BILL ANALYSIS                                                                                                                                                                                                    �






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

          BILL NO:       AB 2232
          AUTHOR:        Gray
          AMENDED:       June 12, 2014
          FISCAL COMM:   Yes            HEARING DATE:  June 18, 2014
          URGENCY:       No             CONSULTANT:    Daniel Alvarez

           SUBJECT  :  University of California: medical education.
          
           SUMMARY  

          This bill appropriates from the State General Fund to  
          Regents of the University of California $1.225 million,  
          commencing with the 2015-16 fiscal year to support the  
          expansion of the San Joaquin Valley PRIME program.

           BACKGROUND  

          UC operates six Schools of Medicine (at Davis, Irvine, Los  
          Angeles, Riverside, San Diego, and San Francisco). In  
          2012-13, total enrollment in these programs was  
          approximately 3,000 medical students (roughly two-thirds of  
          the State's total) and more than 4,000 medical residents  
          and fellows (nearly half in the State).

          Programs in Medical Education (PRIME).  UC PRIME is an  
          innovative 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. These activities are  
          organized and structured to prepare highly motivated,  
          socially conscious students as future clinicians, leaders  
          and policymakers.  Each new program has an area of focus  
          that is selected based upon faculty expertise, the  
          populations served by each school and its medical center,  
          and other local considerations.  Each continues to develop  
          and improve its guidelines for admission and recruitment of  
          students and its new curriculum designed to educate and  
          train future physician leaders, researchers and advocates  
          for the communities they will serve.  





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          ANALYSIS
           
          This bill appropriates from the State General Fund to  
          Regents of the University of California $1.225 million,  
          commencing with the 2015-16 fiscal year to support the  
          expansion of the San Joaquin Valley PRIME program.  More  
          specifically, this bill:

          1)   Makes findings and declarations in support of the  
               proposed appropriation.

          2)   Appropriates $1.225 million from the General Fund to  
               the UC Regents each fiscal year, commencing in 2015-16  
               for allocation to support expansion of the San Joaquin  
               Valley PRIME program to admit up to 12 students per  
               year and operate the program with up to 48 student  
               participants over the four-year curriculum annually.

           STAFF COMMENTS  

           1)   Need for the bill  .  According to the author, an  
               invaluable resource for training and attracting more  
               physicians in the San Joaquin Valley is the UC's  
               Programs in Medical Education (PRIME).  PRIME is a  
               collaboration between the UC Davis Medical School, UC  
               Merced and UC San Francisco, designed to train the  
               next generation of San Joaquin valley physicians. This  
               program is a tailored clinical track at the UC Davis  
               School of Medicine for medical students who are  
               committed to ensuring high quality, diverse, and well  
               distributed medical care to improve health for  
               populations, communities, and individuals in  
               California's San Joaquin Valley. 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.

           2)   Immediate Benefits from San Joaquin Valley PRIME  .   
               Building on the success of the PRIME program at all UC  
               medical schools and its medical education programs  
               throughout the state, the UC Regents approved the UC  
               Merced San Joaquin Valley PRIME (SJV PRIME) program in  
               September 2010 to help provide a unique solution to  
               the health care issues of the central valley. 





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               The newest addition to the systemwide program is  
               collaboration between UC Davis, UC Merced and the UCSF  
               Fresno Medical Education Program to strengthen the  
               recruitment and retention of new physicians in the San  
               Joaquin Valley - one of California's most medically  
               underserved areas. 

               Recognizing the population's health problems in the  
               valley, the program will partner with communities to  
               reverse long-standing health inequities and to address  
               the social determinants of health disparities.  The  
               new program will also actively promote  
               inter-professional education as a pathway toward  
               improved health and health care.  The program is  
               expected to be fully enrolled with a total of  
               approximately 20 students in 2014-15.  The first five  
               students matriculated in the fall of 2011.

           3)   UC Merced in a Broader Context  .  In 2005, the tenth UC  
               campus in Merced opened with 875 students and 60  
               faculty.  In 2012-13, enrollment at the Merced campus  
               reached approximately 5,900 full-time students.  The  
               Office of the President has been providing interim  
               supplemental support for the campus; given its size,  
               the campus is not yet able to realize economies of  
               scale required to absorb growth and instructional  
               needs without continued support for enrollment growth.  
               The campus is faced with a growing gap between strong  
               student demand for admission and the campus' limited  
               capacity to provide capital facilities and  
               infrastructure needed to support that demand.  The  
               need to fund the infrastructure necessary for the  
               future success of the overall campus and its  
               priorities for various academic, research and public  
               service initiatives is critical.

               The UC has moved forward with a multi-year plan for  
               the development of future health sciences programs;  
               resources that must include those necessary to support  
               the basic sciences (e.g., laboratories for both  
               research and instruction in the basic sciences, which  
               are core requirements for medical education) for the  
               Merced campus.  It is critical that the underlying  
               infrastructure (both programmatically and capital  
               outlay) for basic sciences is secured and functional.  
               The UC Merced campus is still growing and maturing as  




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               a comprehensive undergraduate and graduate  
               institution, and has yet to achieve its goal of having  
               10,000 full-time students, be self-sustaining, and  
               being fully weaned from any supplemental funding.  

           4)   Related legislation  .  SB 841 (Cannella), as amended,  
               would have appropriated $1.8 million for the San  
               Joaquin Valley PRIME program.    SB 841 passed this  
               Committee on a 7-0 vote, but was subsequently held  
               under submission in the Senate Appropriations  
               Committee. 

           SUPPORT  

          AFSCME
          Association of California Healthcare Districts
          California Primary Care Association
          California Psychiatric Association

           OPPOSITION

           None on file.