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SB-441 Health care workforce training programs: geriatric medicine.(2021-2022)

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Date Published: 03/22/2021 09:00 PM
SB441:v98#DOCUMENT

Revised  June 08, 2021
Amended  IN  Senate  March 22, 2021

CALIFORNIA LEGISLATURE— 2021–2022 REGULAR SESSION

Senate Bill
No. 441


Introduced by Senator Hurtado
(Coauthor: Senator Rubio)

February 16, 2021


An act to amend Sections 128205 and 128210 add Article 2 (commencing with Section 127801) to Chapter 1 of Part 3 of Division 107 of the Health and Safety Code, relating to health care.


LEGISLATIVE COUNSEL'S DIGEST


SB 441, as amended, Hurtado. Health care workforce training programs: geriatric medicine.
Existing law establishes the Office of Statewide Health Planning and Development in the California Health and Human Services Agency, which oversees various scholarship programs to improve access to health care, including the Steven M. Thompson Physician Corps Loan Repayment Program, which provides for the repayment of educational loans obtained by a physician and surgeon who practices in a medically underserved area of the state.
Existing law requires the office to maintain a Health Professions Career Opportunity Program tasked with supporting and encouraging minority health professionals in training to practice in health professional shortage areas of California, among other duties.
Existing law provides that in administering the National Health Service Corps State Loan Repayment Program in accordance with federal law and regulations, the office is required to strive, whenever feasible, to equitably distribute loan repayment awards between eligible urban and rural program sites, after taking into account the availability of health care services in the communities to be served and the number of individuals to be served in each program site.
This bill would require the office to include students and professionals with training in geriatrics in administering the Health Professions Career Opportunity Program, National Health Service Corps State Loan Repayment Program, and the Steven M. Thompson Physician Corps Loan Repayment Program. The bill would also state the intent of the Legislature to provide geriatricians practicing in underserved areas access to existing loan repayment programs offered by the state, encouraging more geriatric care providers to practice in federally designated health provider shortage areas and addressing the state’s shortage of geriatricians.

Existing law, the Song-Brown Health Care Workforce Training Act, provides for specified training programs for certain health care workers, including family physicians, registered nurses, nurse practitioners, and physician assistants. Existing law establishes a state medical contract program with accredited medical schools, hospitals, and other programs and institutions to increase the number of students and residents receiving quality education and training in specified primary care specialties and maximize the delivery of primary care and family physician services to underserved areas of the state.

This bill would add geriatric medicine to the list of specified primary care specialties under the program. The bill would add training in geriatric medicine to the definition of a “family physician” as that term is used in the act.

Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: NO  

The people of the State of California do enact as follows:


SECTION 1.

 Article 2 (commencing with Section 127801) is added to Chapter 1 of Part 3 of Division 107 of the Health and Safety Code, to read:
Article  2. Geriatric Health Care Workforce

127801.
 (a) It is the intent of the Legislature to provide geriatricians practicing in underserved areas access to existing loan repayment programs offered by the state, encouraging more geriatric care providers, including primary care physicians, dentists, dental hygienists, physician assistants, nurse practitioners, certified nurse midwives, pharmacists, and mental health providers to practice in federally designated health provider shortage areas and addressing the state’s shortage of geriatricians.
(b) The office shall include students and professionals with training in geriatrics in administering health workforce professions programs, including, but not limited to, all of the following:
(1) Health Professions Career Opportunity Program pursuant to Article 1 (commencing with Section 127875) of Chapter 2.
(2) National Health Service Corps State Loan Repayment Program pursuant to Article 2.75 (commencing with Section 127940) of Chapter 2.
(3) Steven M. Thompson Physician Corps Loan Repayment Program pursuant to Article 5 (commencing with 128550) of Chapter 5.

SECTION 1.Section 128205 of the Health and Safety Code is amended to read:
128205.

As used in this article, and Article 2 (commencing with Section 128250), the following terms have the following meanings:

(a)“Family physician” means a primary care physician and surgeon who is prepared to and renders continued comprehensive and preventative health care services to individuals and families and who has received specialized training in an approved family medicine residency, including training in geriatric medicine, for three years after graduation from an accredited medical school.

(b)“Primary care physician” means a physician who is prepared to and renders continued comprehensive and preventative health care services, and has received specialized training in the areas of internal medicine, obstetrics and gynecology, or pediatrics.

(c)“Associated” and “affiliated” mean that relationship that exists by virtue of a formal written agreement between a hospital or other health care delivery system and an approved medical school that pertains to the primary care or family medicine training program for which state contract funds are sought.

(d)“Commission” means the California Healthcare Workforce Policy Commission.

(e)“Programs that train primary care physician’s assistants” means a program that has been approved for the training of primary care physician assistants pursuant to Section 3513 of the Business and Professions Code.

(f)“Programs that train primary care nurse practitioners” means a program that is operated by a California school of medicine or nursing, or that is authorized by the Regents of the University of California or by the Trustees of the California State University, or that is approved by the Board of Registered Nursing.

(g)“Programs that train registered nurses” means a program that is operated by a California school of nursing and approved by the Board of Registered Nursing, or that is authorized by the Regents of the University of California, the Trustees of the California State University, or the Board of Governors of the California Community Colleges, and that is approved by the Board of Registered Nursing.

(h)“Teaching health center” means a community-based ambulatory patient care center that operates a primary care residency program. Community-based ambulatory patient care settings include, but are not limited to, federally qualified health centers, community mental health centers, rural health clinics, health centers operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, and entities receiving funds under Title X of the federal Public Health Service Act (Public Law 91-572).

SEC. 2.Section 128210 of the Health and Safety Code is amended to read:
128210.

There is hereby created a state medical contract program with accredited medical schools, teaching health centers, programs that train primary care physician’s assistants, programs that train primary care nurse practitioners, programs that train registered nurses, hospitals, and other health care delivery systems to increase the number of students and residents receiving quality education and training in the primary care specialties of family medicine, internal medicine, obstetrics and gynecology, pediatrics, and geriatric medicine, or in nursing and to maximize the delivery of primary care and family physician services to specific areas of California where there is a recognized unmet priority need for those services.

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REVISIONS:
Heading—Line 2.
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