Amended in Assembly January 6, 2014

California Legislature—2013–14 Regular Session

Assembly Bill No. 589

Introduced by Assembly Member Fox

February 20, 2013

An act to add and repeal Article 21.7 (commencing with Section 70015) of Chapter 2 of Part 42 of Division 5 of Title 3 of the Education Code, relating to medical education.

LEGISLATIVE COUNSEL’S DIGEST

AB 589, as amended, Fox. Medical education: underrepresented medical specialties.

Existing law establishes the Student Aid Commission as the primary state agency for the administration of state-authorized student financial aid programs available to students attending all segments of postsecondary education.

Existing law establishes various begin insert educational end insert loan assumption programs, administered by the commission, under which a qualified person enrolled in an institution of postsecondary education and participating in that loan assumption program is eligible to receive a conditional warrant for loan assumption, to be redeemed upon meeting the conditions of the loan assumption agreement.

This bill would begin insert enact the Dolores H. Fox Underrepresented Medical Specialties Act, which would end insert establish a loan assumption program for physicians working full time in California practicing in underrepresented specialties, as defined. This program would provide loan assumption benefits to persons who agree to work full time for 4 consecutive years in California as physicians practicing in underrepresented specialties, as specified. The program provides for a progressive assumption of the amount of a qualifying loan over 4 consecutive years of qualifying practice, up to a total loan assumption of $20,000. The bill would require that, in any fiscal year, the commission award no more than the number of warrants that are authorized in the Budget Act for that fiscal year for the assumption of loans pursuant to the program. This program would become inoperative on July 1, begin delete 2019 end delete begin insert 2020 end insert , and would be repealed on January 1, begin delete 2020 end delete begin insert 2021 end insert .

Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no.

The people of the State of California do enact as follows:

SECTION 1.  

Article 21.7 (commencing with Section 70015)
is added to Chapter 2 of Part 42 of Division 5 of Title 3 of the Education Code, to read:

 

Article 21.7.  Underrepresented Medical Specialties

 

70015.  

begin insert

(a) (1) This article shall be known and may be cited
as the “Dolores H. Fox Underrepresented Medical Specialties
Act.”

end insert begin delete

(a) (1)  Any

end delete

begin insert (2) end insert begin insert   end insert begin insert Any end insert person enrolled in an eligible institution, or any person
who agrees to work full time in California practicing as a physician
in an underrepresented specialty, may be eligible to enter into an
agreement for loan assumption, to be redeemed pursuant to Section
70015.5 upon becoming employed in California as a physician
practicing in an underrepresented specialty. In order to be eligible
to enter into an agreement for loan assumption, an applicant shall
satisfy all of the conditions specified in subdivision (b).

begin delete

(2)

end delete

begin insert (3) end insert  As used in this article, “eligible institution” means a
postsecondary institution that is determined by the Student Aid
Commission to meet both of the following requirements:

(A) The institution is eligible to participate in state and federal
financial aid programs.

(B) The institution maintains an accredited program of
professional preparation for licensing as a physician in California.

begin delete

(3)

end delete

begin insert (4) end insert  As used in this article, “underrepresented specialty” means
any medical specialty field designated by the Medical Board of
California as underrepresented in California pursuant to subdivision
(e).

(b) (1) The applicant has been admitted to, or is enrolled in, or
has successfully completed, an accredited program of professional
preparation for licensing as a physician in California.

(2) The applicant is currently enrolled, or has been admitted to
a program in which he or she will be enrolled, on a full-time basis,
as determined by the participating institution. The applicant shall
agree to maintain satisfactory academic progress and a minimum
of full-time enrollment, as defined by the participating eligible
institution.

(3) The applicant has been judged by his or her postsecondary
institution to have outstanding ability on the basis of criteria that
may include, but need not be limited to, any of the following:

(A) Grade point average.

(B) Test scores.

(C) Faculty evaluations.

(D) Interviews.

(E) Other recommendations.

(4) The applicant has received, or is approved to receive, a loan
under one or more of the following designated loan programs:

(A) The Federal Family Education Loan Program (20 U.S.C.
Sec. 1071 et seq.).

(B) Any loan program approved by the Student Aid
Commission.

(5) The applicant has agreed to work full time for at least four
consecutive years in California as a physician practicing in begin delete a end delete begin insert an end insert
underrepresented specialty.

(c) No applicant who has completed fewer than 60 semester
units, or the equivalent, shall be eligible under this section to
participate in the loan assumption program set forth in this article.

(d) A person participating in the program pursuant to this section
shall not enter into more than one agreement under this article.

(e) On or before March 1, begin delete 2014 end delete begin insert 2015 end insert , and on or before March
1 of each begin delete even-numbered end delete begin insert odd-numbered end insert year thereafter, the
Medical Board of California shall designate one or more medical
practice areas that the board deems to be specialties that are
underrepresented in California as of the date of the designation,
and prominently post a list of these medical practice areas on its
Internet Web site.

70015.5.  

The commission shall commence loan assumption
payments, as specified in Section 70016, upon verification that
the applicant has fulfilled all of the following:

(a) The applicant has become a physician licensed to practice
in California.

(b) The applicant is working full time in California as a
physician practicing in an underrepresented specialty.

(c) The applicant has met the requirements of the agreement
and all other pertinent conditions of this article.

70016.  

The terms of a loan assumption granted under this
article shall be as follows, subject to the specific terms of each
agreement:

(a) After a program participant has completed one year of
full-time employment as described in subdivision (b) of Section
70015.5, the commission shall assume up to five thousand dollars
($5,000) of the participant’s outstanding liability under one or
more of the designated loan programs.

(b) After a program participant has completed two years of
full-time employment as described in subdivision (b) of Section
70015.5, the commission shall assume up to an additional five
thousand dollars ($5,000) of the participant’s outstanding liability
under one or more of the designated loan programs, for a total loan
assumption of up to ten thousand dollars ($10,000).

(c) After a program participant has completed three years of
full-time employment as described in subdivision (b) of Section
70015.5, the commission shall assume up to an additional five
thousand dollars ($5,000) of the participant’s outstanding liability
under one or more of the designated loan programs, for a total loan
assumption of up to fifteen thousand dollars ($15,000).

(d) After a program participant has completed four years of
full-time employment as described in subdivision (b) of Section
70015.5, the commission shall assume up to an additional five
thousand dollars ($5,000) of the participant’s outstanding liability
under one or more of the designated loan programs, for a total loan
assumption of up to twenty thousand dollars ($20,000).

70016.5.  

(a) Except as provided in subdivision (b), if a program
participant fails to complete a minimum of four consecutive years
of full-time employment as required by this article, under the terms
of the agreement pursuant to paragraph (5) of subdivision (b) of
Section 70015, the participant shall retain full liability for all
student loan obligations remaining after the commission’s
assumption of loan liability for the last year of qualifying service
as a physician practicing in an underrepresented specialty pursuant
to Section 70016.

(b) Notwithstanding subdivision (a), if a program participant
becomes unable to complete one of the four consecutive years of
qualifying service as a physician practicing in an underrepresented
specialty due to serious illness, pregnancy, or other natural causes,
the term of the loan assumption agreement shall be extended for
a period not to exceed one year. The commission shall make no
further payments under the loan assumption agreement until the
applicable work requirements as specified in Section 70015.5 begin delete have
been end delete begin insert are again end insert satisfied.

(c) If a natural disaster prevents a program participant from
completing one of the required years of work due to an interruption
of employment, the term of the loan assumption agreement shall
be extended for the period of time equal to the period from the
interruption of employment until the resumption of employment.
The commission shall make no further payments under the loan
assumption agreement until the applicable employment
requirements specified in Section 70015.5 begin delete have been end delete begin insert are again end insert
satisfied.

70017.  

(a) The commission shall administer this article, and
shall adopt rules and regulations for that purpose. The rules and
regulations shall include, but need not be limited to, provisions
regarding the period of time during which an agreement shall
remain valid, the reallocation of resources in light of agreements
that are not used by program participants, the failure, for any
reason, of a program participant to complete a minimum of four
consecutive years of qualifying service as a physician practicing
in an underrepresented specialty, and the development of
projections for funding purposes.

(b) If a provision is added to this article and the commission
deems it necessary to adopt a rule or regulation to implement that
provision, the commission shall develop and adopt that rule or
regulation no later than six months after the operative date of the
statute that adds the provision.

70017.5.  

On or before January 31, begin delete 2015 end delete begin insert 2016 end insert , and on or before
each January 31 thereafter until, and including, January 31, begin delete 2019 end delete
begin insert 2020 end insert , the commission shall report annually to the Legislature
regarding both of the following, on the basis of sex, age, and
ethnicity:

(a) The total number of program participants and the type of
program of professional preparation they are attending or have
attended.

(b) The numbers of participants who complete one, two, three,
or four years of qualifying service as a physician practicing in an
underrepresented begin delete specialty, respectively. end delete begin insert specialty. end insert

70018.  

On or before May 1, begin delete 2018 end delete begin insert 2019 end insert , the Legislative
Analyst’s Office shall submit a report to the Legislature that
includes the findings and recommendations of the Legislative
Analyst with respect to the efficacy of the program established by
this article.

70018.5.  

Reports pursuant to Sections 70017.5 and 70018 shall
be submitted pursuant to Section 9795 of the Government Code.

70019.  

In selecting applicants for participation in this program,
the commission shall grant priority to applicants who, in the
determination of the commission, are included in any of the
following categories:

(a) Persons who possess a baccalaureate degree at the time of
initial application.

(b) Persons who are enrolled in an accelerated program of
professional preparation for licensing as a physician in California.

(c) Persons who are recipients of federally subsidized student
loans or other need-based student loans.

70019.5.  

Notwithstanding any other law, in any fiscal year,
the commission shall award no more than the number of warrants
that are authorized in the annual Budget Act for that fiscal year
for the assumption of loans pursuant to this article.

70019.9.  

This article shall become inoperative on July 1, begin delete 2019 end delete
begin insert 2020 end insert , and, as of January 1, begin delete 2020 end delete begin insert 2021 end insert , is repealed, unless a later
enacted statute, that becomes operative on or before January 1,
begin delete 2020 end delete begin insert 2021 end insert , deletes or extends the dates on which it becomes
inoperative and is repealed.