FIRSTREGULARSESSION
[PERFECTED]
HOUSEBILLNO.542
102NDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVEHADEN.
1533H.01P DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsections191.500,191.505,191.510,191.515,191.520,191.525,191.530,191.535,
191.540,191.545,191.550,191.600,191.828,191.831,335.203,335.212,335.215,
335.218,335.221,335.224,335.227,335.230,335.233,335.236,335.239,335.242,
335.245,335.248,335.251,335.254,and335.257,RSMo,andtoenactinlieuthereof
tennewsectionsrelatingtohealthprofessionalgrantandloanprograms.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Sections191.500,191.505,191.510,191.515,191.520,191.525,191.530,
2191.535,191.540,191.545,191.550,191.600,191.828,191.831,335.203,335.212,335.215,
3335.218,335.221,335.224,335.227,335.230,335.233,335.236,335.239,335.242,335.245,
4335.248,335.251,335.254,and335.257,RSMo,arerepealedandtennewsectionsenactedin
5lieuthereof,tobeknownassections191.430,191.435,191.440,191.445,191.450,191.600,
6191.828,191.831,335.203,and335.205,toreadasfollows:
191.430.1.Thereisherebyestablishedwithinthedepartmentofhealthand
2seniorservicesthe"HealthProfessionalLoanRepaymentProgram"toprovide
3forgivableloansforthepurposeofrepayingexistingloansrelatedtoapplicable
4educationalexpensesforhealthcare,mentalhealth,andpublichealthprofessionals.
5Thedepartmentofhealthandseniorservicesshallbetheadministrativeagencyforthe
6implementationoftheprogramestablishedbythissection.
7 2.Thedepartmentofhealthandseniorservicesshallprescribetheformandthe
8timeandmethodoffilingapplicationsandsupervisetheprocessing,includingoversight
9andmonitoringoftheprogram,andshallpromulgaterulestoimplementtheprovisions
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 10ofsections191.430to191.450.Anyruleorportionofarule,asthattermisdefinedin
11section536.010,thatiscreatedundertheauthoritydelegatedinthissectionshall
12becomeeffectiveonlyifitcomplieswithandissubjecttoalloftheprovisionsofchapter
13536and,ifapplicable,section536.028.Thissectionandchapter536arenonseverable
14andifanyofthepowersvestedwiththegeneralassemblypursuanttochapter536to
15review,todelaytheeffectivedate,ortodisapproveandannularulearesubsequently
16heldunconstitutional,thenthegrantofrulemakingauthorityandanyruleproposedor
17adoptedafterAugust28,2023,shallbeinvalidandvoid.
18 3.Thedirectorofthedepartmentofhealthandseniorservicesshallhavethe
19discretiontodeterminethehealthprofessionalsandpractitionerswhowillreceive
20forgivablehealthprofessionalloansfromthedepartmenttopaytheirexistingloans.
21Thedirectorshallmakesuchdeterminationseachfiscalyearbasedonevidence
22associatedwiththegreatestneedsinthebestinterestsofthepublic.Thehealthcare,
23mentalhealth,andpublichealthprofessionalsordisciplinesfundedinanygivenyear
24shallbecontingentuponconsultationwiththeofficeofworkforcedevelopmentinthe
25departmentofhighereducationandworkforcedevelopmentandthedepartmentof
26mentalhealth,ortheirsuccessoragencies.
27 4.Thedepartmentofhealthandseniorservicesshallenterintoacontractwith
28eachselectedapplicantwhoreceivesahealthprofessionalloanunderthissection.Each
29selectedapplicantshallapplytheloanawardtohisorhereducationaldebt.The
30contractshalldetailthemethodsofforgivenessassociatedwithaserviceobligationand
31thetermsassociatedwiththeprincipalandinterestaccruingontheloanatthetimeof
32theaward.Thecontractshallcontaindetailsconcerninghowforgivenessisearned,
33includingwhenpartialforgivenessisearnedthroughaserviceobligation,andtheterms
34andconditionsassociatedwithrepaymentoftheloansforanyobligationnotserved.
35 5.Allhealthprofessionalloansshallbemadefromfundsappropriatedbythe
36generalassemblytothehealthprofessionalloanincentivefundestablishedinsection
37191.445.
191.435.Thedepartmentofhealthandseniorservicesshalldesignatecounties,
2communities,orsectionsofareasinthestateasareasofdefinedneedforhealthcare,
3mentalhealth,andpublichealthservices.Ifacounty,community,orsectionofanarea
4hasbeendesignatedordeterminedasaprofessionalshortagearea,ashortagearea,ora
5healthcare,mentalhealth,orpublichealthprofessionalshortageareabythefederal
6DepartmentofHealthandHumanServicesoritssuccessoragency,thedepartmentof
7healthandseniorservicesshalldesignateitasanareaofdefinedneedunderthissection.
8Ifthedirectorofthedepartmentofhealthandseniorservicesdeterminesthatacounty,
9community,orsectionofanareahasanextraordinaryneedforhealthcareprofessional
HB542 2 10serviceswithoutacorrespondingsupplyofsuchprofessionals,thedepartmentofhealth
11andseniorservicesmaydesignateitasanareaofdefinedneedunderthissection.
191.440.1.Thedepartmentofhealthandseniorservicesshallenterintoa
2contractwitheachindividualqualifyingforaforgivableloanundersections191.430to
3191.450.Thewrittencontractbetweenthedepartmentandtheindividualshallcontain,
4butnotbelimitedto,thefollowing:
5 (1)Anagreementthatthestateagreestoawardaloanandtheindividualagrees
6toserveforaperiodequaltotwoyears,oralongerperiodastheindividualmayagree
7to,inanareaofdefinedneedasdesignatedbythedepartment,withsuchserviceperiod
8tobeginonthedateidentifiedonthesignedcontract;
9 (2)Aprovisionthatanyfinancialobligationsarisingoutofacontractentered
10intoandanyobligationoftheindividualthatisconditionedthereoniscontingentupon
11fundsbeingappropriatedforloans;
12 (3)Theareaofdefinedneedwherethepersonwillpractice;
13 (4)Astatementofthedamagestowhichthestateisentitledfortheindividual's
14breachofthecontract;and
15 (5)Suchotherstatementsoftherightsandliabilitiesofthedepartmentandof
16theindividualnotinconsistentwithsections191.430to191.450.
17 2.Thedepartmentofhealthandseniorservicesmaystipulatespecificpractice
18sites,contingentupondepartment-generatedhealthcare,mentalhealth,andpublic
19healthprofessionalneedpriorities,whereapplicantsshallagreetopracticeforthe
20durationoftheirparticipationintheprogram.
191.445.Thereisherebycreatedinthestatetreasurythe"HealthProfessional
2LoanIncentiveFund",whichshallconsistofanyappropriationsmadebythegeneral
3assembly,allfundsrecoveredfromanindividualundersection191.450,andallfunds
4generatedbyloanrepaymentsreceivedundersections191.430to191.450.Thestate
5treasurershallbecustodianofthefund.Inaccordancewithsections30.170and30.180,
6thestatetreasurermayapprovedisbursements.Thefundshallbeadedicatedfundand,
7uponappropriation,moneysinthisfundshallbeusedsolelybythedepartmentof
8healthandseniorservicestoprovideloansundersections191.430to191.450.
9Notwithstandingtheprovisionsofsection33.080tothecontrary,anymoneys
10remaininginthefundattheendofthebienniumshallnotreverttothecreditofthe
11generalrevenuefund.Thestatetreasurershallinvestmoneysinthefundinthesame
12mannerasotherfundsareinvested.Anyinterestandmoneysearnedonsuch
13investmentsshallbecreditedtothefund.
191.450.1.Anindividualwhoentersintoawrittencontractwiththe
2departmentofhealthandseniorservices,asdescribedinsection191.440,andwhofails
HB542 3 3tomaintainanacceptableemploymentstatusshallbeliabletothestateforanyamount
4awardedasaloanbythedepartmentdirectlytotheindividualwhoenteredintothe
5contractthathasnotyetbeenforgiven.
6 2.Anindividualfailstomaintainanacceptableemploymentstatusunderthis
7sectionwhenthecontractedindividualinvoluntarilyorvoluntarilyterminates
8qualifyingemployment,isdismissedfromsuchemploymentbeforecompletionofthe
9contractualserviceobligationwithinthespecifictimeframeoutlinedinthecontract,or
10failstorespondtorequestsmadebythedepartment.
11 3.Ifanindividualbreachesthewrittencontractoftheindividualbyfailingto
12beginorcompletesuchindividual'sserviceobligation,thestateshallbeentitledto
13recoverfromtheindividualanamountequaltothesumof:
14 (1)Thetotalamountoftheloanawardedbythedepartmentor,ifthe
15departmenthadalreadyawardedpartialforgivenessatthetimeofthebreach,the
16amountoftheloannotyetforgiven;
17 (2)Theinterestontheamountthatwouldbepayableifatthetimetheloanwas
18awardeditwasaloanbearinginterestatthemaximumprevailingrateasdeterminedby
19theTreasureroftheUnitedStates;
20 (3)Anamountequaltoanydamagesincurredbythedepartmentasaresultof
21thebreach;and
22 (4)Anylegalfeesorassociatedcostsincurredbythedepartmentorthestateof
23Missouriinthecollectionofdamages.
191.600.1.Sections191.600to191.615establishaloanrepaymentprogramfor
2graduatesofapprovedmedicalschools,schoolsofosteopathicmedicine,schoolsofdentistry
3andaccreditedchiropracticcollegeswhopracticeinareasofdefinedneedandshallbeknown
4asthe"HealthProfessionalStudentLoanRepaymentProgram".Sections191.600to191.615
5shallapplytograduatesofaccreditedchiropracticcollegeswhenfederalguidelinesfor
6chiropracticshortageareasaredeveloped.
7 2.The"HealthProfessionalStudentLoanandLoanRepaymentProgramFund"is
8herebycreatedinthestatetreasury.Allfundsrecoveredfromanindividualpursuantto
9section191.614andallfundsgeneratedbyloanrepaymentsandpenaltiesreceivedpursuant
10tosection191.540shallbecreditedtothefund.Themoneysinthefundshallbeusedbythe
11departmentofhealthandseniorservicestoprovideloanrepaymentspursuanttosection
12191.611inaccordancewithsections191.600to191.614[andtoprovideloanspursuantto
13sections191.500to191.550].
191.828.1.Thefollowingdepartmentsshallconducton-goingevaluationsofthe
2effectoftheinitiativesenactedbythefollowingsections:
HB542 4 3 (1)Thedepartmentofcommerceandinsuranceshallevaluatetheeffectofrevising
4section376.782andsections143.999,208.178,374.126,and376.891to376.894;
5 (2)Thedepartmentofhealthandseniorservicesshallevaluatetheeffectofrevising
6sections105.711and[sections191.520and]191.600andenactingsection191.411,and
7sections167.600to167.621,191.231,208.177,431.064,and660.016.Incollaborationwith
8thestateboardofregistrationforthehealingarts,thestateboardofnursing,andthestate
9boardofpharmacy,thedepartmentofhealthandseniorservicesshallalsoevaluatetheeffect
10ofrevisingsection195.070,section334.100,andsection335.016,andofsections334.104
11and334.112,andsection338.095and338.198;
12 (3)Thedepartmentofsocialservicesshallevaluatetheeffectofrevisingsection
13198.090,andsections208.151,208.152and208.215,andsection383.125,andofsections
14167.600to167.621,208.177,208.178,208.179,208.181,and211.490;
15 (4)Theofficeofadministrationshallevaluatetheeffectofrevisingsections105.711
16and105.721;
17 (5)TheMissouriconsolidatedhealthcareplanshallevaluatetheeffectofsection
18103.178;and
19 (6)Thedepartmentofmentalhealthshallevaluatetheeffectofsection191.831asit
20relatestosubstanceabusetreatmentandofsection191.835.
21 2.Thedepartmentofrevenueandofficeofadministrationshallmakebiannualreports
22tothegeneralassemblyandthegovernorconcerningtheincomereceivedintothehealth
23initiativesfundandtheleveloffundingrequiredtooperatetheprogramsandinitiatives
24fundedbythehealthinitiativesfundatanoptimallevel.
191.831.1.Thereisherebyestablishedinthestatetreasurya"HealthInitiatives
2Fund",towhichshallbedepositedallrevenuesdesignatedforthefundundersubsection8of
3section149.015,andsubsection3ofsection149.160,andsection167.609,andallotherfunds
4donatedtothefundorotherwisedepositedpursuanttolaw.Thestatetreasurershall
5administerthefund.Moneyinthefundshallbeappropriatedtoprovidefundingfor
6implementingthenewprogramsandinitiativesestablishedbysections105.711and105.721.
7Themoneysinthefundmayfurtherbeusedtofundthoseprogramsestablishedbysections
8191.411[,191.520] and191.600,sections208.151and208.152,andsections103.178,
9143.999,167.600to167.621,188.230,191.211,191.231,191.825to191.839,192.013,
10208.177,208.178,208.179and208.181,211.490,285.240,337.093,374.126,376.891to
11376.894,431.064,660.016,660.017and660.018;inaddition,notlessthanfifteenpercentof
12theproceedsdepositedtothehealthinitiativefundpursuanttosections149.015and149.160
13shallbeappropriatedannuallytoprovidefundingfortheC-STARsubstanceabuse
14rehabilitationprogramofthedepartmentofmentalhealth,oritssuccessorprogram,andaC-
15STARpilotprojectdevelopedbythedirectorofthedivisionofalcoholanddrugabuseand
HB542 5 16thedirectorofthedepartmentofcorrectionsasanalternativetoincarceration,asprovidedin
17subsections2,3,and4ofthissection.Suchpilotprojectshallbeknownasthe"Alt-care"
18program.Inaddition,someoftheproceedsdepositedtothehealthinitiativesfundpursuantto
19sections149.015and149.160shallbeappropriatedannuallytothedivisionofalcoholand
20drugabuseofthedepartmentofmentalhealthtobeusedfortheadministrationandoversight
21ofthesubstanceabusetraffic[offenders] offenderprogramdefinedinsection302.010[and
22section577.001]. Theprovisionsofsection33.080tothecontrarynotwithstanding,moneyin
23thehealthinitiativesfundshallnotbetransferredatthecloseofthebienniumtothegeneral
24revenuefund.
25 2.Thedirectorofthedivisionofalcoholanddrugabuseandthedirectorofthe
26departmentofcorrectionsshalldevelopandadministerapilotprojecttoprovidea
27comprehensivesubstanceabusetreatmentandrehabilitationprogramasanalternativeto
28incarceration,hereinafterreferredtoas"Alt-care".Alt-careshallbefundedusingmoney
29providedundersubsection1ofthissectionthroughtheMissouriMedicaidprogram,theC-
30STARprogramofthedepartmentofmentalhealth,andthedivisionofalcoholanddrug
31abuse'spurchase-of-servicesystem.Alt-careshallofferaflexiblecombinationofclinical
32servicesandlivingarrangementsindividuallyadaptedtoeachclientandherchildren.Alt-
33careshallconsistofthefollowingcomponents:
34 (1)Assessmentandtreatmentplanning;
35 (2)Communitysupporttoprovidecontinuity,monitoringofprogressandaccessto
36servicesandresources;
37 (3)Counselingfromindividualtofamilytherapy;
38 (4)Daytreatmentserviceswhichincludeaccessibilitysevendaysperweek,
39transportationtoandfromtheAlt-careprogram,weeklydrugtesting,leisureactivities,
40weeklyeventsforfamiliesandcompanions,jobandeducationpreparednesstraining,peer
41supportandself-helpanddailylivingskills;and
42 (5)Livingarrangementoptionswhicharepermanent,substance-freeandconducive
43totreatmentandrecovery.
44 3.Anyfemalewhoispregnantoristhecustodialparentofachildorchildrenunder
45theageoftwelveyears,andwhohaspleadedguiltytoorfoundguiltyofviolatingthe
46provisionsofchapter195,andwhosecontrolledsubstanceabusewasaprecipitatingor
47contributingfactorinthecommissionoftheoffense,andwhoisplacedonprobationmaybe
48required,asaconditionofprobation,toparticipateinAlt-care,ifspaceisavailableinthe
49pilotprojectarea.Determinationsofeligibilityfortheprogram,placement,andcontinued
50participationshallbemadebythedivisionofalcoholanddrugabuse,inconsultationwiththe
51departmentofcorrections.
HB542 6 52 4.TheavailabilityofspaceinAlt-careshallbedeterminedbythedirectorofthe
53divisionofalcoholanddrugabuseinconjunctionwiththedirectorofthedepartmentof
54corrections.Ifthesentencingcourtisadvisedthatthereisnospaceavailable,thecourtshall
55considerotherauthorizeddispositions.
335.203.1.Thereisherebyestablishedthe"NursingEducationIncentiveProgram"
2withinthestateboardofnursing.
3 2.Subjecttoappropriationandboarddisbursement,grantsshallbeawardedthrough
4thenursingeducationincentiveprogramtoeligibleinstitutionsofhighereducationbasedon
5criteriajointlydeterminedbytheboardandthedepartmentofhighereducationandworkforce
6development.[Grantawardamountsshallnotexceedonehundredfiftythousanddollars.]
7Nocampusshallreceivemorethanonegrantperyear.
8 3.Tobeconsideredforagrant,aneligibleinstitutionofhighereducationshalloffera
9programofnursingthatmeetsthepredeterminedcategoryandareaofneedasestablishedby
10theboardandthedepartmentundersubsection4ofthissection.
11 4.Theboardandthedepartmentshalldeterminecategoriesandareasofneedfor
12designatinggrantstoeligibleinstitutionsofhighereducation.Inestablishingcategoriesand
13areasofneed,theboardanddepartmentmayconsidercriteriaincluding,butnotlimitedto:
14 (1)Datageneratedfromlicensurerenewaldataandthedepartmentofhealthand
15seniorservices;and
16 (2)Nationalnursingstatisticaldataandtrendsthathaveidentifiednursingshortages.
17 5.Theboardshallbetheadministrativeagencyresponsibleforimplementationofthe
18programestablishedundersections335.200to335.203,andshallpromulgatereasonable
19rulesfortheexerciseofitsfunctionsandtheeffectuationofthepurposesofsections335.200
20to335.203.Theboardshall,byrule,prescribetheform,time,andmethodoffiling
21applicationsandshallsupervisetheprocessingofsuchapplications.
22 6.Anyruleorportionofarule,asthattermisdefinedinsection536.010,thatis
23createdundertheauthoritydelegatedinthissectionshallbecomeeffectiveonlyifitcomplies
24withandissubjecttoalloftheprovisionsofchapter536and,ifapplicable,section536.028.
25Thissectionandchapter536arenonseverableandifanyofthepowersvestedwiththe
26generalassemblypursuanttochapter536toreview,todelaytheeffectivedate,orto
27disapproveandannularulearesubsequentlyheldunconstitutional,thenthegrantof
28rulemakingauthorityandanyruleproposedoradoptedafterAugust28,2011,shallbeinvalid
29andvoid.
335.205.Theboard,inadditiontoanyotherdutiesitmayhaveregarding
2licensureofnurses,shallcollect,atthetimeofanyinitiallicenseapplicationorlicense
3renewalapplication,anursingeducationincentiveprogramsurchargefromeachperson
4licensedorrelicensedunderchapter335,intheamountofonedollarperyearfor
HB542 7 5practicalnursesandfivedollarsperyearforregisteredprofessionalnurses.These
6fundsshallbedepositedinthestateboardofnursingfunddescribedinsection335.036.
[191.500.Asusedinsections191.500to191.550,unlessthecontext
2 clearlyindicatesotherwise,thefollowingtermsmean:
3 (1)"Areaofdefinedneed",acommunityorsectionofanurbanareaof
4 thisstatewhichiscertifiedbythedepartmentofhealthandseniorservicesas
5 beinginneedoftheservicesofaphysiciantoimprovethepatient-doctorratio
6 inthearea,tocontributeprofessionalphysicianservicestoanareaof
7 economicimpact,ortocontributeprofessionalphysicianservicestoanarea
8 sufferingfromtheeffectsofanaturaldisaster;
9 (2)"Department",thedepartmentofhealthandseniorservices;
10 (3)"Eligiblestudent",afull-timestudentacceptedandenrolledina
11 formalcourseofinstructionleadingtoadegreeofdoctorofmedicineor
12 doctorofosteopathy,includingpsychiatry,ataparticipatingschool,ora
13 doctorofdentalsurgery,doctorofdentalmedicine,orabachelorofscience
14 degreeindentalhygiene;
15 (4)"Financialassistance",anamountofmoneypaidbythestateof
16 Missouritoaqualifiedapplicantpursuanttosections191.500to191.550;
17 (5)"Participatingschool",aninstitutionofhigherlearningwithinthis
18 statewhichgrantsthedegreesofdoctorofmedicineordoctorofosteopathy,
19 andwhichisaccreditedintheappropriatedegreeprogrambytheAmerican
20 MedicalAssociationortheAmericanOsteopathicAssociation,oradegree
21 programbytheAmericanDentalAssociationortheAmericanPsychiatric
22 Association,andapplicableresidencyprogramsforeachdegreetypeand
23 discipline;
24 (6)"Primarycare",generalorfamilypractice,internalmedicine,
25 pediatric,psychiatric,obstetricandgynecologicalcareasprovidedtothe
26 generalpublicbyphysicianslicensedandregisteredpursuanttochapter334,
27 dentalpractice,oradentalhygienistlicensedandregisteredpursuantto
28 chapter332;
29 (7)"Resident",anynaturalpersonwhohaslivedinthisstateforoneor
30 moreyearsforanypurposeotherthantheattendingofaneducational
31 institutionlocatedwithinthisstate;
32 (8)"Ruralarea",atownorcommunitywithinthisstatewhichisnot
33 withinastandardmetropolitanstatisticalarea,andhasapopulationofsix
34 thousandorfewerinhabitantsasdeterminedbythelastprecedingfederal
35 decennialcensusoranyunincorporatedareanotwithinastandard
36 metropolitanstatisticalarea.]
[191.505.Thedepartmentofhealthandseniorservicesshallbethe
2 administrativeagencyfortheimplementationoftheprogramestablishedby
3 sections191.500to191.550.Thedepartmentshallpromulgatereasonable
4 rulesandregulationsfortheexerciseofitsfunctionsintheeffectuationofthe
5 purposesofsections191.500to191.550.Itshallprescribetheformandthe
6 timeandmethodoffilingapplicationsandsupervisetheprocessingthereof.]
HB542 8 [191.510.Thedepartmentshallenterintoacontractwitheach
2 applicantreceivingastateloanundersections191.500to191.550for
3 repaymentoftheprincipalandinterestandforforgivenessofaportionthereof
4 forparticipationintheserviceareasasprovidedinsections191.500to
5 191.550.]
[191.515.Aneligiblestudentmayapplytothedepartmentforaloan
2 undersections191.500to191.550onlyif,atthetimeofhisapplicationand
3 throughouttheperiodduringwhichhereceivestheloan,hehasbeenformally
4 acceptedasastudentinaparticipatingschoolinacourseofstudyleadingto
5 thedegreeofdoctorofmedicineordoctorofosteopathy,includingpsychiatry,
6 oradoctorofdentalsurgery,adoctorofdentalmedicine,orabachelorof
7 sciencedegreeindentalhygiene,andisaresidentofthisstate.]
[191.520.Noloantoanyeligiblestudentshallexceedtwenty-five
2 thousanddollarsforeachacademicyear,whichshallrunfromAugustfirstof
3 anyyearthroughJulythirty-firstofthefollowingyear.Allloansshallbe
4 madefromfundsappropriatedtothemedicalschoolloanandloanrepayment
5 programfundcreatedbysection191.600,bythegeneralassembly.]
[191.525.Nomorethantwenty-fiveloansshallbemadetoeligible
2 studentsduringthefirstacademicyearthisprogramisineffect.Twenty-five
3 newloansmaybemadeforthenextthreeacademicyearsuntilatotalofone
4 hundredloansareavailable.Atleastone-halfoftheloansshallbemadeto
5 studentsfromruralareasasdefinedinsection191.500.Aneligiblestudent
6 mayreceiveloansforeachacademicyearheispursuingacourseofstudy
7 directlyleadingtoadegreeofdoctorofmedicineordoctorofosteopathy,
8 doctorofdentalsurgery,ordoctorofdentalmedicine,orabachelorofscience
9 degreeindentalhygiene.]
[191.530.Interestattherateofnineandone-halfpercentperyearshall
2 bechargedonallloansmadeundersections191.500to191.550butone-fourth
3 oftheinterestandprincipalofthetotalloanatthetimeoftheawardingofthe
4 degreeshallbeforgivenforeachyearofparticipationbyanapplicantinthe
5 practiceofhisprofessioninaruralareaoranareaofdefinedneed.The
6 departmentshallgrantadeferralofinterestandprincipalpaymentstoaloan
7 recipientwhoispursuinganinternshiporaresidencyinprimarycare.The
8 deferralshallnotexceedthreeyears.Thestatusofeachloanrecipient
9 receivingadeferralshallbereviewedannuallybythedepartmenttoensure
10 compliancewiththeintentofthisprovision.Theloanrecipientwillrepaythe
11 loanbeginningwiththecalendaryearfollowingcompletionofhisinternship
12 orhisprimarycareresidencyinaccordancewiththeloancontract.]
[191.535.Ifastudentceaseshisstudypriortoreceivingadegree,
2 interestattheratespecifiedinsection191.530shallbechargedontheamount
3 receivedfromthestateundertheprovisionsofsections191.500to191.550.]
HB542 9 [191.540.1.Thedepartmentshallestablishschedulesandprocedures
2 forrepaymentoftheprincipalandinterestofanyloanmadeunderthe
3 provisionsofsections191.500to191.550andnotforgivenasprovidedin
4 section191.530.
5 2.Apenaltyshallbeleviedagainstapersoninbreachofcontract.
6 Suchpenaltyshallbetwicethesumoftheprincipalandtheaccruedinterest.]
[191.545.Whennecessarytoprotecttheinterestofthestateinany
2 loantransactionundersections191.500to191.550,theboardmayinstitute
3 anyactiontorecoveranyamountdue.]
[191.550.Thecontractsmadewiththeparticipatingstudentsshallbe
2 approvedbytheattorneygeneral.]
[335.212.Asusedinsections335.212to335.242,thefollowingterms
2 mean:
3 (1)"Board",theMissouristateboardofnursing;
4 (2)"Department",theMissouridepartmentofhealthandsenior
5 services;
6 (3)"Director",directoroftheMissouridepartmentofhealthand
7 seniorservices;
8 (4)"Eligiblestudent",aresidentwhohasbeenacceptedasafull-time
9 studentinaformalcourseofinstructionleadingtoanassociatedegree,a
10 diploma,abachelorofscience,amasterofscienceinnursing(M.S.N.),a
11 doctorateinnursing(Ph.D.orD.N.P.),orastudentwithamasterofsciencein
12 nursingseekingadoctorateineducation(Ed.D.),orleadingtothecompletion
13 ofeducationalrequirementsforalicensedpracticalnurse.Thedoctoral
14 applicantmaybeapart-timestudent;
15 (5)"Participatingschool",aninstitutionwithinthisstatewhichis
16 approvedbytheboardforparticipationintheprofessionalandpractical
17 nursingstudentloanprogramestablishedbysections335.212to335.242,
18 havinganursingdepartmentandofferingacourseofinstructionbasedon
19 nursingtheoryandclinicalnursingexperience;
20 (6)"Qualifiedapplicant",aneligiblestudentapprovedbytheboardfor
21 participationintheprofessionalandpracticalnursingstudentloanprogram
22 establishedbysections335.212to335.242;
23 (7)"Qualifiedemployment",employmentonafull-timebasisin
24 Missouriinapositionrequiringlicensureasalicensedpracticalnurseor
25 registeredprofessionalnurseinanyhospitalasdefinedinsection197.020orin
26 anyagency,institution,ororganizationlocatedinanareaofneedas
27 determinedbythedepartmentofhealthandseniorservices.Anyforgiveness
28 ofsuchprincipalandinterestforanyqualifiedapplicantengagedinqualified
29 employmentonalessthanfull-timebasismaybeproratedtoreflectthe
30 amountsprovidedinthissection;
31 (8)"Resident",anypersonwhohaslivedinthisstateforoneormore
32 yearsforanypurposeotherthantheattendingofaneducationalinstitution
33 locatedwithinthisstate.]
HB542 10 [335.215.1.Thedepartmentofhealthandseniorservicesshallbethe
2 administrativeagencyfortheimplementationoftheprofessionalandpractical
3 nursingstudentloanprogramestablishedundersections335.212to335.242,
4 andthenursingstudentloanrepaymentprogramestablishedundersections
5 335.245to335.259.
6 2.Anadvisorypanelofnursesshallbeappointedbythedirector.It
7 shallbecomposedofnotmorethanelevenmembersrepresentingpractical,
8 associatedegree,diploma,baccalaureateandgraduatenursingeducation,
9 communityhealth,primarycare,hospital,long-termcare,aconsumer,andthe
10 Missouristateboardofnursing.Thepanelshallmakerecommendationstothe
11 directoronthecontentofanyrules,regulationsorguidelinespriortotheir
12 promulgation.Thepanelmaymakerecommendationstothedirector
13 regardingfundallocationsforloansandloanrepaymentbasedoncurrent
14 nursingshortageneeds.
15 3.Thedepartmentofhealthandseniorservicesshallpromulgate
16 reasonablerulesandregulationsfortheexerciseofitsfunctionpursuantto
17 sections335.212to335.259.Itshallprescribetheform,thetimeandmethod
18 offilingapplicationsandsupervisetheproceedingsthereof.Noruleorportion
19 ofarulepromulgatedundertheauthorityofsections335.212to335.257shall
20 becomeeffectiveunlessithasbeenpromulgatedpursuanttotheprovisionsof
21 section536.024.
22 4.Ninety-fivepercentoffundsloanedpursuanttosections335.212to
23 335.242shallbeloanedtoqualifiedapplicantswhoareenrolledin
24 professionalnursingprogramsinparticipatingschoolsandfivepercentof
25 thefundsloanedpursuanttosections335.212to335.242shallbeloanedto
26 qualifiedapplicantswhoareenrolledinpracticalnursingprograms.Priority
27 shallbegiventoeligiblestudentswhohaveestablishedfinancialneed.All
28 loanrepaymentfundspursuanttosections335.245to335.259shallbeusedto
29 reimbursesuccessfulassociate,diploma,baccalaureateorgraduate
30 professionalnurseapplicants'educationalloanswhoagreetoserveinareas
31 ofdefinedneedasdeterminedbythedepartment.]
[335.218.Thereisherebyestablishedthe"ProfessionalandPractical
2 NursingStudentLoanandNurseLoanRepaymentFund".Allfeespursuantto
3 section335.221,generalrevenueappropriationstothestudentloanorloan
4 repaymentprogram,voluntarycontributionstosupportormatchthestudent
5 loanandloanrepaymentprogramactivities,fundscollectedfromrepayment
6 andpenalties,andfundsreceivedfromthefederalgovernmentshallbe
7 depositedinthestatetreasuryandbeplacedtothecreditoftheprofessional
8 andpracticalnursingstudentloanandnurseloanrepaymentfund.Thefund
9 shallbemanagedbythedepartmentofhealthandseniorservicesandall
10 administrativecostsandexpensesincurredasaresultoftheeffectuationof
11 sections335.212to335.259shallbepaidfromthisfund.]
[335.221.Theboard,inadditiontoanyotherdutiesitmayhave
2 regardinglicensureofnurses,shallcollect,atthetimeoflicensureorlicensure
3 renewal,aneducationsurchargefromeachpersonlicensedorrelicensed
4 pursuanttosections335.011to335.096,intheamountofonedollarperyear
HB542 11 5 forpracticalnursesandfivedollarsperyearforprofessionalnurses.These
6 fundsshallbedepositedintheprofessionalandpracticalnursingstudentloan
7 andnurseloanrepaymentfund.Allexpendituresauthorizedbysections
8 335.212to335.259shallbepaidfromfundsappropriatedbythegeneral
9 assemblyfromtheprofessionalandpracticalnursingstudentloanandnurse
10 loanrepaymentfund.Theprovisionsofsection33.080tothecontrary
11 notwithstanding,moneyinthisfundshallnotbetransferredandplacedtothe
12 creditofgeneralrevenue.]
[335.224.Thedepartmentofhealthandseniorservicesshallenterinto
2 acontractwitheachqualifiedapplicantreceivingfinancialassistanceunder
3 theprovisionsofsections335.212to335.242forrepaymentoftheprincipal
4 andinterest.]
[335.227.Aneligiblestudentmayapplytothedepartmentfor
2 financialassistanceundertheprovisionsofsections335.212to335.242if,at
3 thetimeofhisapplicationforaloan,theeligiblestudenthasformallyapplied
4 foracceptanceataparticipatingschool.Receiptoffinancialassistanceis
5 contingentuponacceptanceandcontinuedenrollmentataparticipating
6 school.]
[335.230.Financialassistancetoanyqualifiedapplicantshallnot
2 exceedtenthousanddollarsforeachacademicyearforaprofessionalnursing
3 programandshallnotexceedfivethousanddollarsforeachacademicyearfor
4 apracticalnursingprogram.Allfinancialassistanceshallbemadefromfunds
5 creditedtotheprofessionalandpracticalnursingstudentloanandnurseloan
6 repaymentfund.Aqualifiedapplicantmayreceivefinancialassistancefor
7 eachacademicyearheremainsastudentingoodstandingataparticipating
8 school.]
[335.233.Thedepartmentshallestablishschedulesforrepaymentof
2 theprincipalandinterestonanyfinancialassistancemadeunderthe
3 provisionsofsections335.212to335.242.Interestattherateofnineand
4 one-halfpercentperannumshallbechargedonallfinancialassistancemade
5 undertheprovisionsofsections335.212to335.242,buttheinterestand
6 principalofthetotalfinancialassistancegrantedtoaqualifiedapplicantatthe
7 timeofthesuccessfulcompletionofanursingdegree,diplomaprogramora
8 practicalnursingprogramshallbeforgiventhroughqualifiedemployment.]
[335.236.Thefinancialassistancerecipientshallrepaythefinancial
2 assistanceprincipalandinterestbeginningnotmorethansixmonthsafter
3 completionofthedegreeforwhichthefinancialassistancewasmadein
4 accordancewiththerepaymentcontract.Ifaneligiblestudentceaseshisstudy
5 priortosuccessfulcompletionofadegreeorgraduationataparticipating
6 school,interestattheratespecifiedinsection335.233shallbechargedonthe
7 amountoffinancialassistancereceivedfromthestateundertheprovisionsof
8 sections335.212to335.242,andrepayment,inaccordancewiththerepayment
9 contract,shallbeginwithinninetydaysofthedatethefinancialaidrecipient
HB542 12 10 ceasedtobeaneligiblestudent.Allfundsrepaidbyrecipientsoffinancial
11 assistancetothedepartmentshallbedepositedintheprofessionalandpractical
12 nursingstudentloanandnurseloanrepaymentfundforusepursuantto
13 sections335.212to335.259.]
[335.239.Thedepartmentshallgrantadeferralofinterestand
2 principalpaymentstoafinancialassistancerecipientwhoispursuingan
3 advanceddegree,specialnursingprogram,oruponspecialconditions
4 establishedbythedepartment.Thedeferralshallnotexceedfouryears.
5 Thestatusofeachdeferralshallbereviewedannuallybythedepartmentof
6 healthandseniorservicestoensurecompliancewiththeintentofthissection.]
[335.242.Whennecessarytoprotecttheinterestofthestateinany
2 financialassistancetransactionundersections335.212to335.259,the
3 departmentofhealthandseniorservicesmayinstituteanyactiontorecover
4 anyamountdue.]
[335.245.Asusedinsections335.245to335.259,thefollowingterms
2 mean:
3 (1)"Department",theMissouridepartmentofhealthandsenior
4 services;
5 (2)"Eligibleapplicant",aMissourilicensednursewhohasattained
6 eitheranassociatedegree,adiploma,abachelorofscience,orgraduatedegree
7 innursingfromanaccreditedinstitutionapprovedbytheboardofnursingora
8 studentnurseinthefinalyearofafull-timebaccalaureateschoolofnursing
9 leadingtoabaccalaureatedegreeorgraduatenursingprogramleadingtoa
10 master'sdegreeinnursingandhasagreedtoserveinanareaofdefinedneedas
11 establishedbythedepartment;
12 (3)"Participatingschool",aninstitutionwithinthisstatewhichgrants
13 anassociatedegreeinnursing,grantsabachelorormasterofsciencedegreein
14 nursingorprovidesadiplomanursingprogramwhichisaccreditedbythestate
15 boardofnursing,oraregionallyaccreditedinstitutioninthisstatewhich
16 providesabachelorofsciencecompletionprogramforregisteredprofessional
17 nurses;
18 (4)"Qualifiedemployment",employmentonafull-timebasisin
19 Missouriinapositionrequiringlicensureasalicensedpracticalnurseor
20 registeredprofessionalnurseinanyhospitalasdefinedinsection197.020or
21 publicornonprofitagency,institution,ororganizationlocatedinanareaof
22 needasdeterminedbythedepartmentofhealthandseniorservices.Any
23 forgivenessofsuchprincipalandinterestforanyqualifiedapplicantengaged
24 inqualifiedemploymentonalessthanfull-timebasismaybeproratedto
25 reflecttheamountsprovidedinthissection.]
[335.248.Sections335.245to335.259shallbeknownasthe"Nursing
2 StudentLoanRepaymentProgram".Thedepartmentofhealthandsenior
3 servicesshallbetheadministrativeagencyfortheimplementationofthe
4 authorityestablishedbysections335.245to335.259.Thedepartmentshall
5 promulgatereasonablerulesandregulationsnecessarytoimplementsections
HB542 13 6 335.245to335.259.Promulgatedrulesshallinclude,butnotbelimitedto,
7 applicanteligibility,selectioncriteria,prioritizationofserviceobligationsites
8 andthecontentofloanrepaymentcontracts,includingrepaymentschedules
9 forthoseindefaultandpenalties.Thedepartmentshallpromulgaterules
10 regardingrecruitmentopportunitiesforminoritystudentsintonursingschools.
11 Priorityforstudentloanrepaymentshallbegiventoeligibleapplicantswho
12 havedemonstratedfinancialneed.Allfundscollectedbythedepartmentfrom
13 participantsnotmeetingtheircontractualobligationstothestateshallbe
14 depositedintheprofessionalandpracticalnursingstudentloanandnurseloan
15 repaymentfundforusepursuanttosections335.212to335.259.]
[335.251.Uponproperverificationtothedepartmentbytheeligible
2 applicantofsecuringqualifiedemploymentinthisstate,thedepartmentshall
3 enterintoaloanrepaymentcontractwiththeeligibleapplicanttorepaythe
4 interestandprincipalontheeducationalloansoftheapplicanttothelimitof
5 thecontract,whichcontractshallprovideforinstancesoflessthanfull-time
6 qualifiedemploymentconsistentwiththeprovisionsofsection335.233,outof
7 anyappropriationmadetotheprofessionalandpracticalnursingstudentloan
8 andnurseloanrepaymentfund.Iftheapplicantbreachesthecontractby
9 failingtobeginorcompletethequalifiedemployment,thedepartmentis
10 entitledtorecoverthetotaloftheloanrepaymentpaidbythedepartmentplus
11 interestontherepaidamountattherateofnineandone-halfpercentper
12 annum.]
[335.254.Sections335.212to335.259shallnotbeconstruedto
2 requirethedepartmenttoenterintocontractswithindividualswhoqualifyfor
3 nursingeducationloansornursingloanrepaymentprogramswhenfederal,
4 stateandlocalfundsarenotavailableforsuchpurposes.]
[335.257.Successfulapplicantsforwhomloanpaymentsaremade
2 undertheprovisionsofsections335.245to335.259shallverifytothe
3 departmenttwiceeachyearinthemannerprescribedbythedepartmentthat
4 qualifiedemploymentinthisstateisbeingmaintained.]
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HB542 14