BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
SB 131 (Cannella) - University of California: medical education.
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|Version: May 12, 2015 |Policy Vote: ED. 9 - 0 |
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|Urgency: No |Mandate: No |
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|Hearing Date: May 18, 2015 |Consultant: Jillian Kissee |
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This bill meets the criteria for referral to the Suspense File.
Bill
Summary: This bill, commencing with the 2016-17 fiscal year,
appropriates $1.86 million General Fund annually to the Regents
of the University of California (UC) to support the expansion of
the San Joaquin Valley (SJV) Program in Medical Education
(PRIME).
Fiscal
Impact:
This bill increases costs to the state by $1,855,000 General
Fund annually.
The annual appropriation included in this bill does not take
into account the time necessary to ramp up the program to get
to a total enrollment of 48 students. Therefore, in initial
years, funding provided will likely exceed expenses. See
staff comments.
Potentially significant cost pressure to expand PRIME programs
at other UC campuses.
SB 131 (Cannella) Page 1 of
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Background: UC operates six schools of medicine in Davis, Irvine, Los
Angeles, Riverside, San Diego, and San Francisco. In 2014-15,
total enrollment in these programs was approximately 3,000
medical students and more than 5,000 medical residents. Nearly
50% of medical students and medical residents in California are
trained by the UC.
UC PRIME is a medical education program focused on meeting the
needs of California's underserved populations in both rural
communities and urban areas by combining specialized coursework,
structured clinical experiences, advanced independent study, and
mentoring. These activities are organized and structured to
prepare students as future physician leaders. Each new program
has an area of focus that is selected based upon faculty
expertise, the populations served by each school and its medical
center, and other local considerations.
The UC currently operates six Programs in Medical Education
(PRIME) each with a unique focus. For example, Rural PRIME at
Davis emphasizes outreach and rural healthcare; PRIME at Irvine
emphasizes Latino health issues; and PRIME San Joaquin Valley
emphasizes improving the health of people in the Central Valley
region. As of 2014-15, there are an estimated 333 medical
students in PRIME.
SJV PRIME was established in 2010 as a partnership between UC
Merced, UC Davis School of Medicine, and UCSF Fresno to train
medical students in the region. The first class of students
entered the program in the fall of 2011. There are currently 27
students enrolled in the program.
Proposed Law:
This bill appropriates $1,855,000 General Fund annually to the
UC Regents beginning with the 2016-17 fiscal year to support
expansion of the San Joaquin Valley Program in Medial Education
to admit up to 12 students per year and operate the program with
up to 48 student participants from across the four-year
curriculum annually.
Related
Legislation:1. AB 174 (Gray, 2015) appropriates the same amount in General Fund
to the UC for the SJV PRIME program and $1 million to support a
SB 131 (Cannella) Page 2 of
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two-year planning effort for establishing a traditional medical
school at UC Merced. The bill was held on suspense in the
Assembly Appropriations Committee.
SB 841 (Canella, 2014) as introduced, was identical to AB 174
but was subsequently amended to remove the appropriation for the
UC Merced medical school. This bill was held in this committee.
Staff
Comments: The annual appropriation included in this bill does
not take into account the time necessary to ramp up the program
to get to a total enrollment of 48 students. Therefore, in
initial years, there will likely be more funding than expenses.
Current costs for SJV PRIME are $35,000 per student and an
additional $175,000 in administrative costs related to program
operation. With an estimated enrollment of 36 students in
2016-17, if the first cohort of 12 students is accepted, program
costs would be $1.4 million. In subsequent years, costs would
be: $1.6 million in 2017-18 for 40 students; $1.7 million in
2018-19 for 44 students; and by the 2019-20 academic year,
program costs would reach the appropriation level provided in
this bill.
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