             112          (a) institution of higher education;
             113          (b) state agency outside of higher education; or


             114          (c) private entity.
             115          (3) The dean of the school of medicine at the University of Utah:
             116          (a) shall chair the council;
             117          (b) may not be counted in determining the existence of a quorum; and
             118          (c) may only cast a vote on a matter before the council if the vote of the other council
             119      members results in a tied vote.
             120          (4) The council shall annually elect a vice chair from among the members of the
             121      council.
             122          (5) (a) Consistent with Subsection (6)(b), a majority of the council members constitute
             123      a quorum.
             124          (b) The action of a majority of a quorum is the action of the council.
             125          (6) (a) Except as provided in Subsection (6)(b), members are appointed to four-year
             126      terms of office.
             127          (b) Notwithstanding Subsection (6)(a), the governor shall, at the time of the initial
             128      appointment, adjust the length of terms to ensure that the terms of council members are
             129      staggered so that approximately half of the council is appointed every two years.
             130          (c) If a vacancy occurs in the membership for any reason, the replacement shall be
             131      appointed by the governor for the unexpired term in the same manner as the original
             132      appointment was made.
             133          (7) A member may not receive compensation or benefits for the member's service, but
             134      may receive per diem and travel expenses in accordance with:
             135          (a) Section 63A-3-106 ;
             136          (b) Section 63A-3-107 ; and
             137          (c) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
             138      63A-3-107 .
             139          Section 7. Section 53B-24-303 , which is renumbered from Section 63C-8-104 is
             140      renumbered and amended to read:
             141           [63C-8-104].     53B-24-303. Duties of council.


             142          The council shall:
             143          (1) submit an application in accordance with federal law for a demonstration project to
             144      the Health Care Financing Administration before December 31, 1997, for the purpose of
             145      receiving and disbursing federal funds for direct and indirect graduate medical education
             146      expenses;
             147          (2) seek private and public contributions for the program;
             148          (3) study and recommend options for financing graduate medical education to the State
             149      Board of Regents and the Legislature;
             150          (4) advise the State Board of Regents and the Legislature on the status and needs of
             151      health care professionals in training;
             152          (5) determine the method for reimbursing institutions that sponsor health care
             153      professionals in training;
             154          (6) determine the number and type of positions for health care professionals in training
             155      for which program money may be used; and
             156          (7) distribute program money for graduate medical education in a manner that:
             157          (a) prepares postgraduate medical residents, as defined by the accreditation council on
             158      graduate medical education, for inpatient, outpatient, hospital, community, and geographically
             159      diverse settings;
             160          (b) encourages the coordination of interdisciplinary clinical training among health care
             161      professionals in training;
             162          (c) promotes stable funding for the clinical training of health care professionals in
             163      training; and
             164          (d) only funds accredited clinical training programs.
             165          Section 8. Section 53B-24-304 , which is renumbered from Section 63C-8-105 is
             166      renumbered and amended to read:
             167           [63C-8-105].     53B-24-304. Powers of council.
             168          The council may:
             169          (1) conduct surveys, with the assistance of the Division of Occupational and


             170      Professional Licensing within the Department of Commerce, to assess and meet changing
             171      market and education needs;
             172          (2) notwithstanding the provisions of Subsection 35A-4-312 (3), receive information
             173      obtained by the Division of Workforce Information and Payment Services under the provisions
             174      of Section 35A-4-312 for purposes consistent with the council's duties as identified under
             175      Section [ 63C-8-104 ] 53B-24-303 , including identifying changes in the medical and health care
             176      workforce numbers, types, and geographic distribution;
             177          (3) appoint advisory committees of broad representation on interdisciplinary clinical
             178      education, workforce mix planning and projections, funding mechanisms, and other topics as is
             179      necessary;
             180          (4) use federal money for necessary administrative expenses to carry out its duties and
             181      powers as permitted by federal law;
             182          (5) distribute program money in accordance with Subsection [ 63C-8-104 ]
             183      53B-24-303 (7); and
             184          (6) as is necessary to carry out its duties under Section [ 63C-8-104 ] 53B-24-303 :
             185          (a) hire employees; and
             186          (b) adopt rules in accordance with Title 63G, Chapter 3, Utah Administrative
             187      Rulemaking Act.
             188          Section 9. Section 53B-24-401 is enacted to read:
             189     
Part 4. Rural Residency Training Program

             190          53B-24-401. Title.
             191          This part is known as the "Rural Residency Training Program."
             192          Section 10. Section 53B-24-402 , which is renumbered from Section 63C-8-106 is
             193      renumbered and amended to read:
             194           [63C-8-106].     53B-24-402. Rural residency training program.
             195          (1) For purposes of this section:
             196          (a) "Physician" means:
             197          (i) a person licensed to practice medicine under Title 58, Chapter 67, Utah Medical


             198      Practice Act or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
             199          (ii) a person licensed to practice dentistry under Title 58, Chapter 69, Dentist and
             200      Dental Hygienist Practice Act.
             201          (b) "Rural residency training program" means an accredited clinical training program
             202      as defined in Section [ 63C-8-101 ] 53B-24-102 which places a physician into a rural county for
             203      a part or all of the physician's clinical training.
             204          (2) (a) Subject to appropriations from the Legislature, the council shall establish a pilot
             205      program to place physicians into rural residency training programs.
             206          (b) The pilot program shall begin July 1, 2005 and sunset July 1, 2015, in accordance
             207      with Section 63I-1-263 .
             208          (3) (a) The council shall report to the Legislature's Health and Human Services Interim
             209      Committee concerning the implementation of the pilot program and the success of the program
             210      in increasing the retention or recruitment of physicians in rural counties in the state.
             211          (b) The report required by this Subsection (3) shall be made by November 30 of each
             212      year.
             213          Section 11. Section 63I-1-263 (Effective 05/01/13) is amended to read:
             214           63I-1-263 (Effective 05/01/13). Repeal dates, Titles 63A to 63M.
             215          (1) Section 63A-4-204 , authorizing the Risk Management Fund to provide coverage to
             216      any public school district which chooses to participate, is repealed July 1, 2016.
             217          (2) Section 63A-5-603 , State Facility Energy Efficiency Fund, is repealed July 1, 2016.
             218          (3) Section [ 63C-8-106 ] 53B-24-402 , rural residency training program, is repealed July
             219      1, 2015.
             220          (4) Title 63C, Chapter 13, Prison Relocation and Development Authority Act, is
             221      repealed July 1, 2014.
             222          (5) Subsection 63G-6a-1402 (7) authorizing certain transportation agencies to award a
             223      contract for a design-build transportation project in certain circumstances, is repealed July 1,
             224      2015.
             225          (6) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed July 1,


             226      2020.
             227          (7) The Resource Development Coordinating Committee, created in Section
             228      63J-4-501 , is repealed July 1, 2015.
             229          (8) Title 63M, Chapter 1, Part 4, Enterprise Zone Act, is repealed July 1, 2018.
             230          (9) (a) Title 63M, Chapter 1, Part 11, Recycling Market Development Zone Act, is
             231      repealed January 1, 2021.
             232          (b) Subject to Subsection (9)(c), Sections 59-7-610 and 59-10-1007 regarding tax
             233      credits for certain persons in recycling market development zones, are repealed for taxable
             234      years beginning on or after January 1, 2021.
             235          (c) A person may not claim a tax credit under Section 59-7-610 or 59-10-1007 :
             236          (i) for the purchase price of machinery or equipment described in Section 59-7-610 or
             237      59-10-1007 , if the machinery or equipment is purchased on or after January 1, 2021; or
             238          (ii) for an expenditure described in Subsection 59-7-610 (1)(b) or 59-10-1007 (1)(b), if
             239      the expenditure is made on or after January 1, 2021.
             240          (d) Notwithstanding Subsections (9)(b) and (c), a person may carry forward a tax credit
             241      in accordance with Section 59-7-610 or 59-10-1007 if:
             242          (i) the person is entitled to a tax credit under Section 59-7-610 or 59-10-1007 ; and
             243          (ii) (A) for the purchase price of machinery or equipment described in Section
             244      59-7-610 or 59-10-1007 , the machinery or equipment is purchased on or before December 31,
             245      2020; or
             246          (B) for an expenditure described in Subsection 59-7-610 (1)(b) or 59-10-1007 (1)(b), the
             247      expenditure is made on or before December 31, 2020.
             248          (10) (a) Section 63M-1-2507 , Health Care Compact is repealed on July 1, 2014.
             249          (b) (i) The Legislature shall, before reauthorizing the Health Care Compact:
             250          (A) direct the Health System Reform Task Force to evaluate the issues listed in
             251      Subsection (10)(b)(ii), and by January 1, 2013 develop and recommend criteria for the
             252      Legislature to use to negotiate the terms of the Health Care Compact; and
             253          (B) prior to July 1, 2014, seek amendments to the Health Care Compact among the


             254      member states that the Legislature determines are appropriate after considering the
             255      recommendations of the Health System Reform Task Force.
             256          (ii) The Health System Reform Task Force shall evaluate and develop criteria for the
             257      Legislature regarding:
             258          (A) the impact of the Supreme Court ruling on the Affordable Care Act;
             259          (B) whether Utah is likely to be required to implement any part of the Affordable Care
             260      Act prior to negotiating the compact with the federal government, such as Medicaid expansion
             261      in 2014;
             262          (C) whether the compact's current funding formula, based on adjusted 2010 state
             263      expenditures, is the best formula for Utah and other state compact members to use for
             264      establishing the block grants from the federal government;
             265          (D) whether the compact's calculation of current year inflation adjustment factor,
             266      without consideration of the regional medical inflation rate in the current year, is adequate to
             267      protect the state from increased costs associated with administering a state based Medicaid and
             268      a state based Medicare program;
             269          (E) whether the state has the flexibility it needs under the compact to implement and
             270      fund state based initiatives, or whether the compact requires uniformity across member states
             271      that does not benefit Utah;
             272          (F) whether the state has the option under the compact to refuse to take over the federal
             273      Medicare program;
             274          (G) whether a state based Medicare program would provide better benefits to the
             275      elderly and disabled citizens of the state than a federally run Medicare program;
             276          (H) whether the state has the infrastructure necessary to implement and administer a
             277      better state based Medicare program;
             278          (I) whether the compact appropriately delegates policy decisions between the
             279      legislative and executive branches of government regarding the development and
             280      implementation of the compact with other states and the federal government; and
             281          (J) the impact on public health activities, including communicable disease surveillance


             282      and epidemiology.
             283          (11) The Crime Victim Reparations and Assistance Board, created in Section
             284      63M-7-504 , is repealed July 1, 2017.
             285          (12) Title 63M, Chapter 9, Families, Agencies, and Communities Together for
             286      Children and Youth At Risk Act, is repealed July 1, 2016.
             287          (13) Title 63M, Chapter 11, Utah Commission on Aging, is repealed July 1, 2017.
             288          Section 12. Section 63J-1-602.4 is amended to read:
             289           63J-1-602.4. List of nonlapsing funds and accounts -- Title 61 through Title 63M.
             290          (1) Funds paid to the Division of Real Estate for the cost of a criminal background
             291      check for a mortgage loan license, as provided in Section 61-2c-202 .
             292          (2) Funds paid to the Division of Real Estate for the cost of a criminal background
             293      check for principal broker, associate broker, and sales agent licenses, as provided in Section
             294      61-2f-204 .
             295          (3) Certain funds donated to the Department of Human Services, as provided in
             296      Section 62A-1-111 .
             297          (4) Certain funds donated to the Division of Child and Family Services, as provided in
             298      Section 62A-4a-110 .
             299          (5) Appropriations from the Choose Life Adoption Support Restricted Account created
             300      in Section 62A-4a-608 .
             301          (6) Appropriations to the Division of Services for People with Disabilities, as provided
             302      in Section 62A-5-102 .
             303          (7) A portion of the funds appropriated to the Utah Seismic Safety Commission, as
             304      provided in Section 63C-6-104 .
             305          (8) Funding for the Medical Education Program administered by the Medical
             306      Education Council, as provided in Section [ 63C-8-102 ] 53B-24-202 .
             307          (9) Certain money payable for commission expenses of the Pete Suazo Utah Athletic
             308      Commission, as provided under Section 63C-11-301 .
             309          (10) Funds appropriated or collected for publishing the Division of Administrative


             310      Rules' publications, as provided in Section 63G-3-402 .
             311          (11) The Immigration Act Restricted Account created in Section 63G-12-103 .
             312          (12) Money received by the military installation development authority, as provided in
             313      Section 63H-1-504 .
             314          (13) The appropriation to fund the Governor's Office of Economic Development's
             315      Enterprise Zone Act, as provided in Section 63M-1-416 .
             316          (14) The Motion Picture Incentive Account created in Section 63M-1-1803 .
             317          (15) Appropriations to the Utah Science Technology and Research Governing
             318      Authority, created under Section 63M-2-301 , as provided under Section 63M-2-302 .
             319          Section 13. Section 63J-7-102 is amended to read:
             320           63J-7-102. Scope and applicability of chapter.
             321          (1) Except as provided in Subsection (2), and except as otherwise provided by a statute
             322      superseding provisions of this chapter by explicit reference to this chapter, the provisions of
             323      this chapter apply to each agency and govern each grant received on or after May 5, 2008.
             324          (2) This chapter does not govern:
             325          (a) a grant deposited into a General Fund restricted account;
             326          (b) a grant deposited into a Trust and Agency Fund as defined in Section 51-5-4 ;
             327          (c) a grant deposited into an Enterprise Fund as defined in Section 51-5-4 ;
             328          (d) a grant made to the state without a restriction or other designated purpose that is
             329      deposited into the General Fund as free revenue;
             330          (e) a grant made to the state that is restricted only to "education" and that is deposited
             331      into the Education Fund or Uniform School Fund as free revenue;
             332          (f) in-kind donations;
             333          (g) a tax, fees, penalty, fine, surcharge, money judgment, or other money due the state
             334      when required by state law or application of state law;
             335          (h) a contribution made under Title 59, Chapter 10, Part 13, Individual Income Tax
             336      Contribution Act;
             337          (i) a grant received by an agency from another agency or political subdivision;


             338          (j) a grant to the Dairy Commission created in Title 4, Chapter 22, Dairy Promotion
             339      Act;
             340          (k) a grant to the Utah Science Center Authority created in Title 63H, Chapter 3, Utah
             341      Science Center Authority;
             342          (l) a grant to the Heber Valley Railroad Authority created in Title 63H, Chapter 4,
             343      Heber Valley Historic Railroad Authority;
             344          (m) a grant to the Utah State Railroad Museum Authority created in Title 63H, Chapter
             345      5, Utah State Railroad Museum Authority;
             346          (n) a grant to the Utah Housing Corporation created in Title 35A, Chapter 8, Part 7,
             347      Utah Housing Corporation Act;
             348          (o) a grant to the Utah State Fair Corporation created in Title 63H, Chapter 6, Utah
             349      State Fair Corporation Act;
             350          (p) a grant to the Workers' Compensation Fund created in Title 31A, Chapter 33,
             351      Workers' Compensation Fund;
             352          (q) a grant to the Utah State Retirement Office created in Title 49, Chapter 11, Utah
             353      State Retirement Systems Administration;
             354          (r) a grant to the School and Institutional Trust Lands Administration created in Title
             355      53C, Chapter 1, Part 2, School and Institutional Trust Lands Administration;
             356          (s) a grant to the Utah Communications Agency Network created in Title 63C, Chapter
             357      7, Utah Communications Agency Network Act;
             358          (t) a grant to the Medical Education Program created in Section [ 63C-8-102 ]
             359      53B-24-202 ;
             360          (u) a grant to the Utah Capital Investment Corporation created in Title 63M, Chapter 1,
             361      Part 12, Utah Venture Capital Enhancement Act;
             362          (v) a grant to the Utah Charter School Finance Authority created in Section
             363      53A-20b-103 ;
             364          (w) a grant to the State Building Ownership Authority created in Section 63B-1-304 ;
             365          (x) a grant to the Utah Comprehensive Health Insurance Pool created in Section


             366      31A-29-104 ; or
             367          (y) a grant to the Military Installation Development Authority created in Section
             368      63H-1-201 .
             369          (3) An agency need not seek legislative review or approval of grants under Part 2,
             370      Grant Approval Requirements, if:
             371          (a) the governor has declared a state of emergency; and
             372          (b) the grant is donated to the agency to assist victims of the state of emergency under
             373      Subsection 63K-4-201 (1).


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