BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 2551                                      
          A
          AUTHOR:        Hernandez                                    
          B
          AMENDED:       April 26, 2010                              
          HEARING DATE:  June 30, 2010                                
          2
          CONSULTANT:                                                 
          5
          Orr/cjt                                                     
          5                                                           
          1              
                                        
                                     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. 

                             CHANGES TO EXISTING LAW 

          Existing law: 

          Establishes the California Pharmacist Scholarship and Loan  
          Repayment Program, administered by the Office of Statewide  
          Health Planning and Development (OSHPD), 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. 



          Establishes the California Pharmacist Scholarship and Loan  
          Repayment Program Fund in the State Treasury, which is  
          funded by voluntary contributions made by pharmacies or  
                                                         Continued---



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          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.


          Authorizes the Health Professions Education Foundation  
          (HPEF) to implement various loan repayment programs for  
          nurses, mental health service providers, and physicians.
          
          This bill: 
          Establishes the California Pharmacy Technician Scholarship  
          and Loan Repayment Program (Program) within the HPEF to pay  
          for the educational expenses of pharmacy technician school  
          students and to repay qualifying educational loans for  
          pharmacy technicians who agree to participate in medically  
          underserved areas.

          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, with specified  
          exceptions. Permits the HPEF to solicit and receive funds  
          from business, industry, foundations, and other private and  
          public sources for the Program.

          Requires the Program be implemented only to the extent that  
          sufficient money is available to administer the Program and  
          establishes the Program Fund in the State Treasury for any  
          private or public funds to the Program. 

          
                                  FISCAL IMPACT  

          According to the Assembly Appropriations Committee  
          analysis, no direct fiscal impact is created by authorizing  
          the Health Professions Education Foundation within OSHPD to  
          accept donations to support the loan fund established by  
          this bill. 

          Several other similar health professions loan programs are  
          supported by surcharges included in annual licensure  
          processes. This bill does not contain a similar  
          self-funding mechanism.





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                            BACKGROUND AND DISCUSSION  

          According to the author's office, pharmacy technicians  
          (PTs) are the second largest field within Allied Health.  
          Yet, 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  
          [approximately] $1,664 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 a PT, so most  
          students rely on private, costly education to become  
          licensed.

          In addition to preparing, packaging, and distributing  
          prescriptions, the author claims that 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. The author claims  
          that California is one of the bottom five states with the  
          greatest unmet demand for PTs.

          Pharmacy technicians
          The primary role of a pharmacy technician is to assist  
          pharmacists in preparing and dispensing medication.  Under  
          the direction of a pharmacist, they may measure, mix,  
          count, label, and record amounts and dosages of  
          medications.  They may also clean equipment and sterilize  
          glassware, count stock and maintain medication inventory  
          records. The scope of practice of a pharmacy technician  
          excludes all functions of a registered pharmacist.   
          Statewide, there are more than 51,000 pharmacy technicians  
          working under the supervision of more than 35,000 licensed  




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          pharmacists. 

          Generally, in order to qualify for licensure as a pharmacy  
          technician, applicants must obtain an Associate Degree in  
          Pharmacy Technology, complete a training course accredited  
          by the American Society of Health-System Pharmacists,  
          complete a course that provides a minimum of 240 hours of  
          instruction in specified pharmacy-related areas, or  
          graduate from a school of pharmacy accredited by the  
          American Council on Pharmaceutical Education.  

          Health Professions Education Foundation

          The HPEF provides scholarships and loan repayments to  
          aspiring and practicing health professionals who agree to  
          provide direct patient care in a medically underserved  
          area, as designated by the Office of Statewide Health  
          Planning and Development (OSHPD). Service obligations are  
          typically one to four years and vary depending on the  
          program. 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.   



          Most of the scholarships and loan repayments are funded  
          through surcharges attached to license renewals, grants,  
          and public and private contributions, with a few  
          exceptions. The Mental Health Loan Assumption Program  
          receives funding from Proposition 63, the Mental Health  
          Services Act passed by voters in 2004, and the Medically  
          Underserved Account for Physicians receives additional  
          funding from the Managed Care Administrative Fines and  
          Penalties Fund.  

          The Allied Healthcare Scholarship Program is available  
          under current law to pharmacy technician students. Awards  
          are also available to students in other allied health care  
          programs including medical laboratory technology,  
          occupational therapy, physical therapy, and respiratory  
          care.




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          Related bills
          SB 615 (Oropeza) of 2007 was similar to this bill and was  
          vetoed due to concerns about duplicative efforts with  
          regard to the current Allied Healthcare Scholarship  
          Program. 

                                  PRIOR ACTIONS

           Senate Business and Professions and Economic Development:    
              5- 1 
          Assembly Business, Professions and Consumer Protection:      
                 7-  4
          Assembly Appropriations:                         11- 5
          Assembly Floor:                                  50-27
           
           




                                    POSITIONS  
                                        
          Support:  None received

          Oppose:  None received


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