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28 | 28 | | SENATE BILL 172 |
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29 | 29 | | 57 |
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30 | 30 | | TH LEGISLATURE |
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31 | 31 | | - |
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32 | 32 | | |
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33 | 33 | | STATE |
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34 | 34 | | |
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35 | 35 | | OF |
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36 | 36 | | |
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37 | 37 | | NEW |
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38 | 38 | | |
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39 | 39 | | MEXICO |
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40 | 40 | | |
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41 | 41 | | - |
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42 | 42 | | FIRST SESSION |
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43 | 43 | | , |
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44 | 44 | | |
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45 | 45 | | 2025 |
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46 | 46 | | INTRODUCED BY |
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47 | 47 | | Linda M. Trujillo and Cindy Nava and D. Wonda Johnson |
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48 | 48 | | and Janelle Anyanonu |
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49 | 49 | | AN ACT |
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50 | 50 | | RELATING TO HEALTH CARE; INCREASING THE STATE'S HEALTH CARE |
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51 | 51 | | WORKFORCE BY ENACTING THE IMMIGRANT HEALTH CARE WORKFORCE |
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52 | 52 | | DEVELOPMENT ACT; PROVIDING FOR AN IMMIGRANT HEALTH CARE |
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53 | 53 | | PROFESSIONAL ACCELERATION PROGRAM; PROVIDING FOR AN IMMIGRANT |
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54 | 54 | | PRIMARY CARE PHYSICIAN READINESS PATHWAY; PROVIDING FOR AN |
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55 | 55 | | IMMIGRANT PRIMARY CARE RESIDENCY GRANT PROGRAM; CREATING THE |
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56 | 56 | | IMMIGRANT HEALTH CARE WORKFORCE DEVELOPMENT FUND; CREATING THE |
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57 | 57 | | IMMIGRANT HEALTH CARE WORKFORCE ADVISORY GROUP; AMENDING |
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58 | 58 | | DEFINITIONS IN THE MEDICAL PRACTICE ACT; MAKING AN |
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59 | 59 | | APPROPRIATION. |
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60 | 60 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO: |
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61 | 61 | | SECTION 1. [NEW MATERIAL] SHORT TITLE.--Sections 1 |
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62 | 62 | | through 9 of this act may be cited as the "Immigrant Health |
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63 | 63 | | Care Workforce Development Act". |
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64 | 64 | | .229694.1SA underscored material = new |
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91 | 91 | | SECTION 2. [NEW MATERIAL] DEFINITIONS.--As used in the |
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92 | 92 | | Immigrant Health Care Workforce Development Act: |
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93 | 93 | | A. "accrediting council" means the accreditation |
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94 | 94 | | council for graduate medical education; |
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95 | 95 | | B. "department" means the workforce solutions |
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96 | 96 | | department; |
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97 | 97 | | C. "immigrant" means an individual who was born |
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98 | 98 | | outside of the United States, who resides permanently in the |
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99 | 99 | | United States and who is authorized to work in the United |
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100 | 100 | | States under federal laws and regulations; |
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101 | 101 | | D. "participant" means an underemployed immigrant |
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102 | 102 | | health care worker who is participating in the immigrant health |
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103 | 103 | | care professional acceleration program; |
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104 | 104 | | E. "primary care physician" means a physician |
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105 | 105 | | licensed in New Mexico to practice general family medicine, |
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106 | 106 | | general internal medicine, obstetrics and gynecology or general |
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107 | 107 | | pediatric medicine; |
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108 | 108 | | F. "prior foreign health care experience" means |
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109 | 109 | | training or experience in a broadly recognized health care |
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110 | 110 | | field that is attained outside of the United States and Canada, |
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111 | 111 | | including at least twelve months of educational or vocational |
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112 | 112 | | training or at least twenty-four months of clinical work |
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113 | 113 | | experience; |
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114 | 114 | | G. "qualified international medical graduate" means |
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115 | 115 | | a physician who has a medical degree or qualification from a |
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116 | 116 | | .229694.1SA |
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144 | 144 | | medical school located outside of the United States and Canada |
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145 | 145 | | that is recognized by the world health organization or the |
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146 | 146 | | world directory of medical schools; |
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147 | 147 | | H. "secretary" means the secretary of workforce |
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148 | 148 | | solutions; |
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149 | 149 | | I. "underemployed immigrant health care worker" |
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150 | 150 | | means an individual who is an immigrant and who has prior |
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151 | 151 | | foreign health care education or experience, is unemployed or |
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152 | 152 | | is not working in health care or is working in health care in a |
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153 | 153 | | position with a scope of practice below the individual's |
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154 | 154 | | highest level of foreign health care experience or licensure; |
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155 | 155 | | and |
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156 | 156 | | J. "underserved community" means a New Mexico area |
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157 | 157 | | or population included in the list of designated primary |
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158 | 158 | | medical care health professional shortage areas, medically |
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159 | 159 | | underserved areas or medically underserved populations |
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160 | 160 | | maintained and updated by the United States department of |
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161 | 161 | | health and human services or by any applicable state equivalent |
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162 | 162 | | thereof. |
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163 | 163 | | SECTION 3. [NEW MATERIAL] IMMIGRANT HEALTH CARE |
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164 | 164 | | PROFESSIONAL ACCELERATION PROGRAM--PARTICIPANT SUPPORT--PRIMARY |
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165 | 165 | | CARE PHYSICIAN READINESS PATHWAY.-- |
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166 | 166 | | A. The department shall establish and maintain an |
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167 | 167 | | immigrant health care professional acceleration program to |
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168 | 168 | | support underemployed immigrant health care workers. The |
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197 | 197 | | program shall provide participants: |
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198 | 198 | | (1) educational and career navigation, |
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199 | 199 | | including: |
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200 | 200 | | (a) information on training and |
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201 | 201 | | licensing requirements; |
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202 | 202 | | (b) guidance in determining the pathway |
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203 | 203 | | best suited for a participant based on the participant's |
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204 | 204 | | skills, experience, resources and interests; |
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205 | 205 | | (c) information and guidance regarding |
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206 | 206 | | funding sources for training and education; and |
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207 | 207 | | (d) information regarding practice areas |
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208 | 208 | | for careers as physicians, nurses, physician assistants or |
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209 | 209 | | other health care professionals; |
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210 | 210 | | (2) training and funding for that training to |
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211 | 211 | | support and facilitate participants who identify a need to |
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212 | 212 | | acquire medical English proficiency; |
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213 | 213 | | (3) support with integration into the New |
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214 | 214 | | Mexico community and labor force, including peer group support |
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215 | 215 | | and professional associations; |
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216 | 216 | | (4) training and funding for that training for |
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217 | 217 | | participants to become familiar with using medical information |
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218 | 218 | | technologies, including acquiring and updating contemporary |
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219 | 219 | | computer skills and the use of electronic health record |
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220 | 220 | | technologies; |
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221 | 221 | | (5) training and funding for that training to |
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222 | 222 | | .229694.1SA |
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250 | 250 | | improve participants' knowledge, familiarity and skills in the |
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251 | 251 | | use of health care and health insurance systems used by health |
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252 | 252 | | care professionals and health care-related entities in New |
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253 | 253 | | Mexico and the United States; |
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254 | 254 | | (6) support and guidance to acquire, develop |
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255 | 255 | | and expand applicable foundational skills the department may |
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256 | 256 | | identify as necessary or appropriate; |
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257 | 257 | | (7) financial support, contingent on the |
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258 | 258 | | availability of funds, including stipends and reimbursements |
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259 | 259 | | for travel costs, test fees or test preparation costs and other |
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260 | 260 | | costs or expenses identified by the department as critical to |
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261 | 261 | | participants' successful completion of the program; and |
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262 | 262 | | (8) support to become credentialed, certified, |
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263 | 263 | | licensed or registered by the appropriate state licensing |
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264 | 264 | | authorities applicable to each participant's chosen health care |
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265 | 265 | | career, including assistance with preparation for required |
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266 | 266 | | licensing examinations and financial assistance for related |
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267 | 267 | | fees. |
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268 | 268 | | B. In administering the immigrant health care |
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269 | 269 | | professional acceleration program, the department shall partner |
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270 | 270 | | with a licensed health care provider in New Mexico for the |
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271 | 271 | | development and operation of an immigrant primary care |
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272 | 272 | | physician readiness pathway for qualified immigrant |
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273 | 273 | | international medical graduates seeking to become licensed |
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274 | 274 | | primary care physicians in New Mexico. The pathway shall be |
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275 | 275 | | .229694.1SA |
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303 | 303 | | designed to: |
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304 | 304 | | (1) prepare participants to enter a United |
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305 | 305 | | States residency program in a primary care specialty in a |
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306 | 306 | | clinical readiness program to last no less than six months and |
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307 | 307 | | not to exceed twelve months; |
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308 | 308 | | (2) prepare participants to take the |
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309 | 309 | | Comprehensive Osteopathic Medical Licensing Examination of the |
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310 | 310 | | United States, United States Medical Licensing Examination or |
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311 | 311 | | other examinations necessary upon completion of a residency |
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312 | 312 | | program to obtain a license to practice as a primary care |
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313 | 313 | | physician in New Mexico; and |
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314 | 314 | | (3) provide stipends or other support for |
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315 | 315 | | participants while the participants are not employed full-time |
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316 | 316 | | and for a period of time determined as necessary and reasonable |
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317 | 317 | | by the department. |
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318 | 318 | | SECTION 4. [NEW MATERIAL] IMMIGRANT HEALTH CARE |
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319 | 319 | | PROFESSIONAL ACCELERATION PROGRAM--ELIGIBILITY--UNDERSERVED |
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320 | 320 | | COMMUNITIES RULES--PRIMARY CARE PHYSICIAN--READINESS PATHWAY-- |
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321 | 321 | | ELIGIBILITY.-- |
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322 | 322 | | A. To be eligible to participate in the immigrant |
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323 | 323 | | health care professional acceleration program, an underemployed |
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324 | 324 | | immigrant health care worker shall: |
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325 | 325 | | (1) not be present in the United States on a |
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326 | 326 | | J1 visa following acceptance into a United States medical |
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327 | 327 | | residency or fellowship program; |
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328 | 328 | | .229694.1SA |
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356 | 356 | | (2) not be present in the United States on a |
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357 | 357 | | non-immigrant employment-based visa; |
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358 | 358 | | (3) have prior foreign health care experience; |
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359 | 359 | | (4) be a New Mexico resident during program |
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360 | 360 | | participation; and |
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361 | 361 | | (5) commit to living in New Mexico and working |
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362 | 362 | | in one of New Mexico's underserved communities post-licensure |
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363 | 363 | | for a period of time that is the longer of: |
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364 | 364 | | (a) at least one year; or |
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365 | 365 | | (b) a period of time commensurate with |
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366 | 366 | | the level of financial support received by the participant, not |
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367 | 367 | | to exceed three years. |
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368 | 368 | | B. The department shall promulgate rules and |
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369 | 369 | | methods to identify and evaluate rural or underserved |
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370 | 370 | | communities where program participants can live and work while |
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371 | 371 | | providing primary care medical services to those communities. |
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372 | 372 | | C. To be eligible to participate in the immigrant |
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373 | 373 | | primary care physician readiness pathway, a qualified immigrant |
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374 | 374 | | international medical graduate shall: |
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375 | 375 | | (1) receive a certificate of acceleration |
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376 | 376 | | program completion based on that individual's skills, |
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377 | 377 | | participation, experience and other prerequisites set by the |
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378 | 378 | | department, as demonstrated during the individual's |
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379 | 379 | | participation in the immigrant health care professional |
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380 | 380 | | acceleration program; |
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381 | 381 | | .229694.1SA |
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409 | 409 | | (2) have attained educational commission for |
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410 | 410 | | foreign medical graduates certification, a substantially |
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411 | 411 | | similar certification or a generally recognized and accepted |
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412 | 412 | | alternative evaluation of medical training as approved by the |
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413 | 413 | | department; |
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414 | 414 | | (3) have completed a post-graduate training |
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415 | 415 | | program in a country outside of the United States and Canada |
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416 | 416 | | that is substantially similar to a United States residency |
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417 | 417 | | program accredited by the accrediting council; |
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418 | 418 | | (4) have been licensed to practice medicine in |
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419 | 419 | | a country other than the United States or Canada for at least |
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420 | 420 | | three years; and |
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421 | 421 | | (5) commit to practicing as a primary care |
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422 | 422 | | physician for three years in an underserved community in New |
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423 | 423 | | Mexico post-licensure, not including time spent participating |
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424 | 424 | | in a New Mexico residency program, which service shall be |
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425 | 425 | | counted as served concurrently with any other commitment for |
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426 | 426 | | service in an underserved community in New Mexico accrued |
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427 | 427 | | during participation in the immigrant health care professional |
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428 | 428 | | acceleration program. |
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429 | 429 | | SECTION 5. [NEW MATERIAL] IMMIGRANT HEALTH CARE |
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430 | 430 | | PROFESSIONAL ACCELERATION PROGRAM--IMMIGRANT PRIMARY CARE |
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431 | 431 | | PHYSICIAN READINESS PATHWAY--PARTICIPATION SELECTION |
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432 | 432 | | CRITERIA.--The department shall establish criteria for |
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433 | 433 | | selection of individuals to participate in the immigrant health |
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434 | 434 | | .229694.1SA |
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462 | 462 | | care professional acceleration program and the immigrant |
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463 | 463 | | primary care physician readiness pathway. In addition to |
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464 | 464 | | meeting the educational and professional experience |
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465 | 465 | | requirements, other participant eligibility criteria for |
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466 | 466 | | selection shall include an underemployed immigrant health care |
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467 | 467 | | worker's: |
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468 | 468 | | A. demonstrated interest in serving in one of New |
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469 | 469 | | Mexico's underserved communities; |
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470 | 470 | | B. personal connections or ties to New Mexico; |
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471 | 471 | | C. experience, skills or cultural competencies |
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472 | 472 | | required in New Mexico's health care workforce; and |
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473 | 473 | | D. education, experience or skills in areas of |
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474 | 474 | | practice that are in-demand statewide or in a county or region |
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475 | 475 | | within New Mexico, according to available labor market |
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476 | 476 | | information. |
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477 | 477 | | SECTION 6. [NEW MATERIAL] IMMIGRANT PRIMARY CARE |
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478 | 478 | | RESIDENCY GRANT.-- |
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479 | 479 | | A. The department, in partnership with |
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480 | 480 | | department-approved health care education programs, shall |
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481 | 481 | | establish and maintain an immigrant primary care residency |
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482 | 482 | | grant to support primary care residency positions in New Mexico |
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483 | 483 | | designated for eligible qualified immigrant international |
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484 | 484 | | medical graduates. |
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485 | 485 | | B. To be eligible to receive grant funding, a |
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486 | 486 | | health care education program applicant shall: |
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487 | 487 | | .229694.1SA |
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488 | 488 | | - 9 - underscored material = new |
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515 | 515 | | (1) be a medical education program in a |
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516 | 516 | | program approved by the accrediting council as provided in the |
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517 | 517 | | Immigrant Health Care Workforce Development Act; |
---|
518 | 518 | | (2) be located in New Mexico; and |
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519 | 519 | | (3) identify each qualified immigrant |
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520 | 520 | | international medical graduate designated to fill a funded |
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521 | 521 | | primary care residency position. |
---|
522 | 522 | | C. As a condition of grant approval, each grant |
---|
523 | 523 | | recipient shall agree to the following: |
---|
524 | 524 | | (1) a grant awarded pursuant to this section |
---|
525 | 525 | | shall not supplant an existing local, state, federal or private |
---|
526 | 526 | | funding support, if any, of residency positions; |
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527 | 527 | | (2) a grant recipient shall not reduce its |
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528 | 528 | | residency program's approved residency quota, measured as an |
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529 | 529 | | average of its three prior-year primary care residency quotas, |
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530 | 530 | | not including other residency positions funded by the immigrant |
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531 | 531 | | primary care residency grant; |
---|
532 | 532 | | (3) a grant recipient shall not in any way |
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533 | 533 | | replace its residency program's primary care residency |
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534 | 534 | | positions with designated qualified immigrant international |
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535 | 535 | | medical graduate residency positions; |
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536 | 536 | | (4) a grant recipient's program shall not |
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537 | 537 | | violate the Human Rights Act; |
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538 | 538 | | (5) a grant recipient's program shall not |
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539 | 539 | | establish criteria for the residencies that exceed reasonable |
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540 | 540 | | .229694.1SA |
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568 | 568 | | requirements or expectations for other residency applicants in |
---|
569 | 569 | | the same or a substantially similar primary care residency |
---|
570 | 570 | | program; |
---|
571 | 571 | | (6) a grant recipient's program shall not |
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572 | 572 | | create undue or burdensome barriers for otherwise eligible |
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573 | 573 | | applicants to be eligible for a residency position; and |
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574 | 574 | | (7) a grant recipient shall fill the funded |
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575 | 575 | | residency positions with participants who have successfully |
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576 | 576 | | completed the primary care physician readiness pathway; |
---|
577 | 577 | | provided, however, that if there are fewer individuals who have |
---|
578 | 578 | | successfully completed the immigrant primary care physician |
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579 | 579 | | readiness pathway than available funding, residency grant |
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580 | 580 | | recipient managers may apply for a waiver to fill the funded |
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581 | 581 | | residency position with a qualified immigrant international |
---|
582 | 582 | | medical graduate who meets the eligibility criteria for the |
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583 | 583 | | immigrant primary care physician readiness program. Waivers |
---|
584 | 584 | | shall be issued at the discretion of the secretary. |
---|
585 | 585 | | D. Priority shall be given to residency grant |
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586 | 586 | | applicants serving underserved communities. |
---|
587 | 587 | | SECTION 7. [NEW MATERIAL] IMMIGRANT HEALTH CARE WORKFORCE |
---|
588 | 588 | | DEVELOPMENT FUND CREATED.--The "immigrant health care workforce |
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589 | 589 | | development fund" is created as a nonreverting fund in the |
---|
590 | 590 | | state treasury. The fund consists of appropriations, gifts, |
---|
591 | 591 | | grants and donations to the fund. Money in the fund is subject |
---|
592 | 592 | | to appropriation by the legislature to the department to |
---|
593 | 593 | | .229694.1SA |
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595 | 595 | | [bracketed material] = delete |
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621 | 621 | | implement and administer the provisions of the Immigrant |
---|
622 | 622 | | Healthcare Workforce Development Act. Disbursements from the |
---|
623 | 623 | | fund shall be made by vouchers signed by the secretary or the |
---|
624 | 624 | | secretary's designee upon warrants signed by the secretary of |
---|
625 | 625 | | finance and administration. |
---|
626 | 626 | | SECTION 8. [NEW MATERIAL] ADVISORY COMMITTEE.-- |
---|
627 | 627 | | A. The secretary shall appoint an "immigrant health |
---|
628 | 628 | | care workforce advisory committee" composed of no more than |
---|
629 | 629 | | fifteen individuals representing state agencies, medical |
---|
630 | 630 | | professional associations, community-based organizations, |
---|
631 | 631 | | graduate medical education providers and other relevant |
---|
632 | 632 | | stakeholders, including at least one qualified immigrant |
---|
633 | 633 | | international medical graduate and at least one internationally |
---|
634 | 634 | | educated nurse, both of whom shall have been licensed health |
---|
635 | 635 | | care providers in and residents of New Mexico. |
---|
636 | 636 | | B. Upon the request of the secretary, the immigrant |
---|
637 | 637 | | health care workforce advisory committee shall: |
---|
638 | 638 | | (1) advise the department on developing |
---|
639 | 639 | | streamlined pathways for underemployed immigrant health care |
---|
640 | 640 | | workers to provide health care services in New Mexico's |
---|
641 | 641 | | workforce; |
---|
642 | 642 | | (2) collaborate with appropriate state |
---|
643 | 643 | | regulatory and licensing agencies and other stakeholders toward |
---|
644 | 644 | | that goal; and |
---|
645 | 645 | | (3) assist and advise the department regarding |
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646 | 646 | | .229694.1SA |
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647 | 647 | | - 12 - underscored material = new |
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648 | 648 | | [bracketed material] = delete |
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674 | 674 | | matters in furtherance of the purposes of the Immigrant Health |
---|
675 | 675 | | Care Workforce Development Act. |
---|
676 | 676 | | C. Public members of the immigrant health care |
---|
677 | 677 | | workforce advisory committee are entitled to per diem and |
---|
678 | 678 | | mileage pursuant to the Per Diem and Mileage Act and shall |
---|
679 | 679 | | receive no other compensation, perquisite or allowance. |
---|
680 | 680 | | D. The department shall provide reports and |
---|
681 | 681 | | recommendations derived from the work of the immigrant health |
---|
682 | 682 | | care workforce advisory committee to the legislative finance |
---|
683 | 683 | | committee and other legislative committees as deemed |
---|
684 | 684 | | appropriate by the secretary. |
---|
685 | 685 | | SECTION 9. [NEW MATERIAL] RULES.--The department shall |
---|
686 | 686 | | adopt rules in accordance with the State Rules Act and as |
---|
687 | 687 | | necessary to carry out the provisions of the Immigrant Health |
---|
688 | 688 | | Care Workforce Development Act. |
---|
689 | 689 | | SECTION 10. Section 61-6-6 NMSA 1978 (being Laws 1973, |
---|
690 | 690 | | Chapter 361, Section 1, as amended) is amended to read: |
---|
691 | 691 | | "61-6-6. DEFINITIONS.--As used in the Medical Practice |
---|
692 | 692 | | Act: |
---|
693 | 693 | | A. "approved postgraduate training program for |
---|
694 | 694 | | physicians" means a program approved by the accreditation |
---|
695 | 695 | | council for graduate medical education, the American |
---|
696 | 696 | | osteopathic association or other board-approved program; |
---|
697 | 697 | | B. "board" means the New Mexico medical board; |
---|
698 | 698 | | C. "collaboration" means the process by which a |
---|
699 | 699 | | .229694.1SA |
---|
700 | 700 | | - 13 - underscored material = new |
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701 | 701 | | [bracketed material] = delete |
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727 | 727 | | licensed physician and a physician assistant jointly contribute |
---|
728 | 728 | | to the health care and medical treatment of patients; provided |
---|
729 | 729 | | that: |
---|
730 | 730 | | (1) each collaborator performs actions that |
---|
731 | 731 | | the collaborator is licensed or otherwise authorized to |
---|
732 | 732 | | perform; and |
---|
733 | 733 | | (2) collaboration shall not be construed to |
---|
734 | 734 | | require the physical presence of the licensed physician at the |
---|
735 | 735 | | time and place services are rendered; |
---|
736 | 736 | | D. "licensed physician" means a medical or |
---|
737 | 737 | | osteopathic physician licensed under the Medical Practice Act |
---|
738 | 738 | | to practice medicine in New Mexico; |
---|
739 | 739 | | E. "licensee" or "health care practitioner" means a |
---|
740 | 740 | | medical physician, osteopathic physician, physician assistant, |
---|
741 | 741 | | polysomnographic technologist, anesthesiologist assistant, |
---|
742 | 742 | | naturopathic doctor, podiatric physician or naprapath licensed |
---|
743 | 743 | | by the board to practice in New Mexico; |
---|
744 | 744 | | F. "medical college or school in good standing" for |
---|
745 | 745 | | medical physicians means a board-approved medical college or |
---|
746 | 746 | | school that has as high a standard as that required by the |
---|
747 | 747 | | association of American medical colleges and the council on |
---|
748 | 748 | | medical education of the American medical association; and for |
---|
749 | 749 | | osteopathic physicians means a college of osteopathic medicine |
---|
750 | 750 | | accredited by the commission of osteopathic college |
---|
751 | 751 | | accreditation; |
---|
752 | 752 | | .229694.1SA |
---|
753 | 753 | | - 14 - underscored material = new |
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754 | 754 | | [bracketed material] = delete |
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779 | 779 | | 25 |
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780 | 780 | | G. "medical student" means a student enrolled in a |
---|
781 | 781 | | board-approved medical college or school in good standing; |
---|
782 | 782 | | H. "physician assistant" means a health care |
---|
783 | 783 | | practitioner who is licensed by the board to practice as a |
---|
784 | 784 | | physician assistant and who provides services to patients with |
---|
785 | 785 | | the supervision of or in collaboration with a licensed |
---|
786 | 786 | | physician as set forth in rules promulgated by the board; |
---|
787 | 787 | | I. "qualified international medical graduate" means |
---|
788 | 788 | | a physician who has a medical degree or qualification from a |
---|
789 | 789 | | medical school located outside the United States and Canada |
---|
790 | 790 | | recognized by the world health organization or the world |
---|
791 | 791 | | directory of medical schools as provided in the Immigrant |
---|
792 | 792 | | Health Care Workforce Development Act; |
---|
793 | 793 | | [I.] J. "resident" means a graduate of a medical |
---|
794 | 794 | | college or school in good standing who is in training in a |
---|
795 | 795 | | board-approved and accredited residency training program in a |
---|
796 | 796 | | hospital or facility affiliated with an approved hospital and |
---|
797 | 797 | | who has been appointed to the position of "resident" or |
---|
798 | 798 | | "fellow" for the purpose of postgraduate medical training; |
---|
799 | 799 | | [J.] K. "the practice of medicine" consists of: |
---|
800 | 800 | | (1) advertising, holding out to the public or |
---|
801 | 801 | | representing in any manner that one is authorized to practice |
---|
802 | 802 | | medicine or to practice health care that is under the authority |
---|
803 | 803 | | of the board in this state; |
---|
804 | 804 | | (2) offering or undertaking to administer, |
---|
805 | 805 | | .229694.1SA |
---|
806 | 806 | | - 15 - underscored material = new |
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807 | 807 | | [bracketed material] = delete |
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833 | 833 | | dispense or prescribe a drug or medicine for the use of another |
---|
834 | 834 | | person, except as authorized pursuant to a professional or |
---|
835 | 835 | | occupational licensing statute set forth in Chapter 61 NMSA |
---|
836 | 836 | | 1978; |
---|
837 | 837 | | (3) offering or undertaking to give or |
---|
838 | 838 | | administer, dispense or prescribe a drug or medicine for the |
---|
839 | 839 | | use of another person, except as directed by a licensed |
---|
840 | 840 | | physician; |
---|
841 | 841 | | (4) offering or undertaking to perform an |
---|
842 | 842 | | operation or procedure upon a person; |
---|
843 | 843 | | (5) offering or undertaking to diagnose, |
---|
844 | 844 | | correct or treat in any manner or by any means, methods, |
---|
845 | 845 | | devices or instrumentalities any disease, illness, pain, wound, |
---|
846 | 846 | | fracture, infirmity, deformity, defect or abnormal physical or |
---|
847 | 847 | | mental condition of a person; |
---|
848 | 848 | | (6) offering medical peer review, utilization |
---|
849 | 849 | | review or diagnostic service of any kind that directly |
---|
850 | 850 | | influences patient care, except as authorized pursuant to a |
---|
851 | 851 | | professional or occupational licensing statute set forth in |
---|
852 | 852 | | Chapter 61 NMSA 1978; or |
---|
853 | 853 | | (7) acting as the representative or agent of a |
---|
854 | 854 | | person in doing any of the things listed in this subsection; |
---|
855 | 855 | | [K.] L. "the practice of medicine across state |
---|
856 | 856 | | lines" means: |
---|
857 | 857 | | (1) the rendering of a written or otherwise |
---|
858 | 858 | | .229694.1SA |
---|
859 | 859 | | - 16 - underscored material = new |
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860 | 860 | | [bracketed material] = delete |
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---|
886 | 886 | | documented medical opinion concerning diagnosis or treatment of |
---|
887 | 887 | | a patient within this state by a physician located outside this |
---|
888 | 888 | | state as a result of transmission of individual patient data by |
---|
889 | 889 | | electronic, telephonic or other means from within this state to |
---|
890 | 890 | | the physician or the physician's agent; or |
---|
891 | 891 | | (2) the rendering of treatment to a patient |
---|
892 | 892 | | within this state by a physician located outside this state as |
---|
893 | 893 | | a result of transmission of individual patient data by |
---|
894 | 894 | | electronic, telephonic or other means from within this state to |
---|
895 | 895 | | the physician or the physician's agent; |
---|
896 | 896 | | [L.] M. "sexual contact" means touching the primary |
---|
897 | 897 | | genital area, groin, anus, buttocks or breast of a patient or |
---|
898 | 898 | | allowing a patient to touch another's primary genital area, |
---|
899 | 899 | | groin, anus, buttocks or breast in a manner that is commonly |
---|
900 | 900 | | recognized as outside the scope of acceptable medical or health |
---|
901 | 901 | | care practice; |
---|
902 | 902 | | [M.] N. "sexual penetration" means sexual |
---|
903 | 903 | | intercourse, cunnilingus, fellatio or anal intercourse, whether |
---|
904 | 904 | | or not there is any emission, or introducing any object into |
---|
905 | 905 | | the genital or anal openings of another in a manner that is |
---|
906 | 906 | | commonly recognized as outside the scope of acceptable medical |
---|
907 | 907 | | or health care practice; [and ] |
---|
908 | 908 | | O. "underserved community" means a New Mexico area |
---|
909 | 909 | | or population included in the list of designated primary |
---|
910 | 910 | | medical care health professional shortage areas, medically |
---|
911 | 911 | | .229694.1SA |
---|
912 | 912 | | - 17 - underscored material = new |
---|
913 | 913 | | [bracketed material] = delete |
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---|
939 | 939 | | underserved areas or medically underserved populations |
---|
940 | 940 | | maintained and updated by the United States department of |
---|
941 | 941 | | health and human services or any state equivalent thereof; and |
---|
942 | 942 | | [N.] P. "United States" means the fifty states, its |
---|
943 | 943 | | territories and possessions and the District of Columbia." |
---|
944 | 944 | | SECTION 11. Section 61-6-11 NMSA 1978 (being Laws 1923, |
---|
945 | 945 | | Chapter 44, Section 3, as amended) is amended to read: |
---|
946 | 946 | | "61-6-11. PHYSICIAN LICENSURE.-- |
---|
947 | 947 | | A. The board may consider for licensure a person |
---|
948 | 948 | | who is of good moral character, is a graduate of an accredited |
---|
949 | 949 | | United States or Canadian medical or osteopathic medical |
---|
950 | 950 | | school, has passed an examination approved by the board and has |
---|
951 | 951 | | completed two years of an approved postgraduate training |
---|
952 | 952 | | program for physicians. |
---|
953 | 953 | | B. An applicant who has not completed two years of |
---|
954 | 954 | | an approved postgraduate training program for physicians, but |
---|
955 | 955 | | who otherwise meets all other licensing requirements, may |
---|
956 | 956 | | present evidence to the board of the applicant's other |
---|
957 | 957 | | professional experience for consideration by the board in lieu |
---|
958 | 958 | | of the approved postgraduate training program. The board |
---|
959 | 959 | | shall, in its sole discretion, determine if the professional |
---|
960 | 960 | | experience is substantially equivalent to the required approved |
---|
961 | 961 | | postgraduate training program for physicians. |
---|
962 | 962 | | C. A graduate of a board-approved medical or |
---|
963 | 963 | | osteopathic medical school located outside the United States or |
---|
964 | 964 | | .229694.1SA |
---|
965 | 965 | | - 18 - underscored material = new |
---|
966 | 966 | | [bracketed material] = delete |
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992 | 992 | | Canada may be granted a license to practice medicine in New |
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993 | 993 | | Mexico, provided the applicant presents evidence to the board |
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994 | 994 | | that the applicant is a person of good moral character and |
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995 | 995 | | provided that the applicant presents satisfactory evidence to |
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996 | 996 | | the board that the applicant has successfully passed an |
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997 | 997 | | examination as required by the board and has successfully |
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998 | 998 | | completed two years of postgraduate medical training in an |
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999 | 999 | | approved postgraduate training program for physicians. A |
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1000 | 1000 | | graduate of a medical school located outside the United States |
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1001 | 1001 | | who successfully completes at least two years of an approved |
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1002 | 1002 | | postgraduate training program for physicians at or affiliated |
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1003 | 1003 | | with an institution located in New Mexico prior to December 30, |
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1004 | 1004 | | 2007 and who meets the other requirements of this section may |
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1005 | 1005 | | also be granted a license to practice medicine. |
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1006 | 1006 | | D. The board may issue to an applicant who is a |
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1007 | 1007 | | qualified international medical graduate a provisional license |
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1008 | 1008 | | to practice medicine valid for a period not to exceed two years |
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1009 | 1009 | | if the applicant submits evidence acceptable to the board that |
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1010 | 1010 | | the applicant: |
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1011 | 1011 | | (1) has graduated from a legally chartered |
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1012 | 1012 | | medical school outside of the United States and Canada |
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1013 | 1013 | | recognized by the world health organization or the world |
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1014 | 1014 | | directory of medical schools; |
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1015 | 1015 | | (2) has been licensed or otherwise authorized |
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1016 | 1016 | | to practice medicine in a country other than the United States |
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1017 | 1017 | | .229694.1SA |
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1045 | 1045 | | and has not been out of practice for more than two years; |
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1046 | 1046 | | (3) has a valid certificate issued by the |
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1047 | 1047 | | educational commission for foreign medical graduates or other |
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1048 | 1048 | | credential evaluation service approved by the board; provided, |
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1049 | 1049 | | however, that the board may waive certification at the board's |
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1050 | 1050 | | discretion if the applicant is unable to obtain the required |
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1051 | 1051 | | documentation from a noncooperative country; |
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1052 | 1052 | | (4) has achieved a passing score on both step |
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1053 | 1053 | | 1 and step 2 clinical knowledge of the United States medical |
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1054 | 1054 | | licensing examination; |
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1055 | 1055 | | (5) has entered into an agreement with a |
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1056 | 1056 | | medical care facility that provides an assessment and |
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1057 | 1057 | | evaluation program designed to develop, assess and evaluate the |
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1058 | 1058 | | physician's nonclinical skills and familiarity with standards |
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1059 | 1059 | | appropriate for medical practice in New Mexico according to |
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1060 | 1060 | | criteria developed or approved by the board, which shall |
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1061 | 1061 | | promulgate rules regarding these standards; |
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1062 | 1062 | | (6) has an offer of full-time employment from |
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1063 | 1063 | | the medical care facility identified in Paragraph (5) of this |
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1064 | 1064 | | subsection after the board issues a license pursuant to this |
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1065 | 1065 | | subsection; and |
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1066 | 1066 | | (7) has satisfied any other criteria that the |
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1067 | 1067 | | board may require for issuance of a provisional license |
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1068 | 1068 | | pursuant to this subsection. |
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1069 | 1069 | | E. An individual who successfully obtains a license |
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1070 | 1070 | | .229694.1SA |
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1071 | 1071 | | - 20 - underscored material = new |
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1098 | 1098 | | pursuant to Subsection D of this section and practices under |
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1099 | 1099 | | that license until the license's expiration shall be eligible |
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1100 | 1100 | | to apply for a renewable two-year restricted license to |
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1101 | 1101 | | practice medicine in an underserved community in New Mexico. |
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1102 | 1102 | | The board may issue a renewable license to an applicant if the |
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1103 | 1103 | | applicant submits evidence acceptable to the board that the |
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1104 | 1104 | | applicant: |
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1105 | 1105 | | (1) has successfully completed the |
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1106 | 1106 | | participating facility's assessment and evaluation program |
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1107 | 1107 | | required pursuant to Subsection D of this section; |
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1108 | 1108 | | (2) has achieved a passing score on step 3 of |
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1109 | 1109 | | the United States medical licensing examination; |
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1110 | 1110 | | (3) has an offer of full-time employment from |
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1111 | 1111 | | a health care facility, including a public hospital, a for- |
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1112 | 1112 | | profit or nonprofit private hospital, a general or special |
---|
1113 | 1113 | | hospital, an outpatient facility, a freestanding birth center, |
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1114 | 1114 | | a nursing home, an intermediate care facility, an assisted |
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1115 | 1115 | | living facility or other health care facility at which medical |
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1116 | 1116 | | care is provided by state-licensed medical care practitioners, |
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1117 | 1117 | | in an underserved community in New Mexico; and |
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1118 | 1118 | | (4) has no disciplinary actions or pending |
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1119 | 1119 | | investigations related to the applicant's practice under the |
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1120 | 1120 | | provisional license issued pursuant to Subsection D of this |
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1121 | 1121 | | section. |
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1122 | 1122 | | F. After at least two years of practice under a |
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1123 | 1123 | | .229694.1SA |
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1124 | 1124 | | - 21 - underscored material = new |
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1151 | 1151 | | renewable two-year restricted license issued pursuant to |
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1152 | 1152 | | Subsection E of this section resulting in no disciplinary |
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1153 | 1153 | | actions or pending investigations, the board shall grant a |
---|
1154 | 1154 | | license to practice medicine to an internationally trained |
---|
1155 | 1155 | | physician who meets the other requirements of this section. |
---|
1156 | 1156 | | [D.] G. All applicants for licensure may be |
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1157 | 1157 | | required to appear personally before the board or a designated |
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1158 | 1158 | | agent for an interview. |
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1159 | 1159 | | [E.] H. An applicant for licensure by examination |
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1160 | 1160 | | shall not be granted a license if the applicant has taken the |
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1161 | 1161 | | examination in two or more steps and has failed to successfully |
---|
1162 | 1162 | | pass the final step within seven years of the date that the |
---|
1163 | 1163 | | first step was passed. An applicant for licensure who holds a |
---|
1164 | 1164 | | medical or osteopathic doctor degree and a doctoral degree in a |
---|
1165 | 1165 | | medically related field must successfully complete the entire |
---|
1166 | 1166 | | examination series within ten years from the date the first |
---|
1167 | 1167 | | step of the examination is passed. The board may, by rule, |
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1168 | 1168 | | establish exceptions to the time requirements of this |
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1169 | 1169 | | subsection. |
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1170 | 1170 | | [F.] I. Every applicant for licensure under this |
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1171 | 1171 | | section shall pay the fees required by Section 61-6-19 NMSA |
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1172 | 1172 | | 1978. |
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1173 | 1173 | | [G.] J. The board may require fingerprints and |
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1174 | 1174 | | other information necessary for a state and national criminal |
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1175 | 1175 | | background check." |
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1176 | 1176 | | .229694.1SA |
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1177 | 1177 | | - 22 - underscored material = new |
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1178 | 1178 | | [bracketed material] = delete |
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1204 | 1204 | | SECTION 12. APPROPRIATION.--One million five hundred |
---|
1205 | 1205 | | thousand dollars ($1,500,000) is appropriated from the general |
---|
1206 | 1206 | | fund to the workforce solutions department for expenditure in |
---|
1207 | 1207 | | fiscal year 2026 to implement and administer the provisions of |
---|
1208 | 1208 | | the Immigrant Health Care Workforce Development Act, including |
---|
1209 | 1209 | | hiring three full-time-equivalent department staff and |
---|
1210 | 1210 | | providing program grants. Any unexpended or unencumbered |
---|
1211 | 1211 | | balance remaining at the end of fiscal year 2026 shall revert |
---|
1212 | 1212 | | to the general fund. |
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1213 | 1213 | | SECTION 13. EFFECTIVE DATE.--The effective date of the |
---|
1214 | 1214 | | provisions of this act is July 1, 2025. |
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1215 | 1215 | | - 23 - |
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1216 | 1216 | | .229694.1SA |
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