BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2458
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          Date of Hearing:  April 22, 2014

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                   AB 2458 (Bonilla) - As Amended:  April 10, 2014
           
          SUBJECT  :  Medical residency training program grants.

           SUMMARY  :  Establishes the Graduate Medical Education Fund (Fund)  
          to administer and fund grants to graduate medical education  
          (GME) residency programs.  Specifically,  this bill  :

          1)Establishes the Fund in the California State Treasury.

          2)Appropriates $25 million to the Fund from the General Fund in  
            fiscal year 2014-15 and appropriates $2.84 million to the Fund  
            per year for three years from the California Health Data and  
            Planning Fund commencing with the 2014-15 fiscal year.

          3)Requires moneys in the Fund, upon appropriation by the  
            Legislature, to be used only for administering and funding  
            grants to GME residency programs located in California  
            hospitals or teaching health centers.

          4)Requires all interest earned on the Fund to be retained and  
            used for purposes consistent with the Fund.  Allows costs  
            incurred or those that might be incurred by the Office of  
            Statewide Health Planning and Development (OSHPD) to come  
            directly from the Fund.  

          5)Requires the Fund to consist of all assessments, transfers,  
            and appropriations received pursuant to 2) above, and any  
            interest that accrues.

          6)Requires OSHPD, in consultation with the California Healthcare  
            Workforce Policy Commission, to develop criteria for  
            distribution of available moneys in the Fund.

          7)Requires moneys appropriated from the Fund to be used to fund  
            new GME residency positions.

          8)Requires OSHPD, whenever applicable, to utilize moneys  
            appropriated from the Fund to provide a match for available  
            federal funds for GME.









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          9)Provides that this bill does not affect existing funding for  
            the Song-Brown Health Care Workforce Training Act of 1973  
            (Song-Brown) for family medicine residency or physician  
            assistant (PA), family nurse practitioner, and registered  
            nurse (RN) training programs.
           
          EXISTING LAW  :

          1)Establishes the Health Professions Education Foundation (HPEF)  
            within OSHPD to, among other functions, develop criteria for  
            evaluating applicants for various scholarships or loans.

          2)Establishes Song-Brown to increase the number of students and  
            residents receiving quality education and training in the  
            specialty of family practice and as primary care PAs, primary  
            care nurse practitioners (PCNPs), and RNs and to maximize the  
            delivery of primary care family physician services to specific  
            areas of California where there is a recognized unmet priority  
            need.  Provides that Song-Brown is to be implemented through  
            contracts with accredited medical schools and other programs  
            that train these practitioners.

          3)Establishes the California Physician Corps Program, which  
            consists of the Physician Loan Repayment Program and the  
            Physician Volunteer Program, administered by HPEF.  Provides  
            that the Physician Loan Repayment Program provides financial  
            incentives, as specified, to program applicants who possess a  
            current valid medical or osteopathic license who practice in  
            medically underserved communities, as specified.  Allows up to  
            20% of the available positions to be awarded to program  
            applicants from specialties outside of primary care.

           FISCAL EFFECT  :  This bill has not been analyzed by a fiscal  
          committee.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill  
            establishes the Fund to finance additional slots in residency  
            programs in California hospitals and health centers; that the  
            average cost of a residency program slot is estimated at  
            $100,000.  The author states that currently there is  
            inadequate funding for primary care residency programs in this  
            state for enough of our medical school graduates to complete  
            their primary care residencies here in California.  The  








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            Governor's 2014-15 proposed Budget includes an allocation of  
            $2.84 million dollars each year, for a term of three years to  
            expand the Song-Brown Primary Care Residency Program.  This is  
            a repayment from funds borrowed from the California Health  
            Data and Planning Fund.  This bill builds on this proposed  
            investment by calling for an additional infusion of money from  
            our state's General Fund.  The author argues that by creating  
            a dedicated Fund for such purposes and investing money into  
            the Fund, California can begin to address this problem.

           2)BACKGROUND  .  According to the author, California has a  
            well-documented shortage of primary care physicians.  The  
            Council on Graduate Medical Education recommends a ratio of  
            60-80 primary care physicians per 100,000 population.   
            Communities with more family physicians have been shown to  
            have better health outcomes, but the majority of California  
            counties (73%) have less than the recommended number of  
            primary care practitioners and only 34% of physicians  
            statewide practice primary care.  In addition, many are  
            nearing retirement and one-third of California primary care  
            physicians are age 60 or older.  We need to educate an  
            estimated 515 new family practitioners every year to meet this  
            need, but currently there are only 370 residency slots for  
            medical school graduates to train in the state's 49 family  
            practice residency programs.  With the high current demand and  
            the low number of training slots, California can produce only  
            half the needed primary care providers and as more  
            Californians gain health care coverage, the need for primary  
            care physicians will increase. 

          In 2013, 1,416 students graduated from a California medical  
            school and 1,427 originally from California left to attend  
            medical school in other states.  According to the Association  
            of American Medical Colleges 2013 State Physician Workforce  
            Data Book, California is the best in the nation in physician  
            retention.  On average, 37.8% of medical students will  
            practice in the state in which they receive their degree and  
            for California that number is 62.4%; of those who complete  
            their residency 69.5% remain in California; and, of those who  
            complete both their medical degree and residency 80.1% stay in  
            California to practice. 
           3)GRADUATE MEDICAL EDUCATION  .  GME is training for medical  
            school graduates at more than 1,000 of the nation's hospitals.  
             The single largest source of funding for GME is the federal  
            Department of Health and Human Services through the Centers  








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            for Medicare and Medicaid Services.  According to a 2012  
            Health Affairs health policy brief on GME, overall support for  
            GME comes out of a number of separate public and private  
            sources.  Each year the federal government contributes about  
            $9.5 billion in Medicare funds, and approximately $2 billion  
            in Medicaid to help pay for GME.  The federal government also  
            funds GME in children's hospitals through a program called  
            Teaching Health Centers Graduate Medical Education Program,  
            which trains residents in community-based ambulatory settings;  
            and through contributions from other agencies, including the  
            Department of Defense, the Department of Veterans Affairs, the  
            Health Resources and Service Administration, and the National  
            Institutes of Health.  Additionally, the brief points out that  
            more than 40 states have paid about $3.78 billion through  
            their Medicaid programs to support GME in 2009.  Since then,  
            many states have reduced their support for advanced medical  
            training.  Private insurers support GME to some degree through  
            payments they negotiate with teaching hospitals.

          The Health Affairs brief states that Medicare supports GME  
            through two separate methodologies when calculating payments  
            to hospitals: direct payments to pay the salaries of the  
            residents and the supervising physicians' time; and, indirect  
            payments to subsidize other hospital expenses associated with  
            running training programs, such as longer inpatient stays and  
            more use of tests.  These payments are based, in part, on the  
            number of residents a hospital trains and the number of  
            Medicare patients it treats.  Of the estimated $9.5 billion in  
            Medicare funds spent on GME in 2010, approximately $3 billion  
            went for direct payments and $6.5 billion went for indirect  
            payments. 

           4)GRADUATE MEDICAL EDUCATION AND THE ACA  .  On March 23, 2010,  
            President Obama signed the (Public Law (PL) 111-148), as  
            amended by the Health Care and Education Reconciliation Act of  
            2010 (PL 111-152).  Specifically, the Patient Protection  
            Affordable Care Act (ACA) increases the number of GME training  
            positions by redistributing currently unused slots, with  
            priorities given to primary care and general surgery and to  
            states with the lowest resident physician-to-population ratios  
            (effective July 1, 2011); increases flexibility in laws and  
            regulations that govern GME funding to promote training in  
            outpatient settings (effective July 1, 2010); and, ensures the  
            availability of residency programs in rural and underserved  
            areas.  The ACA also calls for the establishment of GME  








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            teaching health centers (THCs), defined as community-based,  
            ambulatory patient care centers, including federally qualified  
            health centers and other federally-funded health centers that  
            are eligible for payments for the expenses associated with  
            operating primary care residency programs.  California  
            received eight GME THC grants for a total of over $6.6 million  
            resulting in six health centers providing clinical rotation to  
            75 residents.  This five-year funding program will expire in  
            2015 with no additional federal funding planned.

           5)SONG-BROWN  .  Song-Brown, administered by OSHPD, was  
            established in 1973 to improve access to health care for  
            California's low-income and uninsured population through  
            grants to health professions training institutions that  
            provide clinical training for family medicine physician  
            residents, PCNPs, PAs, and RN students.  Family medicine is a  
            specialty within primary care.  Other primary care specialties  
            include internal medicine, obstetrician-gynecologist (OB/GYN),  
            and pediatrics.  There are 110 primary care residencies in the  
            state, including the 44 family practice residency programs  
            that are currently statutorily eligible to apply for and  
            receive Song-Brown funds.  The remaining 66 residencies  
            include 31 internal medicine, 18 OB/GYN, and 17 pediatric  
            residency programs.  OSHPD indicates that Song-Brown funds are  
            used to train and educate residents and students by providing  
            clinical training in underserved areas (Health Professional  
            Shortage Areas, Medically Underserved Areas, Medically  
            Underserved Populations, Primary Care Shortage Areas, and RN  
            Shortage Areas), as well as rural communities.

          Since 2006, Song-Brown has provided funding to 319 health  
            professions training programs and supported more than 14,189  
            residents and trainees.  Song-Brown providers deliver family  
            medicine services in all of the University of California's  
            teaching hospitals, 37 county facilities, and 46 community  
            health centers.  In fiscal year 2011-12, Song-Brown funded  
            programs served approximately 1.3 million patients in  
            underserved communities.  Family medicine resident physicians  
            who train in community clinic settings are nearly three times  
            as likely to practice in underserved settings after graduation  
            when compared to residents who did not train in community  
            health centers.

           6)SUPPORT  .  The California Academy of Family Physicians (CAFP)  
            and the California Medical Association (CMA) are the sponsors  








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            of this bill.  CMA states that GME is the hands-on training  
            that doctors must obtain for a medical license; GME is  
            financed through federal, state, and private funds,  
            traditionally the bulk comes from federal Medicare  
            contributions, about $9.5 billion annually nationwide.   
            According to CMA, this federal funding source has been frozen  
            since 1997, while California's population has grown 20% in the  
            same timeframe.  CMA contends that our state has a trove of  
            primary care residents, including graduates from California  
            medical schools who want to train here but are forced to leave  
            due to limited training slots in medical residency programs.   
            CAFP writes that California must make increasing residency  
            slots a priority to ensure that every Californian has access  
            to a physician when and where they need one.  According to  
            CAFP, providing this added funding for residency programs in  
            underserved areas will not only produce an average of 600  
            additional patient visits per year per physician during  
            training, it will increase long-term workforce in those areas  
            where shortages exist because a majority of physicians go on  
            to practice medicine in the region in which they train.

          The American Congress of Obstetricians and Gynecologists,  
            District IX (California) writes that additional physicians,  
            and particularly primary care physicians, will be needed for  
            our growing and aging population.  Given that many women see  
            only their OB/GYN, it can be an effective use of resources for  
            an OB/GYN to also be her primary care physician.  This is a  
            low-cost investment in the future health of all Californians.   
            The American Osteopathic Association (AOA) and the Osteopathic  
            Physicians and Surgeons of California (OPSC) are also in  
            support of this bill and explain that while only 8% of  
            physicians are DOs, 40% practice in medically underserved  
            areas and 21% of primary care specialty DOs practice in a  
            rural area.  AOA and OPSC state that the creation of  
            alternative GME funding and alignment of this funding with  
            state health care priorities will ensure that California has  
            an adequate supply of primary care training positions for  
            osteopathic medical graduates, a majority of which will stay  
            in state and provide primary care services.  The California  
            Chapter of the American College of Emergency Physicians states  
            in support that with the expansion of health care coverage  
            under the ACA and the already-existing physician shortage in  
            the state, we must allocate the appropriate resources to  
            ensure all Californians have access to world-class health  
            care. 








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           7)RELATED LEGISLATION  .

             a)   AB 1176 (Bocanegra and Bonta) would have established the  
               Medical Residency Training Program to fund GME residency  
               programs in California and would have required every health  
               insurer or health plan that provides health care coverage  
               in this state to pay an annual GME assessment of $5.00 for  
               each covered life.  AB 1176 was held under submission in  
               the Assembly Appropriations Committee.

             b)   AB 565 (Salas), Chapter 378, Statutes of 2013, among  
               other things, revises the definition of a practice setting  
               for purposes of the Steven M. Thompson Physician Corps Loan  
               Repayment Program (STLRP)to include a physician owned and  
               operated medical practice setting that provides primary  
               care located in a medically underserved area.

             c)   AB 860 (Perea and Bocanegra) would have appropriated  
               $600,000 from the Managed Care Administrative Fines and  
               Penalties Fund to the Steven M. Thompson Medical School  
               Scholarship Program (STMSSP) Account within HPEF.  AB 860  
               was held under submission in the Assembly Appropriations  
               Committee.

           8)PREVIOUS LEGISLATION .

             a)   AB 589 (Perea), Chapter 339, Statutes of 2012,  
               establishes the STMSSP to promote the education of medical  
               doctors and doctors of osteopathy, as specified.

             b)   SB 635 (Ed Hernandez) of 2012 would have required funds  
               deposited into the Managed Care Administrative Fines and  
               Penalties Fund (Managed Care Fund) in excess of $1 million  
               to be transferred each year to OSHPD for the purpose of the  
               Song-Brown, as specified.  SB 635 died in the Assembly  
               Appropriations Committee.

             c)   SB 606 (Ducheny), Chapter 600, Statutes of 2009,  
               requires the Osteopathic Medical Board of California to  
               assess an additional $25 fee from an osteopathic physician  
               and surgeon applying for initial or reciprocity licensure,  
               or for a biennial renewal license. Requires the funds  
               collected to be transferred to the Medically Underserved  
               Account for Physicians for STLRP.  Allows osteopathic  








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               physicians and surgeons to be eligible to apply for the  
               STLRP.

             d)   SB 1379 (Ducheny), Chapter 607, Statutes of 2008,  
               requires fines and administrative penalties levied against  
               health plans under the Knox-Keene Health Care Service Plan  
               Act of 1975 to be placed in the Managed Care Fund and used,  
               upon appropriation by the Legislature, for STLRP and the  
               Major Risk Medical Insurance Program.  SB 1379 also  
               appropriated $1 million annually for purposes of the STLRP.

             e)   AB 2439 (De la Torre), Chapter 640, Statutes of 2008,  
               requires the Medical Board of California (MBC) to charge  
               physicians and surgeons an additional $25 as part of their  
               initial license fee or renewal fee to support the STLRP.

             f)   AB 920 (Aghazarian), Chapter 317, Statutes of 2005,  
               transfers the administration of the STLRP from the MBC to  
               the HPEF.

             g)   AB 327 (De la Torre), Chapter 293, Statutes of 2005,  
               requires the MBC to assess a $50 voluntary donation from  
               physicians and surgeons at the time of licensure or  
               renewal.

             h)   AB 1403 (Nu�ez), Chapter 367, Statutes of 2004, renames  
               the California Physician Corps Loan Repayment Program to  
               STLRP effective January 1, 2005.

             i)   AB 982 (Firebaugh), Chapter 1131, Statutes of 2002,  
               establishes the California Physician Corps Loan Repayment  
               Program within the MBC.

           REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           
          California Academy of Family Physicians (cosponsor)
          California Medical Association (cosponsor)
          American Academy of Pediatrics, California District IX
          American Congress of Obstetricians and Gynecologists, District  
          IX (California)
          American Federation of State, County and Municipal Employees,  
          AFL-CIO
          American Osteopathic Association








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          Association of California Healthcare Districts
          California Chapter of the American College of Emergency  
          Physicians
          California Children's Hospital Association
          California Hospital Association
          California Primary Care Association
          Osteopathic Physicians and Surgeons of California

           Opposition 
           
          None on file.

           
          Analysis Prepared by  :    Patty Rodgers / HEALTH / (916) 319-2097