BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2514
                                                                  Page  1

          Date of Hearing:   May 21, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                      AB 2514 (Pan) - As Amended:  May 15, 2014

          Policy Committee:                              Revenue &  
          Taxation     Vote:                            8-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill allows a personal income tax credit, for taxable years  
          beginning on or after January 1, 2015 and before January 1,  
          2020, to a qualified taxpayer based on the taxpayer's student  
          loans, to encourage health care professionals to locate in  
          medically underserved areas of California.  In summary, this  
          bill:

          1)Specifies that the credit amount shall be the amount of  
            student loan payments made by the qualifying taxpayer during  
            the taxable year, not to exceed one-third of the remaining  
            balance of the qualified taxpayer's student loan balance as at  
            January 1 of that year.

          2)Allows the credit for five consecutive taxable years, and  
            allows any unused credit to be carried forward for up to six  
            years or until the credit has been exhausted.

          3)Defines a "qualified taxpayer" as an individual who meets all  
            of the following conditions:

             a)   Is a dentist, physician, physician assistant, or  
               advanced practice nurse who is licensed or certified to  
               practice within California.

             b)   Resides and practices full-time in a "health care  
               professional shortage area" and has committed to residing  
               and practicing in that area for at least three years and up  
               to five years pursuant to an agreement with the State  
               Department of Health Care Services.









                                                                  AB 2514
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             c)   Is a borrower on student loans under a recognized loan  
               program used for higher education opportunities resulting  
               in a degree that enables him or her to be licensed or  
               certified as a health care professional in California.

          4)Specifies that if the qualified taxpayer ceases to reside and  
            practice in the health care professional shortage area, or the  
            taxpayer's loan is paid in full by means of any other loan  
            repayment program, any credit allowed for that year may be  
            recaptured, and any unused credit carried forward shall be  
            forfeited.

          5)Clarifies that any credit allowed is in lieu of any other  
            deduction or credit the qualified taxpayer may otherwise claim  
            with respect to those student loan expenses, and is not  
            available if the taxpayer is delinquent on the loan.

          6)Requires the Department of Health Care Services (HCS) and the  
            Franchise Tax Board (FTB) to promulgate rules and regulations  
            as necessary to implement the credit.
           FISCAL EFFECT  

          1)Potentially significant GF costs to FTB and HCS to promulgate  
            rules and administer the changes to forms and systems.

          2)Substantial GF revenue decreases, amounting to several  
            millions of dollars annually, over the duration of the  
            program.

           COMMENTS  

          1)  Purpose.   According to the author, comprehensive physician-led  
            health care services need to be available in all regions of  
            California for the state to prosper.  The federal government  
            has recognized a large number of communities in California as  
            "health professional shortage areas" (HPSAs).  These  
            communities exhibit deficiencies of health care professionals  
            able to serve their residents.  AB 2514 would allow a tax  
            credit to health care professionals who practice in HPSAs  
            based on their student loans with the aim of providing an  
            incentive for health care professionals to practice in  
            medically under-served regions.

            Proponents argue this bill would help the state meet its need  
            for physicians to serve the growing number of newly-insured  








                                                                  AB 2514
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            and Medi-Cal patients.  They assert this need has become acute  
            following the expansion of coverage provided by the Affordable  
            Care Act, and that HPSAs will suffer the greatest shortage of  
            health care professionals.

          2)  Large Loans May Lead to Large Credits.   Opponents of the bill,  
            including the California Tax Reform Association (CTRA), argue  
            the policy goal of encouraging doctors to locate to  
            underserved areas may be laudable, but the bill ultimately  
            provides a generous tax credit to many medical professionals  
            who are likely to earn substantial incomes.  These  
            professionals take out significant loans to pay for medical  
            school on the expectation that future income will allow them  
            to repay the loans.  CTRA argues the credit proposed in this  
            bill may provide a generous credit to doctors with expensive  
            loans who agree to reside in HPSAs only for a relatively short  
            period of time.

            The Committee may wish to consider whether increased funding  
            for more targeted loan forgiveness or direct investment in  
            medical infrastructure and personnel in HPSAs would be a more  
            efficient approach to achieving these goals.

          3)  Implementation Issues.   The FTB raised several implementation  
            concerns in its analysis, including that the bill: (i)  
            requires the FTB to comply with the Administrative Procedures  
            Act for the rulemaking required for implementation; (ii)  
            requires a qualified taxpayer to be current (i.e., not  
            delinquent) with his or her loans to qualify, but does not  
            specify how FTB would verify non-delinquency; (iii) lacks  
            details with respect to the commitment required to practice in  
            a HPSA in order for a taxpayer to qualify for the credit; and  
            (iv) is inconsistent with respect to the recapture provision  
            with other areas of the personal income tax law.


           Analysis Prepared by  :    Joel Tashjian / APPR. / (916) 319-2081