BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Tom Torlakson, Chairman

                                           139 (Scott)
          
          Hearing Date:  05/14/07         Amended: 05/02/07
          Consultant:  Dan Troy           Policy Vote: ED 6-1, Health 10-0
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          ____
          BILL SUMMARY:   SB 139 would provide that the statutory  
          expansion of enrollment for specified nursing programs  
          administered by California State University (CSU) and the  
          University of California (UC) be funded within the general  
          enrollment growth funding provided for in the annual budget  
          process; would make various clarifications and adjustments  
          concerning eligibility to the terms of the State Nursing  
          Assumption Program of Loans for Education (SNAPLE) and the  
          Nurses in State Facilities Assumption Program of Loans for  
          Education (SNAPLE-SF); would require campuses of the CSU and the  
          California Community Colleges (CCC) that offer registered  
          nursing programs from authorizing students in those programs to  
          complete general education coursework if they have already  
          earned a baccalaureate degree.  This bill would also require the  
          Office of Statewide Health Planning and Development to establish  
          a health care workforce data clearinghouse to be funded through  
          the California Health Data and Planning Fund.
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2007-08      2008-09       2009-10     Fund
           Health workforce       $2,200 startup and $1,500 ongoing  
          costSpecial
          database

          SNAPLE increased       Minor, unknown cost pressure     General
          eligibility

          SNAPLE-SF reduced      Minor, unknown savings           General
          eligibility 

          UC/CSU reduced         Minor, unknown savings           General
          general education
          coursework

          CSU absorbed           $4,300 annually                  General










          nursing FTE growth     
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          ____

          STAFF COMMENTS: This bill meets the criteria for referral to the  
          Suspense File.
          
          Staff notes that the enrollment growth for CSU and UC is a  
          controversial topic.  Pursuant to an agreement (the "Compact")  
          reached by the Governor UC, and CSU, funding for enrollment  
          growth proposed by the Administration for the annual Budget Act 

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          SB 139 (Scott)


          is limited to a fixed percentage through the 2010-11 fiscal  
          year.  Further, recent 
          legislation has attempted to address a perceived shortage of  
          nurses by requiring the segments to increase FTEs enrolled in  
          nursing programs. 

          By requiring CSU and UC to meet required units of enrollment in  
          registered nursing programs within the amount of growth normally  
          appropriated in the Budget Act, this bill may put pressure on  
          these entities to reduce the provision or quality of services  
          provided for other instructional activities, unless the  
          Legislature, which is not a party to the Compact, chooses to  
          appropriate additional growth funding.  CSU may have particular  
          difficulty absorbing the nursing FTEs, as its enrollment is  
          already oversubscribed by 6,000 FTEs, and nursing student FTEs  
          are more costly to educate than are average FTEs.  CSU estimates  
          the cost of funding the required 340 nursing FTEs at $4.3  
          million, annually.  It is also noted that clearer admission  
          deadlines in the past may have mitigated this problem.  

          Current law authorizes the SNAPLE program which provides for  
          postsecondary students to receive a conditional warrant for loan  
          assumption, to be redeemed upon obtaining employment as  
          full-time nursing faculty member at a California college or  
          university.  Recipients may have up to $25,000 of the student  
          loans covered over 3 years if they meet certain requirements.   
          This bill would clarify that applicants that have already  
          completed a baccalaureate or graduate degree are eligible for  










          the program.  This will result in pressure to expand the program  
          funding.

          Current law also authorizes the SNAPLE-SF program which allows  
          the state to issue agreements for loan assumptions to persons  
          who fulfill agreements to work full-time for at least 4  
          consecutive years as a clinical registered nurse in a  
          state-operated 24-hour facility that employs registered nurses  
          and that has a clinical registered nurse vacancy rate of greater  
          than 10 percent. A participant can receive up to $5,000 annually  
          for 4 consecutive years towards outstanding student loans for a  
          total loan assumption of up to $20,000.  This bill would provide  
          that a candidate may be eligible if they have already completed  
          a nursing program. This bill would provide that a person  
          currently employed in such a facility is not eligible for  
          SNAPLE-SF, but can be eligible for SNAPLE.  By reducing  
          eligibility, this provision could result in potential savings.    
          This bill also provides that loans assumed through SNAPLE-SF  
          would be limited by appropriations through the annual Budget  
          Act.

          Staff notes that the Office of Statewide Health Planning and  
          Development indicates that sufficient funds are available in the  
          specified fund to establish the data clearinghouse.  

          Prohibiting UC and CSU from requiring participants in nursing  
          programs who have already earned a baccalaureate to take general  
          education courses may result in minor savings.