BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
SB 22 (Roth) - Residency training.
-----------------------------------------------------------------
| |
| |
| |
-----------------------------------------------------------------
|--------------------------------+--------------------------------|
| | |
|Version: May 5, 2015 |Policy Vote: HEALTH 9 - 0 |
| | |
|--------------------------------+--------------------------------|
| | |
|Urgency: No |Mandate: No |
| | |
|--------------------------------+--------------------------------|
| | |
|Hearing Date: May 28, 2015 |Consultant: Brendan McCarthy |
| | |
-----------------------------------------------------------------
SUSPENSE FILE. AS AMENDED.
Bill
Summary: SB 22 would require the Office of Statewide Health
Planning and Development to establish a non-profit corporation
for the purpose of funding new medical residency programs in
medically underserved areas.
Fiscal Impact (as approved on May 28,
2015):
One-time administrative costs of about $1 million to create
the foundation and develop criteria for making grants (General
Fund). In the long-run, donations may support some or all of
the activities of the proposed program. In the near term,
however, state funds will likely be needed to create the
program.
Ongoing costs of about $800,000 per year to administer the
SB 22 (Roth) Page 1 of
?
program, support the Foundation, and review and approve grants
and contracts (private funds).
Unknown costs to make grants to medical residency programs
(private funds). The bill would require the Foundation to
solicit donations from public and private sources in order to
fund new medical residency positions. The amount of funding
available under the program will depend on the success of
those fundraising efforts.
Background: The Office of Statewide Health Planning and Development
operates several programs to support workforce training for the
health care sector. Current programs provide loans,
scholarships, and loan repayments to students in health
professions and provide funding to support medical training
programs. For example, the Song-Brown Program provides funding
to family practice residency programs, physician assistant/nurse
practitioner training programs, and registered nurse training
programs, with a focus on medically underserved areas.
Generally, medical residency programs are paid for by federal
Medicare program to subsidize (since hospitals would otherwise
be financially unable to pay for the costs to train resident
physicians).
Proposed Law:
SB 22 would require the Office of Statewide Health Planning
and Development to establish a non-profit corporation for the
purpose of funding new medical residency programs in medically
underserved areas.
Specific provision of the bill would:
Require the Office of Statewide Health Planning and
Development to establish the California Medical Residency
Training Foundation, as a non-profit, public benefit
corporation;
Specify the membership of the Foundation board of trustees;
Require the Foundation to solicit and accept funds from
various sources in order to provide funding for new medical
residency programs and take related actions;
Require the Office to provide administrative support to the
Foundation;
Create a new special fund to support the program and
SB 22 (Roth) Page 2 of
?
continuously appropriate money in the fund;
Authorize the Office to adopt emergency regulations to
implement the bill and exempt those emergency regulations from
the existing requirement that emergency regulations
subsequently be adopted as regular regulations;
Require the Legislature to appropriate funds in the annual
budget act to match the private donations collected by the
foundation, to be used for the purposes of the bill.
Related
Legislation:
SB 1416 (Rubio and Hernandez, 2012) would have created a fund
to be used to by the Office of Statewide Health Planning and
Development to make grants to medical residency training
programs. That bill was held in the Assembly Appropriations
Committee.
SB 635 (Hernandez, 2012) would have required funds in excess
of $1 million from fines and penalties deposited in the
Managed Care Administrative Fines and Penalties Fund to be
transferred each year to the Office for support of the
Song-Brown Program. That bill was held in the Assembly
Appropriations Committee.
Staff
Comments: While the bill allows for the use of private funds to support
the program, there will be upfront costs to develop program
criteria. In the absence of private funds, those costs will fall
on the state. In addition, there will be ongoing administrative
costs to the Office (for example, administering grants
previously awarded by the Foundation). If private funds do not
materialize, those costs would fall on the state.
Author's amendments (as adopted May 28, 2015): make a variety of
technical and clarifying changes.
Committee amendments (as adopted May 28, 2015): delete the
requirement for legislative appropriation of funds to match
private donations.
-- END --
SB 22 (Roth) Page 3 of
?