1 | 1 | | 25 LC 52 0789 |
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2 | 2 | | House Bill 659 |
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3 | 3 | | By: Representatives Greene of the 154 |
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4 | 4 | | th |
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5 | 5 | | , Taylor of the 173 |
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6 | 6 | | rd |
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7 | 7 | | , Hawkins of the 27 |
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8 | 8 | | th |
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9 | 9 | | , Jasperse |
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10 | 10 | | of the 11 |
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11 | 11 | | th |
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12 | 12 | | , and Hagan of the 156 |
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13 | 13 | | th |
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14 | 14 | | |
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15 | 15 | | A BILL TO BE ENTITLED |
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16 | 16 | | AN ACT |
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17 | 17 | | To amend Chapter 34 of Title 31 of the Official Code of Georgia Annotated, relating to |
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18 | 18 | | 1 |
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19 | 19 | | medical professionals for rural assistance, so as to expand medical education funding and the2 |
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20 | 20 | | service cancelable loan program to include optometrists; to provide for related matters; to3 |
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21 | 21 | | repeal conflicting laws; and for other purposes.4 |
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22 | 22 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:5 |
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23 | 23 | | SECTION 1.6 |
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24 | 24 | | Chapter 34 of Title 31 of the Official Code of Georgia Annotated, relating to medical7 |
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25 | 25 | | professionals for rural assistance, is amended by revising Code Section 31-34-2, relating to8 |
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26 | 26 | | purpose and intent of article, as follows:9 |
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27 | 27 | | "31-34-2.10 |
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28 | 28 | | It is the purpose of this article to increase the number of physicians, dentists, optometrists, |
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29 | 29 | | 11 |
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30 | 30 | | physician assistants, and advanced practice registered nurses in underserved rural areas of12 |
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31 | 31 | | Georgia by making loans to physicians, dentists, optometrists, physician assistants, and13 |
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32 | 32 | | advanced practice registered nurses who have completed their medical or health care14 |
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33 | 33 | | education and to dental students and allowing such loans to be repaid by such physicians,15 |
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34 | 34 | | dentists, optometrists, physician assistants, advanced practice registered nurses, and dental16 |
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35 | 35 | | H. B. 659 |
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36 | 36 | | - 1 - 25 LC 52 0789 |
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37 | 37 | | students agreeing to practice medicine or provide health care services in such rural areas |
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38 | 38 | | 17 |
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39 | 39 | | and by making grants to hospitals and, as determined by the Georgia Board of Health Care18 |
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40 | 40 | | Workforce, other health care entities, local governments, and civic organizations in19 |
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41 | 41 | | underserved rural areas of Georgia that agree to provide matching funds to the grant, with20 |
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42 | 42 | | the intent to enhance recruitment efforts in bringing physicians, dentists, optometrists, |
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43 | 43 | | 21 |
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44 | 44 | | physician assistants, and advanced practice registered nurses to such areas. It is the intent22 |
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45 | 45 | | of the General Assembly that if funds are available to the Georgia Board of Health Care23 |
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46 | 46 | | Workforce to make loans, grants, or scholarships under this article or under other24 |
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47 | 47 | | applicable state law, the Georgia Board of Health Care Workforce shall give priority to25 |
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48 | 48 | | loans and scholarships under Part 6 of Article 7 of Chapter 3 of Title 20 and to loans under26 |
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49 | 49 | | Code Section 31-34-4."27 |
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50 | 50 | | SECTION 2.28 |
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51 | 51 | | Said chapter is further amended by revising paragraph (1) of subsection (a) and paragraph (1)29 |
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52 | 52 | | of subsection (c) of Code Section 31-34-4, relating to loan applicant qualifications and rules30 |
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53 | 53 | | and regulations, as follows:31 |
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54 | 54 | | "(a)(1) A physician, dentist, optometrist, physician assistant, or advanced practice32 |
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55 | 55 | | registered nurse who receives a loan under the program provided for in this article shall33 |
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56 | 56 | | be a citizen or national of the United States licensed to practice his or her health care34 |
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57 | 57 | | profession within the State of Georgia at the time the loan is made, and shall be a35 |
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58 | 58 | | graduate of an accredited graduate medical education program or other applicable36 |
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59 | 59 | | accredited health care education program located in the United States which has received37 |
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60 | 60 | | accreditation or provisional accreditation by the Accreditation Council for Graduate38 |
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61 | 61 | | Medical Education, or the American Osteopathic Association, or such other applicable39 |
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62 | 62 | | accreditation for other health care education programs, as determined by the board."40 |
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63 | 63 | | "(c)(1) The board is authorized to consider, among other criteria for granting loans under41 |
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64 | 64 | | the provisions of this article, the state residency status and home area of the applying42 |
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65 | 65 | | H. B. 659 |
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66 | 66 | | - 2 - 25 LC 52 0789 |
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67 | 67 | | physician, dentist, optometrist, physician assistant, or advanced practice registered nurse43 |
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68 | 68 | | and to give priority to those applicants who are physicians, dentists, optometrists,44 |
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69 | 69 | | physician assistants, and advanced practice registered nurses actively practicing or45 |
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70 | 70 | | beginning active practice in specialties experiencing shortages or distribution problems46 |
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71 | 71 | | in rural areas of this state as determined by the board pursuant to rules and regulations47 |
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72 | 72 | | adopted by it in accordance with this article."48 |
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73 | 73 | | SECTION 3.49 |
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74 | 74 | | Said chapter is further amended by revising subsections (a) and (b) of Code Section50 |
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75 | 75 | | 31-34-4.1, relating to grants to hospitals and other entities, use of funds, and rules and51 |
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76 | 76 | | regulations authorized, as follows:52 |
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77 | 77 | | "(a) After providing priority consideration to granting loans pursuant to Code Section53 |
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78 | 78 | | 31-34-4, the board is authorized to make grants to hospitals and, as determined by the54 |
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79 | 79 | | board, other health care entities, local governments, and civic organizations in underserved55 |
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80 | 80 | | rural areas of Georgia, provided that any such hospital, health care entity, local56 |
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81 | 81 | | government, or civic organization matches such grant in an amount not less than such57 |
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82 | 82 | | grant. Such grants shall be for the purpose of enhancing recruitment efforts in bringing58 |
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83 | 83 | | physicians, dentists, optometrists, physician assistants, and advanced practice registered59 |
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84 | 84 | | nurses to such areas.60 |
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85 | 85 | | (b) Acceptable expenditures of grant funds by a hospital or other health care entity, local61 |
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86 | 86 | | government, or civic organization include, but are not limited to, medical or health care62 |
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87 | 87 | | education loan repayment, salary supplements for physicians, dentists, optometrists,63 |
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88 | 88 | | physician assistants, and advanced practice registered nurses, and additional support staff64 |
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89 | 89 | | for a physician's, dentist's, optometrist's, physician assistant's, or advanced practice65 |
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90 | 90 | | registered nurse's office. Grant funds shall not be used for hiring or paying a recruiting66 |
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91 | 91 | | firm or individual recruiter."67 |
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92 | 92 | | H. B. 659 |
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93 | 93 | | - 3 - 25 LC 52 0789 |
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94 | 94 | | SECTION 4. |
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95 | 95 | | 68 |
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96 | 96 | | Said chapter is further amended by revising Code Section 31-34-5, relating to service69 |
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97 | 97 | | cancelable loan, amount, repayment, and determination of underserved rural areas, as70 |
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98 | 98 | | follows:71 |
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99 | 99 | | "31-34-5.72 |
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100 | 100 | | (a)(1) The board shall have the authority to grant to each applicant approved by the board73 |
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101 | 101 | | on a one-year renewable basis a service cancelable loan for a period not exceeding four74 |
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102 | 102 | | years; provided, however, that, |
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103 | 103 | | for applicants that who are dental students, service75 |
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104 | 104 | | cancelable loans shall be for a period of four years. The amount of the loan shall be76 |
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105 | 105 | | determined by the board, but such amount shall be related to the applicant's outstanding77 |
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106 | 106 | | obligations incurred as a direct result of completing medical or health care education and78 |
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107 | 107 | | training.79 |
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108 | 108 | | (2) A loan or loans to each approved applicant shall be granted on the condition that the80 |
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109 | 109 | | full amount of the loan or loans shall be repaid to the State of Georgia in services to be81 |
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110 | 110 | | rendered by the applicant's practicing his or her profession in a board approved physician,82 |
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111 | 111 | | dentist, optometrist, physician assistant, or advanced practice registered nurse83 |
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112 | 112 | | underserved rural area of Georgia. For each full year of practicing his or her profession84 |
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113 | 113 | | in such underserved rural area, the physician, dentist, optometrist, physician assistant, or85 |
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114 | 114 | | advanced practice registered nurse who obtained the loan shall receive credit for the full86 |
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115 | 115 | | amount of one year's loan plus regular interest which accrued on such amount.87 |
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116 | 116 | | (b)(1) The board shall have the authority to make grants to each applicant hospital or88 |
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117 | 117 | | other health care entity, local government, or civic organization approved by the board89 |
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118 | 118 | | on a yearly basis, renewable each year at the discretion of the board. The amount of the90 |
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119 | 119 | | grant shall be determined by the board, but such amount shall be related to and shall not91 |
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120 | 120 | | exceed the applicant's proposed expenditures to enhance recruitment efforts in bringing92 |
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121 | 121 | | one or more physicians, dentists, optometrists, physician assistants, or advanced practice93 |
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122 | 122 | | registered nurses to the underserved rural area.94 |
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123 | 123 | | H. B. 659 |
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125 | 125 | | (2) A grant to an approved applicant shall be made on any condition or conditions |
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126 | 126 | | 95 |
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127 | 127 | | determined by the board, which may include, but not be limited to, that one or more96 |
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128 | 128 | | physicians, dentists, optometrists, |
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129 | 129 | | physician assistants, or advanced practice registered97 |
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130 | 130 | | nurses are employed and retained in the underserved rural area for a prescribed minimum98 |
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131 | 131 | | length of time.99 |
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132 | 132 | | (c) In making a determination of physician, dentist, optometrist, physician assistant, or100 |
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133 | 133 | | advanced practice registered nurse underserved rural areas of Georgia, the board shall seek101 |
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134 | 134 | | the advice and assistance of the Department of Public Health, the University of Georgia102 |
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135 | 135 | | Cooperative Extension Service, the Department of Community Affairs, and such other103 |
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136 | 136 | | public or private associations or organizations as the board determines to be of assistance104 |
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137 | 137 | | in making such determinations. Criteria to determine physician, dentist, optometrist,105 |
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138 | 138 | | physician assistant, or advanced practice registered nurse underserved rural areas shall106 |
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139 | 139 | | include, but shall not be limited to, relevant statistical data related to the following:107 |
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140 | 140 | | (1) The ratio of physicians, dentists, optometrists, physician assistants, or advanced108 |
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141 | 141 | | practice registered nurses to population in the area;109 |
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142 | 142 | | (2) Indications of the health status of the population in the area;110 |
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143 | 143 | | (3) The poverty level and dependent age groups of the population in the area;111 |
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144 | 144 | | (4) Indications of community support for more physicians, dentists, optometrists,112 |
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145 | 145 | | physician assistants, or advanced practice registered nurses in the area; and113 |
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146 | 146 | | (5) Indications that access to the physician's, dentist's, optometrist's, physician assistant's,114 |
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147 | 147 | | or advanced practice registered nurse's services is available to every person in the115 |
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148 | 148 | | underserved area regardless of ability to pay."116 |
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149 | 149 | | SECTION 5.117 |
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150 | 150 | | All laws and parts of laws in conflict with this Act are repealed.118 |
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151 | 151 | | H. B. 659 |
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152 | 152 | | - 5 - |
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