BILL ANALYSIS                                                                                                                                                                                                    �



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          Date of Hearing:   April 9, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                 AB 2232 (Gray) - As Introduced:  February 21, 2014 

          Policy Committee:                              Higher  
          EducationVote:13-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:               

           SUMMARY  

          This bill:

          1)Appropriates $1,855,000 from the General Fund annually,  
            beginning in 2015-16, to the University of California (UC) to  
            support the San Joaquin Valley Program in Medical Education  
            (PRIME) at UC Merced and to expand enrollment to 12 students  
            per year (48 students total across a four-year curriculum).

          2)Appropriates $1 million from the General Fund to UC for  
            2014-15 to undertake planning for the establishment of a  
            medical school at UC Merced. UC is to report its plan and  
            funding requirements and development schedule for the medical  
            school by March 1, 2016.

           FISCAL EFFECT  

          1)One-time cost of $1 million and ongoing cost of $1,855,000 as  
            specified in the bill.

          2)Cost to develop and operate a new medical school would be  
            several tens of millions of dollars one-time and low tens of  
            millions of dollars ongoing.

          COMMENTS  

           1)Background  . UC operates 18 health professional schools and  
            programs, including six medical schools (Davis, Irvine, Los  
            Angeles, Riverside, San Diego, and San Francisco). In 2012-13,  
            total enrollment in UC medical schools was approximately 3,000  
            medical students and more than 4,000 medical residents and  








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            fellows.  


            UC PRIME is a training program focused on meeting the needs of  
            California's underserved populations in both rural communities  
            and urban areas by combining specialized coursework,  
            structured clinical experiences, advanced independent study  
            and mentoring. Five of UC's medical schools operate PRIMEs.  



            UC Merced currently offers degrees in fields that satisfy  
            medical school preparatory requirements and is developing  
            plans intended to lead to a School of Medicine.  In 2011, UC  
            Merced opened a PRIME in partnership with the UC Davis School  
            of Medicine and UCSF focused the health needs of the San  
            Joaquin Valley. 

           2)Purpose  . The UC Merced PRIME to date has not received state  
            funding support. This bill funds support for the existing  
            program and expansion of enrollment from six to 12 students  
            per year (48 students total), which would make the program  
            comparable in size to the other PRIMEs. In addition, the bill  
            provides funding to plan for a new medical school at UC  
            Merced.

            According to the author, "despite its numerous benefits for  
            the region PRIME lacks an ongoing source of funding for its  
            current enrollment as well as the financial resources to  
            expand capacity to meet the needs of the valley.   
            Additionally, state support is vital to the continued  
            expansion of the campus of UC Merced and to lay the foundation  
            of a new UC Medical School."

           3)Related Legislation  . SB 841 (Cannella), as introduced, was  
            identical to this bill but was amended by the Senate Education  
            Committee to remove the appropriation and accompanying  
            language in support of planning for a medical school.  

            The 2013 Budget Act included trailer bill language requiring  
            UC to allocate $15 million for planning and startup costs  
            associated with academic programs to be offered by the School  
            of Medicine at UC Riverside.

           Analysis Prepared by  :    Chuck Nicol / APPR. / (916) 319-2081 








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