BILL NUMBER: AB 27 AMENDED
BILL TEXT
AMENDED IN ASSEMBLY MAY 24, 2013
AMENDED IN ASSEMBLY MARCH 21, 2013
AMENDED IN ASSEMBLY MARCH 13, 2013
INTRODUCED BY Assembly Member Medina
( Principal coauthor: Senator
Roth )
(Coauthor: Assembly Member Linder)
DECEMBER 3, 2012
An act relating to the University of California, making an
appropriation therefor, and declaring the urgency thereof, to take
effect immediately.
LEGISLATIVE COUNSEL'S DIGEST
AB 27, as amended, Medina. University of California: UC Riverside
Medical School: funding.
Existing provisions of the California Constitution establish the
University of California as a public trust under the administration
of the Regents of the University of California. The University of
California system includes 10 campuses, which are located in
Berkeley, Davis, Irvine, Los Angeles, Merced, Riverside, San Diego,
San Francisco, Santa Barbara, and Santa Cruz.
This bill would annually appropriate $15,000,000 from the General
Fund to the Regents of the University of California for allocation to
the School of Medicine at the University of California, Riverside.
The bill would require the Regents of the University of
California to use these moneys for the sole purpose of funding the
School of Medicine at the University of California, Riverside, and
would prohibit the regents from redirecting or otherwise expending
these moneys for any other purpose. The bill would also prohibit the
use of this funding to supplant other funding of the Regents of the
University of California for t he School of Medicine at
the University of California, Riverside.
The bill would require the School of Medicine at the University of
California, Riverside, to develop a program, consistent with its
mission, in conjunction with the health facilities of its medical
residency programs, to identify eligible medical residents and to
assist those medical residents to apply for physician retention
programs, including, but not limited to, the Steven M. Thompson
Physician Corps Loan Repayment Program. The bill would require, on or
before April 1 of each year, the University of California to provide
progress reports and specified information consistent with the
published mission and vision of the University of California,
Riverside, School of Medicine to the relevant policy and fiscal
committees of the Legislature pertaining to funding, recruitment,
hiring, and outcomes for the University of California, Riverside
School of Medicine.
This bill would declare that it is to take effect immediately as
an urgency statute.
Vote: 2/3. Appropriation: yes. Fiscal committee: yes.
State-mandated local program: no.
THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:
SECTION 1. The Legislature finds and declares all
of the following:
(a) California's supply of primary care physicians is below what
is considered sufficient to meet patient needs. In the rapidly
growing and ethnically diverse area of inland southern California,
the shortage is particularly severe, with just 40 primary care
physicians per 100,000 patients, far fewer than the recommended range
of 60 to 80 primary care physicians per 100,000 patients.
Furthermore, Latinos, African Americans, and Native Americans are
vastly underrepresented in the physician workforce.
(b) California lags substantially in the number of medical school
seats per capita, having just 17.3 seats per 100,000 persons,
compared to the United States average of 31.4 seats per 100,000
persons, according to statistics published by the Association of
American Medical Colleges.
(c) According to the California HealthCare Foundation, 72 percent
of California's 58 counties have an undersupply of primary care
physicians, with primary care physicians making up just 34 percent of
California's physician workforce.
(d) The University of California, Riverside, (UCR) has had a
longstanding two-year medical education program and its independent
four-year school of medicine has received preliminary accreditation
from the Liaison Committee on Medical Education, the nationally
recognized accrediting body for medical education programs leading to
M.D. degrees in the United States and Canada. When this new
four-year medical school opens in August 2013, it will become the
first new public medical school in California in more than 40 years.
(e) This community-based medical school with a public mission to
expand and diversify the region's physician workforce and to improve
the health of people living in inland southern California has made a
commitment to underserved patient populations.
(f) There are two principal determinants of where a physician
practices: (1) where he or she grew up, and (2) where he or she
completes residency training following medical school graduation.
(g) The UCR medical school has strategies to capitalize on both of
these factors. Among these strategies are all of the following: (1)
developing student pipeline programs that inspire more young people
in the region to pursue careers in medicine and other allied health
professions and to recruit them to the UCR medical school; (2)
utilizing a holistic review of medical school applicants that takes
into account diverse life experiences in addition to their academic
performance; (3) teaching a curriculum that emphasizes key
competencies for primary care medicine, including wellness and
prevention, evidence-based medicine, and chronic disease management;
(4) creating new residency training programs in primary care and
those short-supply specialties that are most needed in inland
southern California; and (5) continuing UCR's commitment to the
recruitment, retention, and advancement of talented students,
faculty, and staff from historically excluded populations who are
currently underrepresented in medical education and the practice of
medicine.
(h) As a further incentive for medical students to choose primary
care specialties, the UCR medical school has developed an innovative
"loan-to-scholarship" program, is actively raising nonstate funds to
expand that program, and is educating students and graduates about
existing public and private physician recruitment and retention
programs, including, but not limited to, the Steven M. Thompson
Physician Corps Loan Repayment Program established pursuant to
Article 6 (commencing with Section 128560) of Chapter 5 of Part 3 of
Division 107 of the Health and Safety Code.
(i) The appropriation of state funding to the UCR medical school
will add more physicians to underserved areas in inland southern
California and help California meet the objectives of the federal
Patient Protection and Affordable Care Act (Public Law 111-148) in
the short-term and the long-term by expanding the physician
workforce.
SECTION 1. SEC. 2. (a)
The sum of fifteen million dollars ($15,000,000) is hereby
appropriated annually from the General Fund to the Regents of the
University of California for allocation to the School of Medicine at
the University of California, Riverside. Except as
provided in subdivision (b), the Regents of the University of
California shall use the moneys appropriated by this act for the sole
purpose of funding the School of Medicine at the University of
California, Riverside, and shall not redirect or otherwise expend
these moneys for any other purpose. The funding authorized by this
section shall not be used to supplant other funding of the Regents of
the University of California for the School of Medicine at the
University of California, Riverside.
(b) Funds provided pursuant to subdivision (a) shall be available
for planning and startup costs associated with academic programs to
be offered by the School of Medicine at the University of California,
Riverside, including all of the following:
(1) Academic planning activities, support of academic program
offerings, and faculty recruitment.
(2) The acquisition of instructional materials and equipment.
(3) Ongoing operating support for faculty, staff, and other annual
operating expenses for the School of Medicine at the University of
California, Riverside.
(c) The School of Medicine at the University of California,
Riverside, shall develop a program, consistent with its mission, in
conjunction with the health facilities of its medical residency
programs, to identify eligible medical residents and to assist those
medical residents to apply for physician retention programs,
including, but not limited to, the Steven M. Thompson Physician Corps
Loan Repayment Program, established pursuant to Article 6
(commencing with Section 128560) of Chapter 5 of Part 3 of Division
107 of the Health and Safety Code.
(d) On or before April 1 of each year, the University of
California shall provide progress reports to the relevant policy and
fiscal committees of the Legislature pertaining to funding,
recruitment, hiring, and outcomes for the School of Medicine at the
University of California, Riverside. Specifically, the report shall
include, but not be limited to, information consistent with the
published mission and vision for the School of Medicine at the
University of California, Riverside, in all of the following areas:
(1) The number of students who have applied, been admitted, or
been enrolled, broken out by race, ethnicity, and gender.
(2) The number of full-time faculty, part-time faculty, and
administration, broken out by race, ethnicity, and gender.
(3) Funding and progress of ongoing medical education pipeline
programs, including the UCR/UCLA Thomas Haider Program in Biomedical
Sciences.
(4) Operating and capital budgets, including detail by funding
source, and an explanation of how such funding affects base funding
for other university purposes. The operating budget shall include a
breakdown of research activities, instruction costs, administration,
and executive management.
(5) Efforts to meet the health care delivery needs of California
and the Inland Empire region of the state, including, but not limited
to, the percentage of clinical placements, graduate medical
education slots, and medical school graduates in primary care
specialties who are providing service within California's medically
underserved areas and populations.
(6) A description of faculty research activities, including
information regarding the diversity of doctoral candidates, and
identifying activities that focus on high priority research needs
with respect to addressing California's medically underserved areas
and populations.
SEC. 2. This act is an urgency statute
necessary for the immediate preservation of the public peace, health,
or safety within the meaning of Article IV of the Constitution and
shall go into immediate effect. The facts constituting the necessity
are:
In order to serve students without disrupting their education at
the School of Medicine at the University of California, Riverside,
and to ensure the continuation of funding to this school, it is
necessary for this act to take effect immediately.
SEC. 3. This act is an urgency statute necessary
for the immediate preservation of the public peace, health, or safety
within the meaning of Article IV of the Constitution and shall go
into immediate effect. The facts constituting the necessity are:
In order to provide crucial funding to launch the vital health
care mission of the School of Medicine at the University of
California, Riverside, it is necessary that this act take effect
immediately.