BILL ANALYSIS                                                                                                                                                                                                    �



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          Date of Hearing:  June 12, 2012

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                  SB 635 (Ed Hernandez) - As Amended:  May 31, 2011

           SENATE VOTE  :  39-0
           
          SUBJECT  :  Health care: workforce training.

           SUMMARY  :  Requires funds deposited into the Managed Care 
          Administrative Fines and Penalties Fund (Managed Care Fund) in 
          excess of $1 million to be transferred each year to the Office 
          of Statewide Health Planning and Development (OSHPD) for the 
          purpose of the Song-Brown Health Care Workforce Training Act of 
          1973 (Song-Brown), as specified.  Specifically,  this bill  :  

          1)Provides that transfers of funds from the Managed Care Fund to 
            the Major Risk Medical Insurance Fund (MRMIF) for the Major 
            Risk Medical Insurance Program (MRMIP) shall cease on the date 
            that MRMIP becomes inoperative.  Requires the Department of 
            Finance to notify the Joint Legislative Budget Committee at 
            the time that MRMIP becomes inoperative.

          2)Indicates that commencing with the date that the transfers of 
            funds under 1) above cease, any amount over the $1 million, 
            including accrued interest, in the Managed Care Fund shall be 
            transferred to OSHPD for deposit in the Song-Brown Program 
            Account, and shall upon appropriation by the Legislature, be 
            used for the purposes specified in Song-Brown.

           EXISTING LAW  :  

          1)Establishes MRMIP, administered by the Managed Risk Medical 
            Insurance Board (MRMIB), to provide state subsidized health 
            insurance for individuals who, because of health history or 
            health status have been denied health coverage by at least one 
            private health plan, or are offered only limited coverage or 
            coverage significantly above standard average individual 
            rates, as determined by MRMIB.  Creates MRMIF for purposes of 
            MRMIP.

          2)Establishes the Department of Managed Health Care (DMHC) to 
            regulate health plans under the Knox-Keene Health Care Service 
            Plan Act of 1975 (Knox-Keene).  Authorizes the Director of 








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            DMHC to take various enforcement actions for violations of 
            Knox-Keene, including the imposition of fines and penalties.

          3)Requires fines and penalties collected by DMHC in the 
            implementation of Knox-Keene to be deposited in the Managed 
            Care Fund.

          4)Requires the fines and administrative penalties deposited into 
            the Managed Care Fund to be transferred to the DMHC beginning 
            September 1, 2009, and annually thereafter, as follows:

             a)   The first $1 million to be transferred to the Medically 
               Underserved Account for Physicians within the Health 
               Professions Education Fund for purposes of the Steven M. 
               Thompson Physician Corps Loan Repayment Program (Physician 
               Loan Repayment Program), as specified.
             b)   Any amount over the first $1 million, including accrued 
               interest, in the Managed Care Fund shall be transferred to 
               MRMIF to be used for MRMIP, as specified.  

          5)Establishes by January 1, 2014, under the federal Patient 
            Protection and Affordable Care Act (ACA), health benefit 
            insurance exchanges in each state for individuals and small 
            businesses to purchase health insurance products.  Grants 
            authority to states to operate an exchange and prohibits 
            insurers participating in the exchange from discriminating 
            based on pre-existing conditions, health status, and gender.

          6)Establishes, under the ACA, the Pre-existing Condition 
            Insurance Program, a federally subsidized temporary high risk 
            health insurance pool program to provide coverage to currently 
            uninsured individuals with pre-existing conditions and 
            provides an option for states to administer the program.

          7)Establishes Song-Brown to increase the number of students and 
            residents receiving quality education and training in the 
            specialty of family practice and as primary care physician's 
            assistants, primary care nurse practitioners, and registered 
            nurses and to maximize the delivery of primary care family 
            physician services to specific areas of California where there 
            is a recognized unmet priority need.  Provides that Song-Brown 
            is to be implemented through contracts with accredited medical 
            schools, and other programs that train the above 
            practitioners. 









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          8)Establishes the Physician Loan Repayment Program in the 
            California Physician Corps Program to provide financial 
            incentives, as specified, to physicians and surgeons for 
            practicing in a medically underserved community.

          9)Establishes the Health Professions Education Foundation (HPEF) 
            within OSHPD, among other functions, to develop criteria for 
            evaluating applicants for various scholarships or loans and to 
            implement the Physician Loan Repayment Program and the 
            Volunteer Physician Program, as specified.

           FISCAL EFFECT  :  According to the Senate Appropriations 
          Committee:

                            Fiscal Impact (in thousands)

           Major Provisions      2011-12       2012-13        2013-14         Fund  

          Redirection of General          $2,000 - $3000 annually, 
          commencing          General
          Fund revenue             January 1, 2014, and ongoing

          MRMIP cost pressure $2,000 - $3,000 annually, commencing      
          General
                                    January 1, 2014, and ongoing

          Increase in Song-Brown          $2,000 - $3,000 annually, 
          commencing          Special*
          Program funds             January 1, 2014, and ongoing

          *Fund into which the monies would be deposited is unspecified.


           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  The author is the sponsor of this bill. 
             According to the author, this bill is necessary because the 
            state has a dramatic shortage of health care professionals.  
            Adding to the urgency and depth of the problem is the 2014 
            date of full implementation of the ACA, which will put an 
            estimated 4.7 million Californians into the health care 
            system.  The shortage of health care workers is a widely 
            recognized problem not only in California, but nationwide.  
            However, the author believes that the discussion of this 
            problem often focuses solely on the shortage of primary care 








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            physicians without addressing the related problem of the 
            shortages of other health professionals, especially those who 
            are able to assist in providing primary care.  This bill will 
            help the state address the shortage of primary care providers 
            in underserved areas by supplementing funding for Song-Brown, 
            which funds family practice residency programs, physician 
            assistant, nurse practitioner, and registered nurse education 
            programs.  The author points out that due to the passage of 
            the ACA, MRMIP will no longer be needed as of January 1, 2014, 
            and this bill will take effect on that date.

           2)BACKGROUND  .  

              a)   Beneficiaries of the Managed Care Fund  .  Existing law 
               establishes the Managed Care Fund for the purpose of 
               depositing fines and penalties collected by DMHC from 
               health plans for any violation of Knox-Keene.  The first $1 
               million in the Managed Care Fund is transferred each year 
               to the Medically Underserved Account for Physicians for 
               purposes of the Physician Loan Repayment Program, and the 
               remainder of the funds are transferred to the MRMIF for 
               MRMIP. 

             The Physician Loan Repayment Program that was originally 
               within the Medical Board of California (MBC) but was 
               eventually transferred to OSHPD, is one of the programs 
               administered by the HPEF.  The Physician Loan Repayment 
               Program was established to encourage physicians to practice 
               in medically underserved areas (MUAs) of California by 
               authorizing a plan for repayment of their educational 
               loans.  Licensed physician graduates who are practicing 
               direct patient care within the state may apply for a grant. 
                An awardee may receive up to $105,000 to repay educational 
               debt if he or she commits to a three-year service 
               obligation practicing in direct patient care in a MUA in 
               California.  According to the U.S. Health Resources and 
               Services Administration (HRSA), MUAs and medically 
               underserved populations have shortages of primary medical 
               care, dental or mental health providers and may be 
               designated based on geographic (a county or service area), 
               or demographic (low income, Medicaid-eligible populations, 
               cultural and/or linguistic access barriers to primary 
               medical care services) criteria.

             Since 1991, MRMIB has operated MRMIP which is a state program 








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               that offers health insurance to Californians who are unable 
               to obtain coverage in the individual insurance market.  
               Services are delivered through licensed health insurance 
               plans.  Most of MRMIP's funding comes from the Proposition 
               99 Cigarette and Tobacco Products Surtax Funds.  Transfers 
               from the Managed Care Fund for MRMIP are as follows: 
               2009-10: $2,082,000; 2010-11: $3,678,000; and, 2011-12:  
               $2,416,000 (estimated).  The Governor's 2012-13 Budget 
               includes a proposal to transfer MRMIP to the Department of 
               Health Care Services by July 2013.  If this bill is enacted 
               on the date that MRMIP becomes inoperative, all funds from 
               the Managed Care Fund for MRMIP will be re-directed to 
               OSHPD for Song-Brown.

              b)   Song-Brown  .  Song-Brown, administered by OSHPD, was 
               established in 1973 to increase the number of health 
               professional training slots in established medical schools. 
                According to OSHPD, support is provided to institutions 
               (not individual students) that provide clinical training 
               for family medicine residents, family nurse practitioners 
               (FNP), physician assistants (PA) and registered nurses 
               (RN).  Song-Brown funds are used to train and educate 
               residents and students by providing clinical training in 
               underserved areas (Health Professional Shortage Areas, 
               MUAs, Medically Underserved Populations, Primary Care 
               Shortage Areas, and Registered Nurse Shortage Areas), who 
               provide health care to the state's underserved population.  
               This provides residents and students with experience and 
               exposure, increases access to health care, and provides 
               health care to the underserved.  OSHPD indicates that 
               Song-Brown awards over $7.1 Million annually to 
               institutions and currently funds the following: i) thirty 
               out of 38 family practice residency training programs; ii) 
               seven out of 22 FNP programs; iii) five out of 10 PA 
               programs; iv) one combined FNP/PA program; and, v) 
               thirty-two out of 132 RN education programs in the State 
               which includes Associates, Baccalaureate, and Masters level 
               programs.  The outcomes for 2010-11 are as follows: 58% of 
               family practice graduates practice in areas of unmet need; 
               62% of FNP & PA graduates practice in areas of unmet need; 
               58% of registered nurse graduates practice in areas of 
               unmet need; and, 745,186 patient encounters were provided 
               by Song-Brown funded family practice residents, FNPs, and 
               PAs.









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           c)Healthcare Workforce Shortage  .  On March 23, 2010, President 
            Obama signed the ACA (Public Law (PL) 111-148), as amended by 
            the Health Care and Education Reconciliation Act of 2010 (PL 
            111-152).  Among other provisions, the new law requires most 
            U.S. citizens and legal residents to have health insurance; 
            creates state-based American Health Benefit Exchanges through 
            which individuals can purchase coverage, with premium and cost 
            sharing credits, as specified, and creates separate exchanges 
            through which small businesses can purchase coverage.  
            According to experts, implementation of the ACA will create 
            more pressures for an adequate healthcare workforce in 
            California.  A 2011 study by the Center for the Health 
            Professions of the University of California, San Francisco 
            entitled "California's Health Care Workforce: Readiness for 
            the ACA Era" indicates that with California's implementation 
            of the ACA, four to six million more Californians will obtain 
            coverage.  As such, there is a need not only for a sufficient 
            number of providers but also providers who can meet the needs 
            of a diverse and changing public.  Specifically, the study 
            points out that primary care will be the area most immediately 
            affected because preventive care and chronic disease 
            management become increasingly important.

          In March 2012, the Senate Health Committee conducted two 
            informational hearings relating to healthcare workforce and 
            the ACA.  The hearings explored the supply, and expected 
            demand for various healing arts practitioners as part of ACA 
            implementation.  Additionally, several options were discussed 
            to address workforce needs.

           3)SUPPORT  .  The California Academy of Family Physicians states 
            that this bill will improve the primary care workforce in 
            California and address the shortage of primary care 
            physicians.  The City of Hope indicates that healthcare 
            facilities already face a workforce shortage, especially in 
            specialized care, and this bill ensures that patients receive 
            the best care possible.

           4)OPPOSE UNLESS AMENDED  .  The California Nurses Association 
            (CNA) has an oppose unless amended position and requests that 
            this bill prohibit funds that are redirected to Song-Brown 
            from being awarded to private programs.  CNA believes that 
            funds collected by the State should be awarded solely to 
            public programs.  









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           5)RELATED LEGISLATION  .  AB 589 (Perea) establishes the Steven M. 
            Thompson Medical School Scholarship Program to promote the 
            education of medical doctors and doctors of osteopathy, as 
            specified.  AB 589 is pending in the Senate Appropriations 
            Committee.

           6)PREVIOUS LEGISLATION  .  

             a)   AB 2551 (Hernandez) of 2010, would have established the 
               Health Workforce Development Fund, consisting of moneys 
               received from federal and private sources, as specified, 
               and would have authorized the Fund to be used, upon 
               appropriation by the Legislature, for prescribed purposes 
               relating to health workforce development, and required the 
               California Workforce Investment Board (CWIB) and OSHPD to 
               report specified information to the Legislature annually as 
               specified.  AB 2551 failed passage on the Senate floor.

             b)   AB 657 (Hernandez) of 2009, would have required OSHPD, 
               in collaboration with the CWIB, to establish the Health 
               Professions Workforce Task Force composed of specified 
               members, to assist in the development of a health 
               professions workforce master plan for the state, and would 
               prescribe the functions and duties of the task force in 
               that regard.  AB 657 was vetoed by the Governor, who stated 
               in his veto message that AB 657 was unnecessary and 
               duplicative of efforts already underway.

             c)   AB 2375 (Hernandez) of 2008, would have required OSHPD 
               to establish the Health Professions Workforce Task Force, 
               as specified, to assist in the development of a health 
               professions workforce master plan.  AB 2375 was held in the 
               Senate Appropriations Committee.

             d)   AB 2439 (De La Torre), Chapter 640, Statutes of 2008, 
               requires the MBC to assess an additional $25 fee for the 
               initial license and license renewal of a physician or 
               surgeon to support the Physician Loan Repayment Program.  
               Requires up to 15% of the funds collected from the 
               additional $25 fee to be dedicated to loan assistance for 
               physicians who agree to practice in geriatric care 
               settings, as specified.

             e)   AB 2543 (Berg) of 2008 would have established the 
               California Geriatric and Gerontology Student Loan 








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               Assistance Program of 2008, which would have been 
               administered by OSHPD for purposes of providing loan 
               assistance to students who intend to become employed as 
               licensed health care professionals or social workers in a 
               geriatric care setting, as specified.  AB 2549 was vetoed 
               by Governor Arnold Schwarzenegger, and in his veto message 
               he stated, "the provisions of this bill place an additional 
               licensing fee on an entire profession to provide 
               specialized loan assistance grants beyond the $10 surcharge 
               they already pay for the Mental Health Service Provider 
               Education Program.  Unfortunately, this bill is 
               double-assessing the same profession for similar programs."

             f)   AB 327 (De La Torre), Chapter 293, Statutes of 2005, 
               requires the MBC to assess an applicant a $50 fee for the 
               issuance and renewal of a physician and surgeon's 
               certificate.  Specifies that payment of the fee is 
               voluntary and directs the fees collected to the Medically 
               Underserved Account for the Physician Loan Repayment 
               Program.

             g)   AB 920 (Aghazarian), Chapter 317, Statutes of 2005, 
               provides for the transfer of the Physician Loan Repayment 
               Program, and the Physician Volunteer Program from the MBC 
               to the California Physician Corps Program within HPEF, 
               effective July 1, 2006.

             h)   AB 1403 (Nu�ez), Chapter 367, Statutes of 2002, renames 
               the California Physician Corps Loan Repayment Program of 
               2002 as the Physician Loan Repayment Program.

             i)   AB 982 (Firebaugh), Chapter 1131, Statutes of 2002, 
               creates the California Physician Corps Loan Repayment 
               Program of 2002, to be administered by the Division of 
               Licensing of MBC for the purpose of granting loan repayment 
               awards to physicians and surgeons working in medically 
               underserved communities.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          Association of California Healthcare Districts
          California Academy of Family Physicians 
          California Academy of Physician Assistants








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          California Association for Nurse Practitioners
          California Hospital Association
          California Primary Care Association
          City of Hope
          Community Clinic Association of Los Angeles County 
          Community Clinic Consortium 
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Rosielyn Pulmano / HEALTH / (916) 
          319-2097