| 22 | 20 | | 18 |
|---|
| 23 | 21 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF ARKANSAS: 19 |
|---|
| 24 | 22 | | 20 |
|---|
| 25 | 23 | | SECTION 1. Arkansas Code §§ 6-82-2002 through 6-82-2005 are amended to 21 |
|---|
| 26 | 24 | | read as follows: 22 |
|---|
| 27 | 25 | | 6-82-2002. Planning Implementation grants — Definition. 23 |
|---|
| 28 | 26 | | (a) As used in this subchapter, a “planning grant” is a grant awarded 24 |
|---|
| 29 | 27 | | by the Graduate Medical Education Residency Expansion Board to eligible 25 |
|---|
| 30 | 28 | | entities and individuals under this subchapter. 26 |
|---|
| 31 | 29 | | (b) The board Graduate Medical Education Residency Expansion Board 27 |
|---|
| 32 | 30 | | shall: 28 |
|---|
| 33 | 31 | | (1) Allocate funds appropriated for purposes of this subchapter; 29 |
|---|
| 34 | 32 | | (2) Award a one-time planning implementation grant under this 30 |
|---|
| 35 | 33 | | section to an in-state based entity in this state that: 31 |
|---|
| 36 | 34 | | (A) Is in the process of creating a new graduate medical 32 |
|---|
| 37 | 35 | | education program; or 33 |
|---|
| 38 | 36 | | (B) Is expanding an existing graduate medical education 34 |
|---|
| 39 | 37 | | program; 35 |
|---|
| 45 | 41 | | according to the criteria adopted by the board under its rules to include 1 |
|---|
| 46 | 42 | | without limitation consideration of the following: 2 |
|---|
| 47 | 43 | | (A) Development of a new or expanded program with a 3 |
|---|
| 48 | 44 | | specialty defined in the rules; 4 |
|---|
| 49 | 45 | | (B) Increasing positions for medical specialties having a 5 |
|---|
| 50 | 46 | | shortage within the state; and 6 |
|---|
| 51 | 47 | | (C) Increasing graduate medical education positions in 7 |
|---|
| 52 | 48 | | medically underserved areas in the state ; and 8 |
|---|
| 53 | 49 | | (4) Determine the number of planning implementation grants 9 |
|---|
| 54 | 50 | | awarded and the amount of each planning implementation grant; and 10 |
|---|
| 55 | 51 | | (5) Determine the annual amount of grant award and the total 11 |
|---|
| 56 | 52 | | amount of grant award to be provided over the implementation period of the 12 |
|---|
| 57 | 53 | | new or expanding program . 13 |
|---|
| 58 | 54 | | (c)(1) An application for a planning grant under this section shall be 14 |
|---|
| 59 | 55 | | submitted by an entity to the board no later than July 15 of the year 15 |
|---|
| 60 | 56 | | preceding the year for which the planning grant will be used. 16 |
|---|
| 61 | 57 | | (2) The board shall award a planning grant to an eligible entity 17 |
|---|
| 62 | 58 | | under this section no later than August 15 of the year in which the eligible 18 |
|---|
| 63 | 59 | | entity's application was submitted. 19 |
|---|
| 64 | 60 | | (d) An entity that is awarded a planning grant under this section and 20 |
|---|
| 65 | 61 | | establishes additional first -year residency positions after the receipt of a 21 |
|---|
| 66 | 62 | | planning grant is eligible for additional funds for each position 22 |
|---|
| 67 | 63 | | established. 23 |
|---|
| 68 | 64 | | 24 |
|---|
| 69 | 65 | | 6-82-2003. Planning Implementation grants for program expansion or new 25 |
|---|
| 70 | 66 | | programs. 26 |
|---|
| 71 | 67 | | (a) The Graduate Medical Education Residency Expansion Board shall 27 |
|---|
| 72 | 68 | | award planning implementation grants to enable entities with existing 28 |
|---|
| 73 | 69 | | graduate medical education programs to: 29 |
|---|
| 74 | 70 | | (1) Increase the number of first -year residency or fellowship 30 |
|---|
| 75 | 71 | | positions in existing graduate medical education programs ; and 31 |
|---|
| 76 | 72 | | (2) Provide for the establishment of new graduate medical 32 |
|---|
| 77 | 73 | | education programs with first -year residency positions. 33 |
|---|
| 78 | 74 | | (b) The board shall determine the number of planning grants awarded 34 |
|---|
| 79 | 75 | | under this section and the amount of each planning grant awarded under this 35 |
|---|
| 85 | 79 | | (c) A planning An implementation grant under this section shall be 1 |
|---|
| 86 | 80 | | used to support the direct resident start-up costs to the graduate medical 2 |
|---|
| 87 | 81 | | education program, including without limitation stipends and benefits at the 3 |
|---|
| 88 | 82 | | board's discretion. 4 |
|---|
| 89 | 83 | | (d)(c) An entity applying for a planning an implementation grant under 5 |
|---|
| 90 | 84 | | this section shall: 6 |
|---|
| 91 | 85 | | (1) Include submit a plan for receiving accreditation for the 7 |
|---|
| 92 | 86 | | increased number of residency positions or for the new graduate medical 8 |
|---|
| 93 | 87 | | education program, as applicable , that shall include without limitation: 9 |
|---|
| 94 | 88 | | (1) A timeline; 10 |
|---|
| 95 | 89 | | (2) A budget; 11 |
|---|
| 96 | 90 | | (3) A proposed program; 12 |
|---|
| 97 | 91 | | (4) The number of existing slots within a proposed program 13 |
|---|
| 98 | 92 | | expansion; 14 |
|---|
| 99 | 93 | | (5) Letters of support from both the sponsoring institution and 15 |
|---|
| 100 | 94 | | clinical site; 16 |
|---|
| 101 | 95 | | (6) The number of current residency slots available; and 17 |
|---|
| 102 | 96 | | (7) The number of new residency slots that will be established 18 |
|---|
| 103 | 97 | | in a new program.; and 19 |
|---|
| 104 | 98 | | (2) Be submitted to the board no later than October 1 preceding 20 |
|---|
| 105 | 99 | | the academic year for which the planning grant is made. 21 |
|---|
| 106 | 100 | | (e)(d) The board shall: 22 |
|---|
| 107 | 101 | | (1) Award a planning grant award an implementation grant under 23 |
|---|
| 108 | 102 | | this section no later than January 1 of the year in which the planning grant 24 |
|---|
| 109 | 103 | | will be used in the fourth calendar quarter on an annual basis as funding is 25 |
|---|
| 110 | 104 | | available; and 26 |
|---|
| 111 | 105 | | (2) Distribute a planning grant amount for a residency position 27 |
|---|
| 112 | 106 | | under this section only upon receiving verification that the applicable 28 |
|---|
| 113 | 107 | | residency position has been filled . 29 |
|---|
| 114 | 108 | | (f)(1)(e) A planning An implementation grant awarded under this 30 |
|---|
| 115 | 109 | | section shall be in effect for no more than three (3) consecutive fiscal 31 |
|---|
| 116 | 110 | | years the number of years of the program plus two (2) years for 32 |
|---|
| 117 | 111 | | implementation and accreditation before enrolling a resident or fellow . 33 |
|---|
| 118 | 112 | | (2) For each first-year residency position for which an entity 34 |
|---|
| 119 | 113 | | with a graduate medical education program receives an initial planning grant 35 |
|---|
| 125 | 117 | | medical education program an equal planning grant amount for the following 1 |
|---|
| 126 | 118 | | fiscal year, not to exceed three (3) fiscal years. 2 |
|---|
| 127 | 119 | | (f) An entity awarded an implementation grant under this section shall 3 |
|---|
| 128 | 120 | | provide a progress report to the board before the distribution of grant funds 4 |
|---|
| 129 | 121 | | for the following year. 5 |
|---|
| 130 | 122 | | 6 |
|---|
| 131 | 123 | | 6-82-2004. Priority of planning implementation grants — Adjustment of 7 |
|---|
| 132 | 124 | | amounts. 8 |
|---|
| 133 | 125 | | (a) If the Graduate Medical Education Residency Expansion Board 9 |
|---|
| 134 | 126 | | determines that the number of first -year residency positions proposed by 10 |
|---|
| 135 | 127 | | eligible applicants under § 6 -82-2003 exceeds the amount of funding 11 |
|---|
| 136 | 128 | | appropriated for the planning implementation grants under this subchapter, 12 |
|---|
| 137 | 129 | | the board: 13 |
|---|
| 138 | 130 | | (1) May give priority for up to fifty percent (50%) of the 14 |
|---|
| 139 | 131 | | funded first-year residency positions implementation grant awards to be in: 15 |
|---|
| 140 | 132 | | (A) Primary care; or 16 |
|---|
| 141 | 133 | | (B) A field in which this state has less than eighty 17 |
|---|
| 142 | 134 | | percent (80%) of the national average of physicians per one hundred thousand 18 |
|---|
| 143 | 135 | | (100,000) people, as determined by the board based on the Association of 19 |
|---|
| 144 | 136 | | American Medical Colleges State Physician Workforce Data Report there is a 20 |
|---|
| 145 | 137 | | shortage in the state as determined by the board; or 21 |
|---|
| 146 | 138 | | (C) A new program or a program expansion that: 22 |
|---|
| 147 | 139 | | (i) Has the earliest start date; or 23 |
|---|
| 148 | 140 | | (ii) Will expand the cap of an Arkansas hospital ; 24 |
|---|
| 149 | 141 | | and 25 |
|---|
| 150 | 142 | | (2) Shall not reduce planning grant amounts awarded for each 26 |
|---|
| 151 | 143 | | resident position, but may proportionately reduce the number of positions 27 |
|---|
| 152 | 144 | | funded for each graduate medical education program . 28 |
|---|
| 153 | 145 | | (b) If the board determines that, based on the applications it has 29 |
|---|
| 154 | 146 | | received for planning grants under § 6 -82-2003, the entire appropriation for 30 |
|---|
| 155 | 147 | | planning grants under this subchapter shall not be awarded for a particular 31 |
|---|
| 156 | 148 | | year, the board may transfer and use the funds appropriated to award planning 32 |
|---|
| 157 | 149 | | grants under § 6-82-2002. 33 |
|---|
| 158 | 150 | | 34 |
|---|
| 159 | 151 | | 6-82-2005. Planning grants for additional years of residency. 35 |
|---|
| 165 | 155 | | determines that funds appropriated under this subchapter are available after 1 |
|---|
| 166 | 156 | | all eligible planning grant applications under §§ 6 -82-2002 and 6-82-2003 2 |
|---|
| 167 | 157 | | have been funded, the board shall award planning grants from excess funds to 3 |
|---|
| 168 | 158 | | support medical residents who: 4 |
|---|
| 169 | 159 | | (1) Have completed at least three (3) years of residency; and 5 |
|---|
| 170 | 160 | | (2) Are enrolled in a residency program in a field in which this 6 |
|---|
| 171 | 161 | | state has less than eighty percent (80%) of the national average of 7 |
|---|
| 172 | 162 | | physicians per one hundred thousand (100,000) people, as determined by the 8 |
|---|
| 173 | 163 | | board. 9 |
|---|
| 174 | 164 | | (b) The board shall determine the following with respect to planning 10 |
|---|
| 175 | 165 | | grants under this section: 11 |
|---|
| 176 | 166 | | (1) The amount of a planning grant awarded under this section; 12 |
|---|
| 177 | 167 | | (2) The number of planning grants awarded under this section; 13 |
|---|
| 178 | 168 | | and 14 |
|---|
| 179 | 169 | | (3) The residency fields in which recipients of planning grants 15 |
|---|
| 180 | 170 | | under this section work. 16 |
|---|
| 181 | 171 | | (c) A planning grant under this section shall be used to support the 17 |
|---|
| 182 | 172 | | direct resident costs to the graduate medical education program, including 18 |
|---|
| 183 | 173 | | without limitation stipends and benefits. 19 |
|---|
| 184 | 174 | | (d) The board shall distribute a planning grant amount for a residency 20 |
|---|
| 185 | 175 | | position under this section only upon receiving verification that the 21 |
|---|
| 186 | 176 | | applicable residency position has been filled. 22 |
|---|
| 187 | 177 | | 23 |
|---|
| 188 | 178 | | SECTION 2. Arkansas Code Title 6, Chapter 82, Subchapter 20, is 24 |
|---|
| 189 | 179 | | amended to add an additional section to read as follows: 25 |
|---|
| 190 | 180 | | 6-82-2006. Definitions. 26 |
|---|
| 191 | 181 | | As used in this subchapter: 27 |
|---|
| 192 | 182 | | (1) “Accreditation Council for Graduate Medical Education” means 28 |
|---|
| 193 | 183 | | the private, not-for-profit organization that oversees the accreditation of 29 |
|---|
| 194 | 184 | | residency and fellowship programs for physicians in the United States; 30 |
|---|
| 195 | 185 | | (2) “Entity” means an: 31 |
|---|
| 196 | 186 | | (A) Arkansas hospital or medical facility that seeks to 32 |
|---|
| 197 | 187 | | provide medical residency opportunities; and 33 |
|---|
| 198 | 188 | | (B) Accreditation Council for Graduate Medical Education 34 |
|---|
| 199 | 189 | | sponsoring institution; 35 |
|---|
| 205 | 193 | | first year of residency occurring after medical school graduation; 1 |
|---|
| 206 | 194 | | (4) “Fiscal year” means the fiscal year of the state for the 2 |
|---|
| 207 | 195 | | conduct of its financial affairs commencing on July 1 |
|---|
| 208 | 196 | | |
|---|
| 209 | 197 | | and ending on June 30 |
|---|
| 210 | 198 | | |
|---|
| 211 | 199 | | of 3 |
|---|
| 212 | 200 | | the following year; 4 |
|---|
| 213 | 201 | | (5) “Graduate medical education program” means the period of 5 |
|---|
| 214 | 202 | | education in a particular specialty or residency or subspecialty or 6 |
|---|
| 215 | 203 | | fellowship following medical school; 7 |
|---|
| 216 | 204 | | (6) “Implementation grant” means a grant awarded by the Graduate 8 |
|---|
| 217 | 205 | | Medical Education Residency Expansion Board to eligible entities and 9 |
|---|
| 218 | 206 | | individuals under this subchapter; 10 |
|---|
| 219 | 207 | | (7)(A) "Implementation period" means the amount of time in years 11 |
|---|
| 220 | 208 | | to establish a new program or expanded slots for a program. 12 |
|---|
| 221 | 209 | | (B) "Implementation period" includes the number of years 13 |
|---|
| 222 | 210 | | required for a resident or fellow to complete the program plus up to two (2) 14 |
|---|
| 223 | 211 | | years of start-up costs before enrolling the first resident or fellow. 15 |
|---|
| 224 | 212 | | (8)(A) “Primary care” includes without limitation the following: 16 |
|---|
| 225 | 213 | | (i) Internal medicine; 17 |
|---|
| 226 | 214 | | (ii) Pediatrics; 18 |
|---|
| 227 | 215 | | (iii) Family medicine; 19 |
|---|
| 228 | 216 | | (iv) Obstetrics and gynecology; 20 |
|---|
| 229 | 217 | | (v) General Surgery; and 21 |
|---|
| 230 | 218 | | (vi) Psychiatry. 22 |
|---|
| 231 | 219 | | (B) "Primary care" also includes without limitation the 23 |
|---|
| 232 | 220 | | transitional year; 24 |
|---|
| 233 | 221 | | (9) “Resident” means an individual enrolled in an Accreditation 25 |
|---|
| 234 | 222 | | Council for Graduate Medical Education -accredited residency program; 26 |
|---|
| 235 | 223 | | (10)(A) “Residency program" means a structured educational 27 |
|---|
| 236 | 224 | | activity comprising a series of clinical or other learning experiences in 28 |
|---|
| 237 | 225 | | graduate medical education designed to prepare a physician to enter the 29 |
|---|
| 238 | 226 | | unsupervised practice of medicine in a primary specialty. 30 |
|---|
| 239 | 227 | | (B) "Residency program" includes a program available for 31 |
|---|
| 240 | 228 | | physician admission: 32 |
|---|
| 241 | 229 | | (i) Immediately upon graduation from a medical 33 |
|---|
| 242 | 230 | | school or a college of osteopathic medicine as described in the institutional 34 |
|---|
| 243 | 231 | | requirements of the Accreditation Council for Graduate Medical Education; and 35 |
|---|
| 249 | 235 | | education and training as described in the relevant specialty -specific 1 |
|---|
| 250 | 236 | | program requirements; 2 |
|---|
| 251 | 237 | | (11) “Specialty” means a field of medical practice that focuses 3 |
|---|
| 252 | 238 | | on a specific set of patient care skills; 4 |
|---|
| 253 | 239 | | (12) “Sponsoring institution” means an entity that oversees, 5 |
|---|
| 254 | 240 | | supports, and administers one (1) or more Accreditation Council for Graduate 6 |
|---|
| 255 | 241 | | Medical Education-accredited residency or fellowship programs; and 7 |
|---|
| 256 | 242 | | (13) "Start-up costs" means a cost associated with program 8 |
|---|
| 257 | 243 | | planning, Accreditation Council for Graduate Medical Education application 9 |
|---|
| 258 | 244 | | preparation and submission, and other preliminary activities before a 10 |
|---|
| 259 | 245 | | resident is present in the program. 11 |
|---|
| 260 | 246 | | 12 |
|---|
| 261 | | - | SECTION 3. EMERGENCY CLAUSE. It is found and determined by the 13 |
|---|
| 262 | | - | General Assembly of the State of Arkansas that there is a great need for 14 |
|---|
| 263 | | - | medical professionals throughout the state to serve residents; that summer 15 |
|---|
| 264 | | - | deadlines are quickly approaching for programs that train new medical 16 |
|---|
| 265 | | - | professionals and funding needs to be distributed as soon as possible to 17 |
|---|
| 266 | | - | prepare these programs to begin training in the fall; and that this act is 18 |
|---|
| 267 | | - | immediately necessary because having trained medical professionals to fill 19 |
|---|
| 268 | | - | worker shortages throughout the state is vital to ensuring the health and 20 |
|---|
| 269 | | - | safety of Arkansans. Therefore, an emergency is declared to exist, and this 21 |
|---|
| 270 | | - | act being immediately necessary for the preservation of the public peace, 22 |
|---|
| 271 | | - | health, and safety shall become effective on: 23 |
|---|
| 272 | | - | (1) The date of its approval by the Governor; 24 |
|---|
| 273 | | - | (2) If the bill is neither approved nor vetoed by the Governor, 25 |
|---|
| 274 | | - | the expiration of the period of time during which the Governor may veto the 26 |
|---|
| 275 | | - | bill; or 27 |
|---|
| 276 | | - | (3) If the bill is vetoed by the Governor and the veto is 28 |
|---|
| 277 | | - | overridden, the date the last house overrides the veto. 29 |
|---|
| 247 | + | 13 |
|---|
| 248 | + | 14 |
|---|
| 249 | + | 15 |
|---|
| 250 | + | 16 |
|---|
| 251 | + | 17 |
|---|
| 252 | + | 18 |
|---|
| 253 | + | 19 |
|---|
| 254 | + | 20 |
|---|
| 255 | + | 21 |
|---|
| 256 | + | 22 |
|---|
| 257 | + | 23 |
|---|
| 258 | + | 24 |
|---|
| 259 | + | 25 |
|---|
| 260 | + | 26 |
|---|
| 261 | + | 27 |
|---|
| 262 | + | 28 |
|---|
| 263 | + | 29 |
|---|