BILL NUMBER: AB 2216AMENDED BILL TEXT AMENDED IN ASSEMBLY APRIL 14, 2016 AMENDED IN ASSEMBLY MARCH 28, 2016 INTRODUCED BY Assembly Member Bonta FEBRUARY 18, 2016 An act to add Article 1.5 (commencing with Section 128245) to Chapter 4 of Part 3 of Division 107 of the Health and Safety Code, relating to health workforce development. LEGISLATIVE COUNSEL'S DIGEST AB 2216, as amended, Bonta. Primary care residency programs: grant program. Existing federal and state laws contain programs that authorize loan forgiveness to physicians, dentists, and individuals enrolled in a postsecondary institution studying medicine or dentistry who agree to practice in medically or dentally underserved areas. Under existing law, the Teaching Health Center Graduate Medical Education (THCGME) program was created by the federal Patient Protection and Affordable Care Act for the purpose of awarding grants to teaching health centers for the purpose of establishing new accredited or expanded primary care residency programs. This bill would establish the Teaching Health Center Primary Care Graduate Medical Education Fund for purposes of funding primary care residency programs, as specified, subject to appropriation by the Legislature. The bill would establish criteria for the awarding of grants under these provisions to teaching health centers, as defined. The bill would require the Office of Statewide Health Planning and Development and the Director of Statewide Health Planning and Development to administer these provisions, as specified. The bill would require the office to adopt emergency regulations to implement these provisions. Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS: SECTION 1. Article 1.5 (commencing with Section 128245) is added to Chapter 4 of Part 3 of Division 107 of the Health and Safety Code, to read: Article 1.5. Teaching Health Center Primary Care Graduate Medical Education Act of 2016 128245. For purposes of this article, the following terms have the following meanings: (a) "Director" means the Director of Statewide Health Planning and Development. (b) "Fund" means the Teaching Health Center Primary Care Graduate Medical Education Fund. (c) "Office" means the Office of Statewide Health Planning and Development. (d) "Sustaining grant" means a grant awarded to ensure the continued operation of an accredited teaching health center, whether that accreditation was first awarded pursuant to the process created by this article or the accreditation was awarded prior to the enactment of this article.(d)(e) "Teaching health center" has the same meaning as defined in Article 1 (commencing with Section 128200). 128246. There is in the State Treasury the Teaching Health Center Primary Care Graduate Medical Education Fund, which fund is hereby created. 128247. (a) Subject to appropriation by the Legislature, the director shall award planning and development grants from the fund to teaching health centers for the purpose of establishing new accredited or expanded primary care residency programs. (b) Grants awarded under this section shall be for a term of not more than three years and the maximum award to a teaching health center shall not be more than five hundred thousand dollars ($500,000). (c) A grant awarded pursuant to this section shall be used to cover the costs of establishing or expanding a primary care residency training program described in subdivision (a), including costs associated with curriculum development, recruitment, training, and retention of residents and faculty, accreditation by the Accreditation Council for Graduate Medical Education (ACGME), the American Dental Association (ADA), or the American Osteopathic Association (AOA), faculty salaries during the development phase, and technical assistance. (d) A teaching health center seeking a grant under this section shall submit an application to the office in the format prescribed by the office. The director shall evaluate those applications and award grants based on criteria consistent with a teaching health center's readiness and other factors indicating the likelihood of success at implementing a primary care residency program. 128248. (a) Subject to appropriation by the Legislature, the director shall award sustaining grants from the fund to teaching health centers operating primary care residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME), the American Dental Association (ADA), or the American Osteopathic Association (AOA). (b) The office shall determine the amount of grants awarded per resident by taking into account the direct and indirect costs of graduate medical education. The amount of grants awarded per resident shall be updated, as appropriate, on an annual basis. 128249. The office shall promulgate emergency regulations to implement this article.