BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1703
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          Date of Hearing:   March 16, 2010

                       ASSEMBLY COMMITTEE ON HIGHER EDUCATION
                              Anthony Portantino, Chair
                 AB 1703 (Knight) - As Introduced:  February 1, 2010
           
          SUBJECT  :   State Nursing Assumption Program of Loans for  
          Education:  veterans homes.

           SUMMARY  :  Would increase the maximum student loan assumption  
          amount for nurses participating in the State Nursing Assumption  
          Program of Loans for Education (SNAPLE) for Nurses in State  
          Facilities (SNAPLE-NSF) for a nurse that completes qualifying  
          clinical service at a state-operated veterans home.   
          Specifically,  this bill  :  

          1)Provides that for a SNAPLE-NSF program participant employed as  
            a clinical registered nurse in a state-operated veterans home  
            who has completed five or more years of full-time employment,  
            the California Student Aid Commission (CSAC) shall assume an  
            additional $5,000 of the participant's outstanding loan  
            liability for each additional year of full-time employment in  
            a state-operated veterans home.

          2)Provides that the total loan assumption for a program  
            participant under this bill shall be equal to the  
            participant's total outstanding liability under one or more of  
            the designated SNAPLE loan programs.

           EXISTING LAW  establishes and provides for the administration of  
          SNAPLE.  

           FISCAL EFFECT  :  Unknown 

           COMMENTS  :   Background  :  SNAPLE contains two specific loan  
          assumption programs:

          1)SNAPLE for Nurse Faculty (SNAPLE-NF) is designed to encourage  
            persons to complete their graduate degree and serve as nursing  
            faculty in a nursing program at an accredited California  
            college or university.  SNAPLE-NF will pay up to a total of  
            $25,000 over the course of three academic years on outstanding  
            student loans for nursing faculty.  

          2)SNAPLE-NSF provides loan assumption for persons employed as  








                                                                  AB 1703
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            nurses in state-operated 24-hour facilities that have a  
            clinical registered nurse vacancy rate of greater than 10%.   
            The SNAPLE-NSF requires nurses to work for four consecutive  
            years as full-time nurses in approved facilities, and provides  
            for loan assumption up to $20,000.  

          This bill would allow for $5,000 in loan assumption for each  
          additional year of full-time employment in a state-operated  
          veterans home for a SNAPLE-NSF program participant employed as a  
          clinical registered nurse in a state-operated veterans home who  
          has completed five or more years of full-time employment.

           State facilities nursing shortage  :  As of January 1, 2010,  
          according to information provided by the Department of Personnel  
          Administration (DPA), there are twenty 24-hour state facilities  
          with nursing vacancy rates over 10%.  Of these, fourteen are  
          prisons and correctional centers, two are developmental centers,  
          one is a school/diagnostic center, two are psychiatric programs,  
          and one is a veterans home.  The author notes that the recent  
          vacancy rate report from DPA does not include two veterans homes  
          that recently opened in Lancaster and Ventura.  Additionally,  
          the author notes that two additional veterans homes are planned  
          to open in the near future.  The author argues that this bill is  
          intended to attract more nurses to veterans homes, which have  
          difficulty recruiting to some of their more remote locations.

           SNAPLE-NSF is underutilized  :  According to CSAC data, SNAPLE-NSF  
          is underutilized.  The state authorized 40 SNAPLE-NSF loan  
          assumption agreements in 2006-07, only five individuals applied  
          for the program.  In 2007-08, 100 agreements were authorized,  
          five individuals applied for the program.  In 2008-09, there  
          were only three applicants for the 100 authorized agreements.   
          SNAPLE-NF and SNAPLE-NSF are supported by direct General Fund  
          appropriations.  Unused agreements are reabsorbed into the  
          General Fund. 
           
          Possible reasons SNAPLE-NSF is underutilized  :  CSAC has noted  
          that SNAPLE-NSF is relatively new; CSAC hopes that the number of  
          applicants will increase as schools and students become more  
          aware of the programs.  Additionally, discussions with staff at  
          CSAC indicate that the loan assumption benefit may not be great  
          enough to encourage participation.  According to data from the  
          American Association of Colleges of Nursing, the average nursing  
          student carries a loan debt $30,375 from baccalaureate studies  
          alone.  Students with a master's degree in nursing report an  








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          average debt load of $44,393.  The student debt average for  
          nurses with both undergraduate and graduate degrees is $64,077.   
          However, the maximum loan assumption under SNAPLE-NSF is  
          $20,000.  Finally, SNAPLE-NSF requires program participants to  
          apply while still in school obtaining their nursing degree;  
          practicing nurses are not eligible for the program.

          Should this bill be amended to address SNAPLE-NSF  
          underutilization  ?  As written, this bill would allow for  
          additional annual $5,000 loan assumption per service year for  
          nurses working in state-operated veterans homes until the  
          participant's total nursing education loan liability is  
          eliminated.  Considering the underutilization of the existing  
          program, it is unclear that simply adding increased loan  
          assumption amounts based on additional service year requirements  
          will increase participation in the program in veterans  
          facilities.  Should this bill be amended to address some of the  
          aforementioned causes of underutilization?

           CSAC requested amendment  :  CSAC has taken a support if amended  
          position on this bill.  As previously mentioned, this bill would  
          allow SNAPLE-NSF participants working in veterans facilities to  
          participate in the program until their total student loan  
          liability is assumed.  This provision could require CSAC to  
          track participants indefinitely, making annual budgeting  
          difficult and creating a potential staffing burden as the  
          program expands.  CSAC has requested that the bill be amended to  
          cap the duration of participation or the total amount of loan  
          assumption, or both.  

           Proposed Author's Amendments  :  

          1)Delete current provisions and instead provide for an  
            additional $5,000 loan assumption per year for nurses serving  
            in qualified veterans homes, for the program length of four  
            years.  This would establish a total maximum loan assumption  
            of $40,000 for SNAPLE-NSF participants working in veterans'  
            homes. 

          2)Include military active duty service as an allowable reason  
            for extension of leave of absence under SNAPLE-NSF.
           
          REGISTERED SUPPORT / OPPOSITION  :   

           Support 








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          None on File

           Opposition 
           
          None on File
           

          Analysis Prepared by  :    Laura Metune / HIGHER ED. / (916)  
          319-3960