HB2121 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 1st Session of the 58th Legislature (2021) HOUSE BILL 2121 By: McEntire of the House and McCortney of the Senate AS INTRODUCED An Act relating to public health; amending 63 O.S. 2011, Section 1-2721, as last amended by Section 1, Chapter 286, O.S.L. 2018 (63 O.S. Supp. 2020, Section 1-2721), which relates to the Oklahoma Medical Loan Repayment Program; providing for inclusion of general surgery; amending 70 O.S. 2011, Secti on 697.3, as amended by Section 3, Chapter 67, O.S.L. 2020 (70 O.S. Supp. 2020, Section 697.3), which relates to the Physician Manpower Training Commission; including a nurse practitioner in membership; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2011, Section 1 -2721, as last amended by Section 1, Chapter 286, O.S.L. 2018 (63 O.S. Supp. 2020, Section 1-2721), is amended to read as follows: Section 1-2721. A. 1. The Physician Manpower Training Commission shall administer the Oklahoma Medical Loan Repayment Program. HB2121 HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. For the purposes of this section, "primary care physicians " shall mean physicians practicing in family medicine, geriatrics, general internal medicine, general pediatrics, obstetrics/gynecology, or emergency medicine, or general surgery . 3. For the purposes of this section, "health center" shall mean a federally qualified health center as defined by 42 U.S.C., Section 1905(1)(2)(B). 4. For the purposes of this section, "Teaching Health Center" shall mean a health center that supports the residencies of primary care physicians within the operations of the health center. 5. The Program, depending upon and limited to available funding, shall provide educational loan repayment assistance to Oklahoma licensed primary care physicians and physician assistants who agree to establish a practice in a community located in Oklahoma approved by the Commission. 6. Each award shall be for a contr acted period and shall be distributed to the participant by drafts made payable to the participant at the end of each contract year with disbursements not to exceed an amount to be established annually by the Commission. Prior to any disbursement, the Com mission shall certify and properly review reports submitted by the participating physician or physician assistant detailing performance of activities in accordance with the Program. HB2121 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 7. The Commission shall review the performance in the Program of the participating physician or physician assistant and determine whether an award may be granted for additional years pursuant to rules promulgated by the Commission. B. The physicians and physician assistants entering the Program each year shall agree to provide medical care and services in areas designated by the Commission to provide medical care and services to Medicaid recipients as authorized by the Oklahoma Health Care Authority. C. A physician or physician assistant shall be eligible to participate in the loan repayment program Oklahoma Medical Loan Repayment Program if the individual: 1. Is a physician that holds a current Oklahoma medical license; 2. Is a new primary care graduate physician or physician assistant. Preference will be given to graduates of the primary care residency programs affiliated with the Oklahoma State University College of Osteopathic Medicine, the University of Oklahoma College of Medicine and the teaching hospitals affiliated with both schools of medicine and Teaching Health Centers located in this state; or 3. Is a current practicing physician or physician assistant and has met criteria established by the Commission. HB2121 HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 D. The Commission may accept donations of public or private funds to assist in funding the Oklahoma Medical Loan Repayment Program. The Commission may, at its discretion, contract with other public entities and non-profit nonprofit corporations for the endowment, management and administration of such funds. E. The Commission shall present a report on the operati on of the Program to the Governor, the Speaker of the House of Representatives, and the President Pro Tempore of the Senate within one (1) month of the beginning of each regular session of the Legislature, including but not limited to the progress made in accomplishing the goal of the Program. SECTION 2. AMENDATORY 70 O.S. 2011, Section 697.3, as amended by Section 3, Chapter 67, O.S.L. 2020 (70 O.S. Supp. 2020, Section 697.3), is amended to read as follows: Section 697.3 The Physician Manpower Training Commission shall be composed of seven (7) members appointed by the Governor with the advice and consent of the Senate. Upon the expiration of the term of one of the nonphysician members, three members shall be practicing allopathic physicians, three shall be practicing osteopathic physicians and one shall not be a physician nurse practitioner. The membership shall be appointed from diverse geographic areas of the state. No board member serving on November 1, 2001, shall be removed from the board to satisfy the requirements of this section, but appointments to fill vacancies subsequent to HB2121 HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 November 1, 2001, shall be subject to the requirements of this section. Three members of the Commission shall be appointed for one-year terms, two members shall be appointed for three -year terms and two members shall be appointed for five -year terms, and at the expiration of the initial terms, succeeding terms of office shall be five (5) years in duration. There shall be also twelve additional nonvoting ex officio members of the Commission who shall serve in an advisory capacity only and include the Dean of the University of Oklahoma College of Medicine or designee, the Dean of the University of Oklahoma College of Medicine - Tulsa or designee, the Chair of the Department of Family Medicine of the University of Oklahoma Health Sciences Center or designee, the Chair of the Department of Family Practice of the University of Oklahoma College of Medicine - Tulsa or designee, the Chair of the Department of General Practice of the Oklahoma College of Osteopathic Medicine and Surgery or designee, the President of the Oklahoma Academy of Family Physicians or designee, the President of the Oklahoma State Medical Association or designee, the President of the O klahoma State Osteopathic Association or designee, the President of the Oklahoma Hospital Association or designee, the State Commissioner of Health or designee, the Provost of the University of Oklahoma Health Sciences Center or designee, and the Dean of t he Oklahoma College of Osteopathic Medicine and Surgery or designee. Members of the Commission shall serve without salary, but may be reimbursed for HB2121 HFLR Page 6 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 travel expenses in attending meetings and performing their duties pursuant to the State Travel Reimburseme nt Act, Section 500.1 et seq. of Title 74 of the Oklahoma Statutes. SECTION 3. This act shall become effective November 1, 2021. COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 02/10/2021 - DO PASS, As Coauthored.