AB 174, as introduced, Gray. University of California: medical education.
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 express findings and declarations of the Legislature relating to the role of the University of California with respect to access to health care in the San Joaquin Valley.
The bill would appropriate $1,855,000 from the General Fund to the regents each fiscal year, commencing with the 2015-17 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education, as specified.
The bill would appropriate $1,000,000 from the General Fund to the Regents of the University of California during the 2015-17 fiscal year for allocation to the University of California to support a 2-year planning effort geared toward the establishment of a separate traditional medical school at the University of California, Merced, as specified.
Vote: 2⁄3. Appropriation: yes. Fiscal committee: yes. State-mandated local program: no.
The people of the State of California do enact as follows:
The Legislature finds and declares all of the
3(a) The federal Patient Protection and Affordable Care Act,
4when fully implemented in 2014, will mean that millions of
5previously uninsured Californians will be seeking health services,
6including physician care. As a result of this additional demand for
7physician services, the projected statewide physician shortfall is
817,000 for 2015.
9(b) The San Joaquin Valley, which runs from Stockton to
10Bakersfield, is rich in cultural diversity and is the nation’s leading
11agricultural region. However, the valley is disproportionately
12affected by the state’s physician shortage, which is expected to
13intensify in the years ahead given the high rate of population
14growth in the area. Access to health care is 31 percent lower in the
15San Joaquin Valley than in the rest of California.
16(c) Several regions of the San Joaquin Valley are federally
17designated Medically Underserved Areas (MUAs). The calculation
18of MUAs involves four variables: the ratio of primary medical
19care physicians per 1,000 population, the infant mortality rate, the
20percentage of the population with incomes below the poverty level,
21and the percentage of the population 65 years of age or over.
22(d) To help address California’s physician workforce needs, the
23Regents of the University of California engaged in a comprehensive
24strategic planning process and, in May 2008, approved moving
25forward with planning efforts leading to the development of a
26possible medical school at the campus of the University of
27California, Merced (UC Merced). At that time, the regents also
28approved moving forward with other preparations, such as planning
29for the initial basic sciences and clinical infrastructure. Upon
30completion of these and other activities, the regents envisioned
31that a formal proposal to establish a new medical school eventually
32could be developed.
33(e) The medical schools of the University of California,
34including a possible future medical school at UC Merced, will play
35an important role in addressing California’s physician shortages.
P3 1(f) Medical education and a possible future UC Merced School
2of Medicine will further contribute to the economic growth of the
3San Joaquin Valley and the state, as well as expand educational
4opportunities for valley residents, and will further support UC
5Merced’s trajectory toward becoming a top-tier university.
6(g) UC Merced’s
San Joaquin Valley Program in Medical
7Education (PRIME) is providing a key interim resource for training
8valley health care providers. This program accomplishes all of the
10(1) Strengthens the desire for new physicians to practice in the
11San Joaquin Valley, which is one of California’s most medically
13(2) Reduces health disparities and inequalities in the San Joaquin
15(3) Forms lasting relationships between the program and
16communities, hospitals, clinics, and physicians to enhance health
17care in the region.
18(h) Students who take part in PRIME benefit from firsthand
19experience with interdisciplinary health care by providing care in
20medically underserved communities, working with patients and
21families from culturally diverse backgrounds, and developing a
22true understanding of the issues and conditions that impact access
23to and quality of health care in the region.
24(i) Despite its numerous benefits for its region, PRIME lacks
25an ongoing source of funding for its current enrollment as well as
26the financial resources to expand capacity to meet the needs of the
28(j) Given the San Joaquin Valley’s health care needs and the
29critical role that a possible future medical school at UC Merced
30would play in addressing those needs, it is essential for the State
31of California to continue developing the valley’s health care
32resources by sustaining the current PRIME enrollment, expanding
33that program’s capacity, and continuing to move toward the
34establishment of a medical school at UC Merced.
The sum of one million eight hundred fifty-five
36thousand dollars ($1,855,000) is hereby appropriated from the
37General Fund to the Regents of the University of California each
38fiscal year, commencing with the 2015-17 fiscal year, for
39allocation to the University of California to support expansion of
40the San Joaquin Valley PRIME program to admit up to 12 students
P4 1per year and operate the program with up to 48 student participants
2from across the four-year curriculum annually.
The sum of one million dollars ($1,000,000) is hereby
4appropriated from the General Fund to the Regents of the
5University of California during the 2015-17 fiscal year for
6allocation to the University of California, to support a two-year
7planning effort geared toward the establishment of a separate
8traditional medical school at the University of California, Merced.
9The effort shall include determination of the necessary program
10components such as basic and clinical science courses, curriculum,
11capital needs, one-time and ongoing operational funding, student
12support services, and other necessary components. The University
13of California shall submit a report to the appropriate policy and
14fiscal committees of the Legislature by March 1, 2018,
15summarizing its planning efforts and providing recommendations
16 and estimates for the infrastructure, personnel, and funding, and
17time necessary to establish and maintain such a program.