BILL ANALYSIS                                                                                                                                                                                                    �




                                          
                            SENATE COMMITTEE ON EDUCATION
                                  Carol Liu, Chair
                              2013-2014 Regular Session
                                          

          BILL NO:       ACR 1
          AUTHOR:        Medina
          INTRODUCED:    December 3, 2012
          FISCAL COMM:   No             HEARING DATE:  June 5, 2013
          URGENCY:       No             CONSULTANT:Daniel Alvarez

           SUBJECT  :  University of California: UC Riverside (UCR) School of  
          Medicine.
          
           SUMMARY  

          This resolution states that the University of California,  
          Riverside School of Medicine serves an important role in the  
          State of California by training a diverse workforce of  
          physicians and providing health care to an underserved region.

           BACKGROUND 

          UC Riverside's history in medical education dates back to 1974,  
          when the 
          UCR / UC Los Angeles (UCLA) program in biomedical sciences was  
          established.  The collaboration between the two campuses  
          educates 28 first-year and 28-second year medical students at  
          UCR, after which the students leave the region to finish years 3  
          and 4 at UCLA and to do their medical residencies. This  
          collaboration has enabled approximately 700 students to complete  
          their initial years of medical school at UCR, and their last two  
          years at UCLA where they are conferred their medical degrees.   
          In 2008, the UC Regents fully endorsed the curriculum and  
          development of a medical school on the UCR campus.

          Section 9, Article IX of the State Constitution creates the  
          University of California to be administered by the Regents with  
          full powers of organization and government. 

           ANALYSIS

          This resolution  makes specific findings and states that the  
          University of California, Riverside School of Medicine serves an  
          important role in the State of California by training a diverse  
          workforce of physicians and providing health care to an  







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          underserved region.

           STAFF COMMENTS  

           1)   Further background  .  According to the author, Inland  
               Southern California has one of the most severe shortages of  
               primary care physicians in the nation.  Both Riverside and  
               San Bernardino counties only have 36 and 44 primary care  
               physicians per 100,000 residents, far below the federally  
               recommended ratios of 60 to 80 physicians. This crisis will  
               only worsen unless more doctors are educated and trained  
               locally. The University of California, Riverside School of  
               Medicine is the key component to begin addressing the  
               severe shortage of primary care physicians in the region.   
               In addition, the community has pledged $10 million per year  
               for ten years with the belief that state support is also a  
               crucial component of shared responsibility in the region.   
               Some of the local funds are subject to a three-year or  
               five-year review, and without state support there is an  
               imminent danger these funds will be withdrawn jeopardizing  
               the School of Medicine's accreditation when it is up for  
               review before the Licensing Committee on Medical Education  
               in 2014.

           2)   California Postsecondary Education Commission (CPEC).    
               Prior to 2011, CPEC was charged, among other things, with  
               reviewing proposals for new academic and vocational  
               programs at California's public colleges and universities  
               and with making recommendations to the Legislature and  
               Governor.  In 2008, the CPEC found that the University of  
               California (UC) proposal to establish a School of Medicine  
               at the Riverside campus fully meets the Commission's  
               Guidelines for Approval of New Programs.  It was also  
               recommended the UC consider establishing the medical school  
               at a later date when the state's economic and fiscal  
               conditions are more favorable.

           3)   Related legislation  .  SB 21 (Roth) appropriates on an  
               annual basis $15 million to the University of California  
               for the school of medicine on the Riverside campus.  This  
               bill passed on a 9-0 vote in this committee. It is  
               currently pending committee referral in the Assembly.

           4)   Past legislation  .  AB 1309 (Miller, 2012) would have  
               appropriated $15 million, from an expected settlement, to  







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               the UC for the UC Riverside School of Medicine. This  
               measure was held in the Senate Appropriations Committee.

           SUPPORT  

          None on file.
           
          OPPOSITION

           None on file.