BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 139|
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                                 THIRD READING


          Bill No:  SB 139
          Author:   Scott (D), et al
          Amended:  5/2/07 
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  10-0, 4/18/07
          AYES:  Kuehl, Aanestad, Alquist, Cedillo, Cox, Maldonado,  
            Ridley-Thomas, Steinberg, Wyland, Yee
          NO VOTE RECORDED:  Negrete McLeod

           SENATE EDUCATION COMMITTEE  :  6-1, 4/26/07
          AYES:  Scott, Wyland, Alquist, Padilla, Simitian, Torlakson
          NOES:  Denham
          NO VOTE RECORDED:  Maldonado, Romero

           SENATE APPROPRIATIONS COMMITTEE :  16-0, 5/31/07
          AYES:  Torlakson, Cox, Aanestad, Ashburn, Cedillo, Corbett,  
            Dutton, Florez, Kuehl, Oropeza, Ridley-Thomas, Runner,  
            Simitian, Steinberg, Wyland, Yee
          NO VOTE RECORDED:  Battin


           SUBJECT  :    Nursing education

           SOURCE  :     Author


           DIGEST  :    This bill makes various clarifications and  
          adjustments concerning eligibility to the terms of the  
          State Nursing Assumption Program of Loans for Education and  
          the Nurses in State Facilities Assumption Program Loans for  
          Education.
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           ANALYSIS  :    

          Existing law:

          1.Establishes the State Nursing Assumption Program of Loans  
            for Education (SNAPLE) program administered by the  
            Student Aid Commission, under which any person enrolled  
            in an institution of postsecondary education and  
            participating in the program is eligible to receive a  
            conditional warrant for loan assumption, to be redeemed  
            upon becoming employed as a full-time nursing faculty  
            member at a California college or university. 

          2.Establishes a loan assumption program for employees of  
            specified state facilities within the State Nursing  
            Assumption Program of Loans for Education, State  
            Facilities (SNAPLE-SF) program.  This program provides  
            loan assumption benefits to persons who fulfill  
            agreements to work full-time for four consecutive years  
            as clinical registered nurses (RNs) in state-operated  
            24-hour facilities, as specified, that employ RNs and  
            that have a vacancy rate of greater than ten percent in  
            clinical RN positions at the time the person commences  
            employment at the facility.  The program provides for a  
            progressive assumption of the amount of a qualifying loan  
            over four consecutive years of qualifying clinical RN  
            service, up to a total loan assumption of $20,000. Under  
            existing law, this program becomes inoperative on July 1,  
            2012, and is repealed on January 1, 2013. 

          3.Establishes the Office of Statewide Health Planning and  
            Development (OSHPD), which is charged with the  
            administration of health policy and planning. 

          4.Establishes the California Health Data and Planning Fund,  
            and authorizes monies from that fund to be appropriated  
            for expenditure for health-related programs of OSHPD. 
          
          This bill:

          1.Provides that the statutory expansion of enrollment for  
            specified nursing programs administered by California  
            State University and the University of California be  

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            funded within the general enrollment growth funding  
            provided for in the annual budget process.

          2.Makes various clarifications and adjustments concerning  
            eligibility to the terms of the SNAPLE and the SNAPLE-SF.

          3.Requires campuses of the California State University and  
            the California Community Colleges that offer registered  
            nursing programs from authorizing students in those  
            programs to complete general education coursework if they  
            have already earned a baccalaureate degree.

          4.Requires 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 EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

           Major Provisions                2007-08     2008-09     
           2009-10   Fund  
          Health workforce                                     $2,200  
          startup and $1,500 ongoing cost                   Special
            database
          SNAPLE increased                        Minor, unknown cost  
          pressure                                     General
            eligibility
          SNAPLE-SF reduced                  Minor, unknown  
          savingsGeneral
            eligibility 
          UC/CSU reduced                          Minor, unknown  
          savings                                 General
            general education
            coursework
          CSU absorbed                  $4,300 annuallyGeneral
            nursing FTE growth

           SUPPORT  :   (Verified  6/1/07)


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          American Nurses Association of California
          California Hospital Association
          California Nurses Association
          Latino Coalition for a Healthy California

           ARGUMENTS IN SUPPORT  :    The California Hospital  
          Association (CHA) writes that, while there has been  
          increasing attention and funds devoted to enhancing the  
          nurse workforce, California continues to rank last in the  
          nation in the number of RNs per capita.  CHA contends that  
          this bill addresses enrollment expansion at CSUs for  
          nursing degrees and the funding for these programs.   CHA  
          also writes that this bill creates a much needed  
          clearinghouse that would establish a central source of  
          health care workforce and educational pipeline data on  
          which to base future funding for nursing and health care  
          occupations.  The Latino Coalition for a Healthy California  
          writes that California is at a crossroad where demographic  
          shifts are already causing gaps between workforce supply  
          and demand and states that this bill will provide a fuller  
          picture of the state's health profession capacity so that  
          policymakers will have the data needed to make informed  
          decisions.


          CTW:nl  6/2/07   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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