BILL ANALYSIS                                                                                                                                                                                                    �



                                                               AB 2232
                                                               Page  1


       ASSEMBLY THIRD READING
       AB 2232 (Gray)
       As Amended  May 23, 2014
       Majority vote 

        HIGHER EDUCATION    13-0        APPROPRIATIONS      17-0        
        
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       |Ayes:|Williams, Ch�vez, Bloom,  |Ayes:|Gatto, Bigelow,           |
       |     |Fong, Fox, Jones-Sawyer,  |     |Bocanegra, Bradford, Ian  |
       |     |Levine, Linder, Medina,   |     |Calderon, Campos,         |
       |     |Olsen, Quirk-Silva,       |     |Donnelly, Eggman, Gomez,  |
       |     |Weber, Wilk               |     |Holden, Jones, Linder,    |
       |     |                          |     |Pan, Quirk,               |
       |     |                          |     |Ridley-Thomas, Wagner,    |
       |     |                          |     |Weber                     |
       |-----+--------------------------+-----+--------------------------|
       |     |                          |     |                          |
        ----------------------------------------------------------------- 
        SUMMARY  :  Would appropriate funding to the University of California  
       (UC) to support the UC Merced Programs in Medical Education Program  
       (PRIME) and a study of the creation of a permanent medical school at  
       UC Merced.  Specifically,  this bill  :  

       1)Finds and declares that the federal Patient Protection and  
         Affordable Care Act will result in millions of previously uninsured  
         Californians seeking health services, resulting in a projected  
         physician shortfall of 17,000 by 2015; the San Joaquin Valley faces  
         health care access 31% lower than the rest of the state and many  
         regions are designated Medically Underserved Areas (MUAs); funding  
         the UC Merced Program in Medical Education (PRIME) is key to meeting  
         the region's needs.

       2)Appropriates $1,225,000 from the General Fund to UC each fiscal  
         year, commencing with the 2015-16 fiscal year, for allocation to the  
         UC San Joaquin Valley PRIME to admit up to 12 students per year and  
         operate the program with up to 48 participants from across the  
         four-year curriculum.

        FISCAL EFFECT  :  According to Assembly Appropriations Committee,  
       General Fund costs, to expend the PRIME over four years, of $1,225,000  
       in 2015-16, $1,435,000 in 2016-17, $1,645,000 in 2017-18, and  
       $1,855,000 in 2018-19 and thereafter.









                                                               AB 2232
                                                               Page  2


        COMMENTS  :  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.  UC Irvine  
       launched the first UC PRIME program in 2004 focusing on the growing  
       needs of California's Latino communities.  Three other UC schools  
       (Davis, San Diego and San Francisco) admitted their first classes in  
       fall 2007 in programs focused on rural health and telemedicine  
       (Davis), health equity (San Diego), and the urban underserved (San  
       Francisco).  In 2008, UCLA launched its PRIME program, training  
       physicians to proactively address the needs of diverse disadvantaged  
       communities by delivering culturally competent clinical care,  
       providing leadership for health delivery systems and conducting  
       research on health disparities.  In 2011, UC Merced opened a PRIME  
       program in partnership with the UC Davis School of Medicine and UCSF  
       focused the health needs of the San Joaquin Valley.
        
        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."    

        Analysis Prepared by  :    Laura Metune / HIGHER ED. / (916) 319-3960 
                                                                   FN: 0003785