BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2551
                                                                  Page  1

          Date of Hearing:   May 4, 2010

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                                 Mary Hayashi, Chair
                  AB 2551 (Hernandez) - As Amended:  April 26, 2010
           
          SUBJECT  :   Pharmacy technicians: scholarship and loan repayment  
          program.

          SUMMARY  :   Establishes the California Pharmacy Technician  
          Scholarship and Loan Repayment Program (Program) for the  
          repayment of pharmacy technician (PT) education loans.   
          Specifically,  this bill  :  

          1)Permits the Health Professions Education Foundation (HPEF) to  
            solicit and receive funds from business, industry,  
            foundations, and other private and public sources for the  
            purpose of providing financial assistance in the form of  
            scholarships and loans through the Program.

          2) Establishes the Program within HPEF.

          3)Requires the Program to provide scholarships to pay for the  
            educational expenses of PT school students and to repay  
            qualifying educational loans of PTs who agree to participate  
            in designated medically underserved areas as provided in this  
            section.  

          4)Requires HPEF to administer the Program according to the  
            general guidelines applicable to the federal National Health  
            Service Corps Scholarship Program and the National Health  
            Service Corps Loan Repayment Program, except that:

             a)   A PT or PT student shall be eligible to participate in  
               the program if he or she agrees to provide PT services in a  
               practice site located in an area of the state where unmet  
               priority needs for primary care family physicians exist as  
               determined by the Health Workforce Policy Commission.

             b)   No matching funds shall be required from any entity in  
               the practice site area. 

          5)Requires the Program be implemented only to the extent that  
            sufficient money is available to administer the Program.








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          6)Establishes the Program Fund in the State Treasury for any  
            private or public funds to the Program. 


           EXISTING LAW  :  



          1)Establishes the California Pharmacist Scholarship and Loan  
            Repayment Program, administered by the Office of Statewide  
            Health Planning and Development, to provide for the  
            educational expenses of pharmacy students and to repay  
            qualifying educational loans of pharmacists who agree to serve  
            in areas of the state where unmet priority needs exist, as  
            specified. 



          2)Establishes the California Pharmacist Scholarship and Loan  
            Repayment Program Fund in the State Treasury, which is funded  
            by voluntary contributions made by pharmacies or pharmacists  
            upon renewal of their license, and requires that the moneys in  
            the fund be available for the purpose of implementing the  
            above program, upon appropriation by the Legislature.



          3)Authorizes the Health Professions Education Foundation to  
            implement various loan repayment programs for nurses, mental  
            health service providers, and physicians.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of this bill  .  According to the author's office, "While  
          PTs are the second largest field within Allied Health, there is  
          no comprehensive statewide public or private financial aid  
          program to meet the needs of PTs.  Becoming a PT requires an  
          associate degree in pharmacy technology, completion of a  
          240-hour training course accredited by the American Society of  
          Health-System Pharmacists, or graduation from a school of  
          pharmacy accredited by the American Council on Pharmaceutical  
          Education.  Post-secondary education tuition ranges from  








                                                                  AB 2551
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          [approximately] $1664 in fees at a community college ($23,306  
          total cost) to over $23,000 at a career or vocational college  
          (not including supplies or cost of living).  Unfortunately, very  
          few community colleges in California provide training to become  
          PTs, so most students rely on private, costly education to  
          become licensed.

          "California is one of the bottom 5 states with the greatest  
          unmet demand in PTs.  In addition to preparing, packaging, and  
          distributing prescriptions, PTs often serve on the frontline of  
          health care delivery, assisting pharmacists with language and  
          cultural competency issues for patients.  Demand for PTs will  
          increase significantly due to higher pharmaceutical demands by a  
          growing aging population, the need to replace workers to  
          transfer to other populations or leave the labor force, and  
          increased reliance on PTs by insurers, pharmacies and health  
          systems for the purposes of cost-containment."

           Background  .  PTs help licensed pharmacists prepare prescription  
          medications, provide customer service, and perform  
          administrative duties within a pharmacy setting.  PTs generally  
          are responsible for receiving prescription requests, counting  
          tablets, and labeling bottles, while pharmacy aides perform  
          administrative functions such as answering phones, stocking  
          shelves, and operating cash registers. 


          The Foundation provides scholarships and loan repayments to  
          aspiring and practicing health professionals who agree to  
          practice in a medically underserved area.  Scholarships are  
          offered to health professional students attending one of  
          California's accredited colleges or universities. Loan repayment  
          programs are offered to graduates pursuing a health professional  
          career to assist in the repayment of educational debt.  
          Scholarships and loan repayments are offered to students and  
          graduates from allied health, nursing, mental health, medical  
          and dental.  The Foundation administers the following funds and  
          scholarship and loan repayment programs:   


          1)The Vocational Nurse Education Fund 
             a)   Funded through a $5.00 surcharge for renewal of the  
               Vocational Nurse license in California 
             b)   Supports the Vocational Nurse Scholarship, Licensed  
               Vocational Nurse to Associate Degree Nursing and Licensed  








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               Vocational Nurse Loan Repayment programs

          2)The Registered Nurse Education Fund 
             a)   Funded through a $10.00 surcharge for renewal of the  
               Registered Nurse (RN) license in California
             b)   Supports the Associate Degree Nursing Scholarship (ADN),  
               the Bachelor of Science Nursing Scholarship (BSN), and the  
               Bachelor of Science Nursing Loan Repayment (BNSLRP)

          3)The Mental Health Practitioner Education Fund 
             a)   Funded through a $10.00 surcharge for renewal of  
               Psychologist, Marriage and Family Therapist, and Licensed  
               Clinical Social Worker licenses in California
             b)   Supports the Licensed Mental Health Service Provider  
               Education Program 

          4)Mental Health Services Act Fund 
             a)   Funded by Proposition 63, the Mental Health Services  
               Act, passed by voters in 2004 provides $2.5 million per  
               year 
             b)   Supports the Mental Health Loan Assumption Program 

          5)The Health Professions Education Fund 
             a)   Supported entirely through grants and contributions from  
               public and private agencies, hospitals, health plans,  
               foundations, corporations, and individuals
             b)   Supports the Allied Healthcare Education Scholarship,  
               the Health Professions Education Scholarship, the Health  
               Professions Loan Repayment, and the Steven M. Thompson  
               Physician Loan Repayment Program (STLRP)

          6)Medically Underserved Account for Physicians 
             a)   Funded through a $25.00 surcharge for renewal of  
               allopathic physician licenses in California and through the  
               Managed Care Administrative Fines and Penalties Fund.
             b)   STLRP supports recently licensed physicians

          Those students and graduates who receive awards from the  
          Foundation are dedicated to practicing direct patient care in  
          medically underserved areas of California. Service obligations  
          are typically one to four years and vary depending on the  
          program.

           REGISTERED SUPPORT / OPPOSITION  :   









                                                                  AB 2551
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           Support 
           
          United Nurses Association of California/Union of Health Care  
          Professionals

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Sarah Weaver / B.,P. & C.P. / (916)  
          319-3301