Oklahoma 2022 Regular Session

Oklahoma House Bill HB4450 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	HB4450 HFLR Page 1
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31	28		STATE OF OKLAHOMA
32	29
33	30		2nd Session of the 58th Legislature (2022)
34	31
35	32		COMMITTEE SUBSTITUTE
36	33		FOR
37	34		HOUSE BILL NO. 4450 By: Wallace and Martinez of the
38	35		House
39	36
40	37		and
41	38
42	39		Thompson and Hall of the
43	40		Senate
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47	46		COMMITTEE SUBSTITUTE
48	47
49	48		An Act relating to health care workforce development;
50	49		creating the Health Care Workforce Development and
51	50		Finance Act of 2022; creating the Health Care
52	51		Workforce Development Revolving Fund; establishing
53	52		nature of fund; establ ishing funding sources;
54	53		authorizing fund utilization for certain purposes;
55	54		declaring funds appropriated; limiting budgeting and
56	55		expenditure authority; requiring certain budgeti ng
57	56		and expenditure procedure s; requiring budgeting and
58	57		expenditure of funds by certain dates; amending 63
59	58		O.S. 2021, Sections 1-2721, 1-2722, and 1-2723, which
60	59		relate to the Oklahoma Medical Loa n Repayment
61	60		Program; renaming certain agency of the state;
62	61		amending 70 O.S. 2021, Section s 625.1, 625.2, 625.3,
63	62		625.4, 625.4a, 625.9, 625.10a, 625.11, 625.13, and
64	63		625.14, which relate to the Oklahoma Rural Medical
65	64		Education Loan and Scholarship Fun d; renaming certain
66	65		agency of the state; amending 70 O.S. 2021, Section s
67	66		697.1, 697.2, 697.3, 697.5, 697.6, 697.7, 697.8,
68	67		697.9, 697.10, 697.11, 697.12, 697.15, 697.16,
69	68		697.17, 697.18, 697.19, 697.20, 697.21, and 697.21a,
70	69		which relate to the P hysician Manpower Training
71	70		Commission; renaming certain agency of the state;
72	71		expanding board membership ; establishing eligibility
73	72		requirements for certain appointments; placing
74	73		certain positions in the uncla ssified service after
75	74		certain date under certain condition ; providing for
76	75
77		-	HB4450 HFLR Page 2
78		-	BOLD FACE denotes Committee Amendments. 1
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103	101		noncodification; providing for codification; and
104	102		declaring an emergency.
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109	107		BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
110	108		SECTION 1. NEW LAW A new section of law not to be
111	109		codified in the Oklahoma Statutes reads as follows:
112	110		This act shall be known and may be cited as the " Health Care
113	111		Workforce Development and Finance Act of 2022 ".
114	112		SECTION 2. NEW LAW A new section of law t o be codified
115	113		in the Oklahoma Statutes as Section 697.21b of Title 70, unless
116	114		there is created a duplication in numbering, reads as follows:
117	115		A. There is hereby created in the State Treasury until July 1,
118	116		2027, a revolving fund for the Health Care Workforce Training
119	117		Commission to be designated the " Health Care Workforce Development
120	118		Revolving Fund". The fund shall be a continuing fund, not subject
121	119		to fiscal year limitations, and shall consist of all available
122	120		monies:
123	121		1. Received by the state as Coronavirus State and Local Fiscal
124	122		Recovery Funds pursuant to Section 9901 of the American R escue Plan
125	123		Act of 2021, Pub. L. No. 117 -2;
126	124		2. Directed to the state by the federal government for the
127	125		purpose of recruiting, educating, and stabilizing O klahoma's health
128	126		care workforce;
129	127
130		-	HB4450 HFLR Page 3
131		-	BOLD FACE denotes Committee Amendments. 1
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156	153		3. Derived as interest and income from deposits and investments
157	154		of fund assets; and
158	155		4. Designated for deposit by law.
159	156		B. 1. All monies accruing to the credit of said fund are
160	157		hereby appropriated and may be budgeted and expended by the Health
161	158		Care Workforce Training Commission for authorized purpose s as
162	159		provided in paragraph 2 of this subsection . Expenditures from said
163	160		fund shall be made upon w arrants issued by the State Treasurer
164	161		against claims filed as prescribed by l aw with the Director of the
165	162		Office of Management and Enterprise Serv ices for approval and
166	163		payment.
167	164		2. All monies accruing to the credit of said fund shall be
168	165		utilized for the purpose of recruiting, educating, and stabilizing
169	166		Oklahoma's health care workforce, including the cos ts and expenses
170	167		of operating such programs.
171	168		3. All monies accruing to the credit of the fund shall be
172	169		budgeted or encumbered no later than December 31, 2024, and shall be
173	170		expended no later than December 31, 2026.
174	171		4. All monies accruing to the credit of t he fund shall be
175	172		budgeted, expended, and transferred in strict accordance with
176	173		applicable state and federal law and guidance providing for and
177	174		limiting the utilization of such funds.
178	175		SECTION 3. AMENDATORY 63 O .S. 2021, Section 1-2721, is
179	176		amended to read as follows:
180	177
181		-	HB4450 HFLR Page 4
182		-	BOLD FACE denotes Committee Amendments. 1
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207	203		Section 1-2721. A. 1. The Physician Manpower Health Care
208	204		Workforce Training Commission sha ll administer the Oklahoma Medical
209	205		Loan Repayment Program.
210	206		2. For the purposes of this section, "primary care physicians"
211	207		shall mean physicians practicing in family me dicine, geriatrics,
212	208		general internal medicine, general pedia trics,
213	209		obstetrics/gynecology , or emergency medicine.
214	210		3. For the purposes of this section, "health center" shall mean
215	211		a federally qualified health center a s defined by 42 U.S.C., Section
216	212		1905(1)(2)(B).
217	213		4. For the purposes of this se ction, "teaching health center"
218	214		shall mean a health center that supports the residencies of primary
219	215		care physicians within the operations of the health cente r.
220	216		5. The Program, depending upon and limited to available
221	217		funding, shall provide educational loan repayment assistance t o
222	218		Oklahoma licensed primary care physicians and physician assistants
223	219		who agree to establish a practice in a community located in Oklah oma
224	220		approved by the Commission.
225	221		6. Each award shall be for a contracted period and shall be
226	222		distributed to the participan t by drafts made payable to the
227	223		participant at the end of each contract year with disbursements not
228	224		to exceed an amount to be establis hed annually by the C ommission.
229	225		Prior to any disbursement, th e Commission shall certify and proper ly
230	226		review reports submi tted by the participating ph ysician or physician
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232		-	HB4450 HFLR Page 5
233		-	BOLD FACE denotes Committee Amendments. 1
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258	253		assistant detailing performance of activities in accordance with the
259	254		Program.
260	255		7. The Commission shall rev iew the performance in the Program
261	256		of the participating physician or physician assistant and determin e
262	257		whether an award may be gr anted for additional years pursuant to
263	258		rules promulgated by the Commission.
264	259		B. The physicians and physici an assistants enterin g the Program
265	260		each year shall agree to pr ovide medical care and services in ar eas
266	261		designated by the Commission to provide medical care and services to
267	262		Medicaid recipients as authorized by the Oklahoma Health Care
268	263		Authority.
269	264		C. A physician or physician ass istant shall be eligible to
270	265		participate in the loan repayment program if the i ndividual:
271	266		1. Is a physician that holds a current Oklahoma medical
272	267		license;
273	268		2. Is a new primary care graduate physician or physician
274	269		assistant. Preference will be given to gra duates of the primary
275	270		care residency programs affiliated with the Oklahoma Sta te
276	271		University College o f Osteopathic Medicine, the University of
277	272		Oklahoma College of Medicine and the teaching hospitals affiliated
278	273		with both schools of medi cine and teaching hea lth centers located in
279	274		this state; or
280	275		3. Is a current practicing physician or physician assistant an d
281	276		has met criteria establish ed by the Commission.
282	277
283		-	HB4450 HFLR Page 6
284		-	BOLD FACE denotes Committee Amendments. 1
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309	303		D. The Commission may accept donations of public or private
310	304		funds to assist in fund ing the Medical Loan Repayment Program. The
311	305		Commission may, at its discretion, contract with other public
312	306		entities and nonprofit corporations for the endowment, management
313	307		and administration of such funds.
314	308		E. The Commission shall present a report on the operation of
315	309		the Program to the Governor, the Speaker of the H ouse of
316	310		Representatives, and the Pre sident Pro Tempore of t he Senate within
317	311		one (1) month of the beginning of each regular session of the
318	312		Legislature, including but not limited to the progress m ade in
319	313		accomplishing the goal of the Program.
320	314		SECTION 4. AMENDATORY 63 O.S. 2021, Section 1 -2722, is
321	315		amended to read as follows:
322	316		Section 1-2722. The amount of the award of educational loan
323	317		repayment assistance shall not exceed an y maximum or minimum amount
324	318		as promulgated by rules of the Physician Manpower Health Care
325	319		Workforce Training Commission pursuant to the Oklahoma Medical Loan
326	320		Repayment Program. The actual amount of the award shall be based
327	321		upon a determination of:
328	322		1. Actual funds available t o the Program for expenditure; and
329	323		2. The existing student loan indebtedness o f the participating
330	324		physician.
331	325		SECTION 5. AMENDATORY 63 O.S. 2021, Section 1 -2723, is
332	326		amended to read as follows:
333	327
334		-	HB4450 HFLR Page 7
335		-	BOLD FACE denotes Committee Amendments. 1
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360	353		Section 1-2723. A. The Physician Manpower Health Care
361	354		Workforce Training Commission shall have the option of utilizing
362	355		available funding in excess of the amount nec essary to fund the
363	356		Oklahoma Medical Loan Repayment Progra m described in Section 1 -2721
364	357		of this title to fund new or expanded pr imary care residency
365	358		programs in rural an d underserved areas of the state. Such new or
366	359		expanded primary care residency program f unding shall include but
367	360		not be limited to:
368	361		1. Payments to hospitals or teaching health centers desiring to
369	362		establish new primary care residency programs. Such paymen ts shall
370	363		be made to cover the costs of salaries, benefits and educational
371	364		costs of residents in training at the facility; or
372	365		2. Payments to hosp itals or teaching health center s with
373	366		existing primary residency progr ams desiring to expand the number of
374	367		residents participating in those programs. Such payments shall be
375	368		made to cover the costs o f salaries, benefits and educational costs
376	369		of residents in training at the facility .
377	370		B. Provisions of this section shall be su bject to the
378	371		promulgated rules of the Com mission.
379	372		SECTION 6. AMENDATORY 70 O.S. 2021, Section 625.1, is
380	373		amended to read as follows:
381	374		Section 625.1 There is hereby established t he Oklahoma Rural
382	375		Medical Education Loan and Scholarsh ip Fund. The fund shall be
383	376		administered by the Physician Manpower Health Care Workforce
384	377
385		-	HB4450 HFLR Page 8
386		-	BOLD FACE denotes Committee Amendments. 1
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411	403		Training Commission under the provisions of Section 625.9 of this
412	404		title.
413	405		SECTION 7. AMENDATORY 70 O.S. 2021, Section 625 .2, is
414	406		amended to read as follows:
415	407		Section 625.2 The Physician Manpower Health Care Workforce
416	408		Training Commission shall be authorized and empowered t o grant
417	409		scholarships to qualifi ed students who are bona fide residents of
418	410		the State of Oklahoma and who wo uld not otherwise hav e funds
419	411		necessary to finance the cost of a program of study leading to the
420	412		Degree of Doctor of Medicine, or to the Degree of Doct or of
421	413		Osteopathic Medicine, to be granted by an accredited and recognized
422	414		college of medicine or college o f osteopathic medicin e.
423	415		SECTION 8. AMENDATORY 70 O.S. 2021, Section 625.3, is
424	416		amended to read as follows:
425	417		Section 625.3 A. The terms and conditions governing the
426	418		scholarships shall be as prescribed and formulated by the Physician
427	419		Manpower Health Care Workforce Training Commission, but shall
428	420		include the condition that each recipient, upon completion of his
429	421		the recipient's course of study, shall repay his such scholarship by
430	422		practicing his the recipient's profession in a rural comm unity in
431	423		Oklahoma having a population of seven thousand five h undred (7,500)
432	424		persons or less according to the last preceding United States
433	425		Decennial Census and having a ne ed therefor, as determined by the
434	426		Commission, for one (1) year for each one (1) year the scholarship
435	427
436		-	HB4450 HFLR Page 9
437		-	BOLD FACE denotes Committee Amendments. 1
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462	453		is financed; provided, however, that the recip ient will be given no
463	454		credit for payment and reduction of the obligation by serving in the
464	455		defined rural communities for a period less than two (2) years.
465	456		B. The maximum rural population criter ia specified in
466	457		subsection A of this section may be waived by the Commission.
467	458		C. The terms of this subsection shall apply to recipients who
468	459		accept assistance on or after July 1, 1993. The contract shall
469	460		provide that in the event th e recipient breaches th e terms of the
470	461		contract by not serving the designated communit y for the specified
471	462		period of time, the Commission shall be entitled to recover an
472	463		amount equal to three time s the principal disbursed, pursuant to the
473	464		contract, plus interest. Interest on all amounts paid to or on
474	465		behalf of the participant shall be compu ted at the current prime
475	466		rate plus one percent (1%) with the interest to accrue from the date
476	467		each payment is made, pursuant to the contract. The amount the
477	468		Commission is entitled to recover sh all be paid within ni nety (90)
478	469		days of the date the recipient becomes liable as determined by the
479	470		Commission.
480	471		SECTION 9. AMENDATORY 70 O.S. 2021, Section 6 25.4, is
481	472		amended to read as follows:
482	473		Section 625.4 The Commission shall pr omulgate and adopt su ch
483	474		rules and regulations as may be necess ary to carry out the
484	475		provisions of this act. The Commission shall prescribe the fo rm and
485	476		regulate the submission of applicat ions for scholarship; conduct
486	477
487		-	HB4450 HFLR Page 10
488		-	BOLD FACE denotes Committee Amendments. 1
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513	503		conferences and interviews with applica nts; determine the
514	504		eligibility of applicants; allow or disallo w all applications for
515	505		scholarships or renewal of scholarships; contract, increase,
516	506		decrease, terminate and otherwise regulat e all grants for
517	507		scholarships and their repayment in cash or services ; and manage,
518	508		operate and control all funds and property appro priated or otherwise
519	509		contributed for this purpose. The Commission may acquire prop erty
520	510		or money by the acceptance of gifts, grants, bequests or devise, and
521	511		may contract with the federal governm ent in order to secur e the
522	512		benefit of any federal program cons istent with the provisions of
523	513		this act. Monies received by the Commission in repay ment of
524	514		scholarships granted from appropri ated funds shall be deposited with
525	515		the State Treasurer who shall plac e the same to the cre dit of the
526	516		Commission in depository funds to be known as the "Rural Medical
527	517		Education Scholarship Fund" and the "Community P hysician Education
528	518		Scholarship Fund" depen ding on the program in which the recipient
529	519		participated, under and su bject exclusively to the control of the
530	520		Commission for the pur pose of fulfilling and accomplishing the
531	521		conditions and purposes of the Physician Manpower Health Care
532	522		Workforce Training Commission. All monies so collecte d and
533	523		deposited in the State Treasury as aforesaid shall c onstitute a
534	524		continuing fund, shall not be subject to fiscal limitations, and the
535	525		unexpended balance shall at all times be ava ilable for expenditures
536	526		for the purposes and in the manner and form provi ded by this act.
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538		-	HB4450 HFLR Page 11
539		-	BOLD FACE denotes Committee Amendments. 1
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564	553		All funds and proper ty, and income theref rom, received by the
565	554		Commission through the acceptance of gifts, grants, bequests or
566	555		devise shall be held by the Commission i n trust, and may be sold,
567	556		transferred, invested and reinvested by the Com mission in accordance
568	557		with the provisions of the Oklahoma Trust Act, and all such funds
569	558		and property, and income therefrom, shall be used by the Commission
570	559		in fulfilling and accomplis hing the conditions and purposes of the
571	560		Physician Manpower Health Care Workforce Training Commission.
572	561		SECTION 10. AMENDATORY 70 O.S. 2021, Section 625.4a, is
573	562		amended to read as follows :
574	563		Section 625.4a There is hereby created in the State Treasury a
575	564		revolving fund for the Physician Manpower Health Care Workforce
576	565		Training Commission to be designated the "Physician Manpower Health
577	566		Care Workforce Training Commission Revolving Fund". The fund shall
578	567		be a continuing fund, not subject to fiscal year limitations and
579	568		shall consist of all payments received by the Commission pursuant to
580	569		Sections 625.3 and 625.10a of this title. All monies accruing to
581	570		the credit of the fund are hereby appro priated and may be budgeted
582	571		and expended by the Physician Manpower Health Care Workforce
583	572		Training Commission for any expenses incurred in the implementati on
584	573		of its duties. Expenditures from the fund shall be made upon
585	574		warrants issued by the State Treasurer against claims filed as
586	575		prescribed by law with the Director of the Office of Management and
587	576		Enterprise Services for approval and payment.
588	577
589		-	HB4450 HFLR Page 12
590		-	BOLD FACE denotes Committee Amendments. 1
	578	+	Req. No. 10923 Page 12 1
591	579		2
592	580		3
593	581		4
594	582		5
595	583		6
596	584		7
597	585		8
598	586		9
599	587		10
600	588		11
601	589		12
602	590		13
603	591		14
604	592		15
605	593		16
606	594		17
607	595		18
608	596		19
609	597		20
610	598		21
611	599		22
612	600		23
613	601		24
614	602
615	603		SECTION 11. AMENDATORY 70 O.S. 2021, Section 625.9, is
616	604		amended to read as follows:
617	605		Section 625.9 The administration of the Oklahoma Rural Medical
618	606		Education Loan and Scholarship Fund is hereby transferred to the
619	607		Physician Manpower Health Care Workforce Training Commission as
620	608		established by law. All the powers, duti es, responsibilities, rules
621	609		and regulations and functions of the Board of Trustees of the
622	610		Oklahoma Rural Medical Education Sc holarship Fund are hereby
623	611		transferred to the Physician Manpower Health Care Workforce Training
624	612		Commission and the Board of Trustees of the Oklahoma Rural Medical
625	613		Education Scholarship Fund is hereby abolished and terminated.
626	614		SECTION 12. AMENDATORY 70 O.S. 2021, Section 625.10a, is
627	615		amended to read as follows:
628	616		Section 625.10a The Physician Manpower Health Care Workforce
629	617		Training Commission is hereby authorized and empowered to establish
630	618		and administer cost-sharing scholarships a nd loan fund programs
631	619		which shall provide for state assistance to and part icipation with
632	620		community physician education and scholarship t rust funds which are
633	621		selected and approved by the Commission. Said state assistance and
634	622		participation shall be on a stat e and community matching formula
635	623		basis for the funding of the educational costs, fees and char ges of
636	624		a selected and qualified student i n good standing and who is duly
637	625		enrolled in an accredited college of medicine or college of
638	626		osteopathic medicine and purs uing a course of study leading to the
639	627
640		-	HB4450 HFLR Page 13
641		-	BOLD FACE denotes Committee Amendments. 1
	628	+	Req. No. 10923 Page 13 1
642	629		2
643	630		3
644	631		4
645	632		5
646	633		6
647	634		7
648	635		8
649	636		9
650	637		10
651	638		11
652	639		12
653	640		13
654	641		14
655	642		15
656	643		16
657	644		17
658	645		18
659	646		19
660	647		20
661	648		21
662	649		22
663	650		23
664	651		24
665	652
666	653		degree of Doctor of Medicine or to the degree of Doctor of
667	654		Osteopathic Medicine. Said student sh all be a bona fide resident of
668	655		the State of Oklahoma who desires and agrees to practice his
669	656		profession on completion of t he course of study and training
670	657		required for licensure and certification in the community prov iding
671	658		the initial funds to be matched by the state funds. Communities
672	659		shall deposit the initial trust funds with the Physician Manpower
673	660		Health Care Workforce Training Commission to be administered and
674	661		matched by the Commissio n for the education of selecte d and
675	662		qualified students to serve and to practice in the communities with
676	663		trust funds so established for that purpose with the Commission.
677	664		The Commission shall aid a nd advise communities in the selection of
678	665		qualified students to participate in a given com munity scholarship
679	666		program and the Commis sion shall approve the selection of a given
680	667		student for a particular community physician education scholarship
681	668		trust fund matching program. The Commission shall determine the
682	669		percentage share for the state in the s cholarship matching program
683	670		with a given community to educate a given and duly selected student
684	671		on the basis of the extent of need of the community and its
685	672		surrounding area for the services of a practicing physician, the
686	673		amount of the initial trust funds t he community has raised and
687	674		deposited in the physician education scholarship trust fund that is
688	675		duly established and the matching funds schedule developed by the
689	676		Commission and based upon both the population of the community
690	677
691		-	HB4450 HFLR Page 14
692		-	BOLD FACE denotes Committee Amendments. 1
	678	+	Req. No. 10923 Page 14 1
693	679		2
694	680		3
695	681		4
696	682		5
697	683		6
698	684		7
699	685		8
700	686		9
701	687		10
702	688		11
703	689		12
704	690		13
705	691		14
706	692		15
707	693		16
708	694		17
709	695		18
710	696		19
711	697		20
712	698		21
713	699		22
714	700		23
715	701		24
716	702
717	703		determined by the latest Federa l Decennial Census and the estimated
718	704		median family annual income level as determined on the basis of the
719	705		estimates of the Oklahoma Department of Commerce. The state
720	706		matching assistance and participation in a given scholarship trust
721	707		fund program shall not exceed seventy-five percent (75%) of the
722	708		total amount calculated to be necessary to fund the costs of a
723	709		course of study for the degree of Doctor of Medicine or the de gree
724	710		of Doctor of Osteopathic Medicine as determined annuall y by the
725	711		Commission. Repayment of the total amount of the scholarship by the
726	712		student on completion of his the student's course of study and on
727	713		the establishment of his the student's practice in the community
728	714		shall be made to the state fund and to the community tru st fund in
729	715		accordance with the percentage and total amounts co ntributed by the
730	716		state and by the community to th e matching scholarship trust fund
731	717		program and in accordance with the provisions of Section 625.5 of
732	718		this title and contract requirements of Secti on 625.6 of this tit le
733	719		which shall apply in all cases to stude nts participating in said
734	720		community physician edu cation scholarship trust fund programs
735	721		administered by the Commission with the exception of the maximum
736	722		amount allowable in payment to the studen t which shall be bas ed on
737	723		an annual review of the costs, fees and charges of the school of
738	724		medicine or school o f osteopathic medicine in which the student is
739	725		enrolled and participating which shall be made by the Com mission.
740	726
741		-	HB4450 HFLR Page 15
742		-	BOLD FACE denotes Committee Amendments. 1
	727	+	Req. No. 10923 Page 15 1
743	728		2
744	729		3
745	730		4
746	731		5
747	732		6
748	733		7
749	734		8
750	735		9
751	736		10
752	737		11
753	738		12
754	739		13
755	740		14
756	741		15
757	742		16
758	743		17
759	744		18
760	745		19
761	746		20
762	747		21
763	748		22
764	749		23
765	750		24
766	751
767	752		The procedures, terms and condit ions governing the s cholarships
768	753		and how they are administered shall be as prescribed and formulated
769	754		by the Physician Manpower Health Care Workforce Training Commission
770	755		but shall include the following:
771	756		1. Communities desiring to participate in a loan and
772	757		scholarship program sh all select a student who meets the
773	758		requirements for participation and give notice to the Co mmission.
774	759		2. The Commission shall aid and advise communities in the
775	760		selection of qualified students to participate in a given community
776	761		loan and scholarship program.
777	762		3. The communities shall deposit with the Commission the
778	763		initial year scholarship funds provided by the community which funds
779	764		shall be a percentage of the total educational and associated cos ts
780	765		of the student in the course of study in an accredited coll ege of
781	766		medicine or college of osteopathic medicine and which funds are to
782	767		be used in the education of the selected student.
783	768		4. The Commission shall review and approve the selection of a
784	769		given student and shall then match the initial c ommunity funds with
785	770		state funds from the Oklahoma Community Ph ysician Education Loan and
786	771		Scholarship Program Fun d in the amount needed to meet the total cost
787	772		for educating the student for one (1) year as agreed by t he
788	773		Commission and the community in each p articular case.
789	774
790		-	HB4450 HFLR Page 16
791		-	BOLD FACE denotes Committee Amendments. 1
	775	+	Req. No. 10923 Page 16 1
792	776		2
793	777		3
794	778		4
795	779		5
796	780		6
797	781		7
798	782		8
799	783		9
800	784		10
801	785		11
802	786		12
803	787		13
804	788		14
805	789		15
806	790		16
807	791		17
808	792		18
809	793		19
810	794		20
811	795		21
812	796		22
813	797		23
814	798		24
815	799
816	800		5. The Commission shall determine the percent age share for the
817	801		state in the loan and scholarshi p program with a given community to
818	802		educate a selected student on the basis of:
819	803		a. the extent of need o f the community and its
820	804		surrounding area for the services of a practicing
821	805		physician;,
822	806		b. the amount of the initial trust funds the community
823	807		has raised and deposited with the Commission for the
824	808		education of a selected student ;, and
825	809		c. the population of the community which shall be
826	810		determined on the basis of the current estimates made
827	811		by the Oklahoma Department of Commerce.
828	812		6. The state matching assistance and p articipation by the
829	813		Commission in a given loan and scholarship program for a particular
830	814		student shall not exceed seventy-five percent (75%) of the total
831	815		amount calculated to be necessary to fund one (1) year of study for
832	816		the degree of Doctor of Medicine or the degree of Doctor of
833	817		Osteopathic Medicine as determined annually by the Commission at the
834	818		school of medicine or osteopathic medicine i n which the selected
835	819		student is enrolled.
836	820		7. Each scholarship recipient, upon completion of his the
837	821		recipient's course of study, shal l repay his the recipient's loan
838	822		and scholarship to the state and to the community and receive
839	823		forgiveness on repayment of the funds from the s tate and from the
840	824
841		-	HB4450 HFLR Page 17
842		-	BOLD FACE denotes Committee Amendments. 1
	825	+	Req. No. 10923 Page 17 1
843	826		2
844	827		3
845	828		4
846	829		5
847	830		6
848	831		7
849	832		8
850	833		9
851	834		10
852	835		11
853	836		12
854	837		13
855	838		14
856	839		15
857	840		16
858	841		17
859	842		18
860	843		19
861	844		20
862	845		21
863	846		22
864	847		23
865	848		24
866	849
867	850		community by practicing his profession in the community in Oklahoma
868	851		providing the initial funds at a minimum fo r one (1) year for each
869	852		Five Thousand Dollars ($5,000.00) the community and the state
870	853		financed the scholarship program for the student; provided, however,
871	854		that the recipient will be given no credit for payment, repayment
872	855		and reduction of said obligation to the community and the state by
873	856		serving the given community for a period less than two (2) years or,
874	857		when approved by the Commi ssion in agreement with the community and
875	858		terms of the contracts involved, repayment may be made in cash with
876	859		interest at the rate of twelve percent (12%) per annum, said
877	860		interest to accrue from the date each payment of funds pursuant to
878	861		the loan and scholarship program is made. In addition, sho uld a
879	862		recipient who accepts financial assistance after July 1, 1977, elect
880	863		not to perform his obligated service in the sponsoring community,
881	864		the agreed upon sum denoted as liquidated da mages in the contract
882	865		shall be assessed the recipient. No interest shall accrue on the
883	866		principal during any one period of time that the recipient thereof
884	867		is required to serve in the Armed Forces of the United States, or
885	868		during his internship or residency, if in a primary care area and
886	869		the required service, internship or resid ency does not exceed four
887	870		(4) years. Provided that no interest shall accrue for six (6)
888	871		months following each of the above exceptions.
889	872		Each student who applies to participate in a comm unity and
890	873		state matching loan and scholarship program shall enter into a
891	874
892		-	HB4450 HFLR Page 18
893		-	BOLD FACE denotes Committee Amendments. 1
	875	+	Req. No. 10923 Page 18 1
894	876		2
895	877		3
896	878		4
897	879		5
898	880		6
899	881		7
900	882		8
901	883		9
902	884		10
903	885		11
904	886		12
905	887		13
906	888		14
907	889		15
908	890		16
909	891		17
910	892		18
911	893		19
912	894		20
913	895		21
914	896		22
915	897		23
916	898		24
917	899
918	900		contract administered by the Commission on behalf of the state and a
919	901		given community which has provided the initial scholarship funds to
920	902		educate a selected student. The contract shal l be between the State
921	903		of Oklahoma and the selected student by which co ntract the student
922	904		agrees to return to the community which provided the initial loan
923	905		and scholarship funds and to practice his profession, on completion
924	906		of the course of study and train ing required for licensure and
925	907		certification, for the number of years f or which the student
926	908		received assistance from the community and the state and in
927	909		accordance with the conditions specified in the contract agreed to
928	910		by the student and the given communit y which selected the student.
929	911		Any repayment of the total amount of the scholarship or any portion
930	912		thereof as provided in this act and in the contract between t he
931	913		state and the student shall be made to the state deposited into the
932	914		Community Matching Loan an d Scholarship Repayment Revolving Fund
933	915		hereby created in the State Trea sury. The community portion of any
934	916		repayment monies deposited in said fund shall be wit hdrawn from the
935	917		revolving fund and returned to the community on request or, if the
936	918		community so chooses, said repayment monies shall be held available
937	919		in said fund for reallocation by the community and the state to the
938	920		Community Physician Education Loan an d Scholarship Program Fund to
939	921		educate another student selected by the community and approved by
940	922		the Commission. The form of the contracts shall be prepared and
941	923		approved by the Attorney General. The Commission is hereby vested
942	924
943		-	HB4450 HFLR Page 19
944		-	BOLD FACE denotes Committee Amendments. 1
	925	+	Req. No. 10923 Page 19 1
945	926		2
946	927		3
947	928		4
948	929		5
949	930		6
950	931		7
951	932		8
952	933		9
953	934		10
954	935		11
955	936		12
956	937		13
957	938		14
958	939		15
959	940		16
960	941		17
961	942		18
962	943		19
963	944		20
964	945		21
965	946		22
966	947		23
967	948		24
968	949
969	950		with full and complete autho rity and power to sue in its own name
970	951		any applicant for any balance due the Commission for repaym ent of
971	952		the scholarship on any contract or for failure by the applicant to
972	953		fulfill the terms of his contract in any way. Said contracts shall
973	954		be signed by the Chairman Chair of the Commission and by the student
974	955		for and by a representative of the community which selected the
975	956		student. The Commission shall have authority to cancel the contract
976	957		it makes between the Commission and any recipient of a scholarship
977	958		upon cause deemed sufficient by the Commission.
978	959		SECTION 13. AMENDATORY 70 O.S. 2021 , Section 625.11, is
979	960		amended to read as follows:
980	961		Section 625.11 There is hereby created and established the
981	962		Oklahoma Community Physician Education Scholarship Program Fund
982	963		which fund shall be administered by the Physician Manpower Health
983	964		Care Workforce Training Commission for the purposes of providing the
984	965		state matching funds assistance for scholarship programs with given
985	966		communities. The Commis sion shall be empowered to contract for
986	967		services with any state agencies, institutions or any public or
987	968		private corporation involved in and conducting programs in physician
988	969		manpower health care workforce placement in order that the
989	970		Commission may perform its functions in an eff icient and timely
990	971		fashion.
991	972		SECTION 14. AMENDATORY 70 O.S. 2021, S ection 625.13, is
992	973		amended to read as follows:
993	974
994		-	HB4450 HFLR Page 20
995		-	BOLD FACE denotes Committee Amendments. 1
	975	+	Req. No. 10923 Page 20 1
996	976		2
997	977		3
998	978		4
999	979		5
1000	980		6
1001	981		7
1002	982		8
1003	983		9
1004	984		10
1005	985		11
1006	986		12
1007	987		13
1008	988		14
1009	989		15
1010	990		16
1011	991		17
1012	992		18
1013	993		19
1014	994		20
1015	995		21
1016	996		22
1017	997		23
1018	998		24
1019	999
1020	1000		Section 625.13 A. There is hereby created the "Community Match
1021	1001		Rural Scholarship Incentive Program" which shall be conducted and
1022	1002		administered by the Physician Manpower Health Care Workforce
1023	1003		Training Commission. The purpose of this program is to provide for
1024	1004		the fair and necessary distribution of funds allocated to it by the
1025	1005		Legislature to provide monies to the following programs under the
1026	1006		Physician Manpower Health Care Workforce Training Commission:
1027	1007		1. The Community Matching Intern/Resident Program;
1028	1008		2. The Oklahoma Rural Medical Education Loan Scholarship
1029	1009		Program;
1030	1010		3. The Family/General Practice Resident Rural Scholarship Loan
1031	1011		Program, created pursuant to this section; and
1032	1012		4. The Family/General Practice Resi dency Grant Program, created
1033	1013		pursuant to this section.
1034	1014		The Physician Manpower Health Care Workforce Training Commission
1035	1015		is hereby authorized to distribute such monies to the funds
1036	1016		specified in Sections 625.1, 625.4a and 697.18 of this title
1037	1017		necessary to fund the programs specified in this section.
1038	1018		B. The Physician Manpower Health Care Workforce Training
1039	1019		Commission shall establish and administer a Family/General Practice
1040	1020		Resident Rural Scholarship Loan Program for the purpose of assisting
1041	1021		Oklahoma's rural communities by providing financial assistance
1042	1022		through a scholarshi p loan forgiveness program to residents enrolled
1043	1023		in an accredited Family Practice or General Practice residency
1044	1024
1045		-	HB4450 HFLR Page 21
1046		-	BOLD FACE denotes Committee Amendments. 1
	1025	+	Req. No. 10923 Page 21 1
1047	1026		2
1048	1027		3
1049	1028		4
1050	1029		5
1051	1030		6
1052	1031		7
1053	1032		8
1054	1033		9
1055	1034		10
1056	1035		11
1057	1036		12
1058	1037		13
1059	1038		14
1060	1039		15
1061	1040		16
1062	1041		17
1063	1042		18
1064	1043		19
1065	1044		20
1066	1045		21
1067	1046		22
1068	1047		23
1069	1048		24
1070	1049
1071	1050		program. The Commission shall establish the eligibility standards,
1072	1051		the amount of the loan not to exceed One Thousand Dollars
1073	1052		($1,000.00) per month, the service obligation of the recipient of
1074	1053		the loan, and any penalties related to the breach of the service
1075	1054		contract or failure to repay such loan plus interest and penalty.
1076	1055		C. The Physician Manpower Health Care Workforce Training
1077	1056		Commission shall est ablish and administer a Family/General Practice
1078	1057		Residency Grant Program for the purpose of assisting Oklahoma's
1079	1058		rural communities by providing financial assistance through a grant
1080	1059		program to residents enrolled in an accredited Family Practice or
1081	1060		General Practice residency program. The Commissi on shall establish
1082	1061		the eligibility standards, th e amount of the grant not to exceed
1083	1062		Five Thousand Dollars ($5,000.00) per year, up to three (3) years,
1084	1063		the program obligations of the recipient of the grant, and any
1085	1064		penalties related to the breach of the gra nt obligations or failure
1086	1065		to repay the grant plu s interest.
1087	1066		SECTION 15. AMENDATORY 70 O.S. 2021, Section 625.14, is
1088	1067		amended to read as follows:
1089	1068		Section 625.14 The Physician Manpower Health Care Workforce
1090	1069		Training Commission shall establish and administer cost -sharing
1091	1070		programs for internship and residency physician training. The
1092	1071		Commission shall provid e for state assistance by sh aring the cost on
1093	1072		a percentage basis, as may be prescribed by law or as determined by
1094	1073		the Commission, of the salary, fringe benefits, training and program
1095	1074
1096		-	HB4450 HFLR Page 22
1097		-	BOLD FACE denotes Committee Amendments. 1
	1075	+	Req. No. 10923 Page 22 1
1098	1076		2
1099	1077		3
1100	1078		4
1101	1079		5
1102	1080		6
1103	1081		7
1104	1082		8
1105	1083		9
1106	1084		10
1107	1085		11
1108	1086		12
1109	1087		13
1110	1088		14
1111	1089		15
1112	1090		16
1113	1091		17
1114	1092		18
1115	1093		19
1116	1094		20
1117	1095		21
1118	1096		22
1119	1097		23
1120	1098		24
1121	1099
1122	1100		administration of the interns and residents as may be arranged by
1123	1101		contract for reimbursement with an accredited and approved hospital
1124	1102		and accredited clinical programs throughout the state in cooperation
1125	1103		with the University of Oklahoma College of Medicine and the
1126	1104		University of Oklahoma College of Medicine at Tulsa. Such physici an
1127	1105		training institutions in the state shall serve as the administrative
1128	1106		agent for internship and residency programs which are located in
1129	1107		hospitals and clinical training programs throughout the state. Such
1130	1108		programs are affiliated with the institutions and are approved for
1131	1109		funding by the Commission. The Commission shall conduct the
1132	1110		planning, coordination and selection of the training programs to
1133	1111		assure the effective and efficient operation of these programs. Not
1134	1112		less than seventy-five percent (75%) of the subsidy for these
1135	1113		programs shall be used in the training of primary health care and
1136	1114		family practice physicians for the rural and medically underserved
1137	1115		areas of the state. Provided that such subsidy may be used for the
1138	1116		primary purpose of increasing the tot al number of residencies fun ded
1139	1117		by this state, wherever located within the state, during that period
1140	1118		in which residency programs are being established in rural areas;
1141	1119		provided further, that as the residency programs are established and
1142	1120		accredited in rural hospitals, residency positio ns in such programs
1143	1121		shall be first provided for by the Commission . The Commission shall
1144	1122		present a report to the Governor, the Speaker of the House of
1145	1123		Representatives and the President Pro Tempore of the Senate within
1146	1124
1147		-	HB4450 HFLR Page 23
1148		-	BOLD FACE denotes Committee Amendments. 1
	1125	+	Req. No. 10923 Page 23 1
1149	1126		2
1150	1127		3
1151	1128		4
1152	1129		5
1153	1130		6
1154	1131		7
1155	1132		8
1156	1133		9
1157	1134		10
1158	1135		11
1159	1136		12
1160	1137		13
1161	1138		14
1162	1139		15
1163	1140		16
1164	1141		17
1165	1142		18
1166	1143		19
1167	1144		20
1168	1145		21
1169	1146		22
1170	1147		23
1171	1148		24
1172	1149
1173	1150		one (1) month of the beginning of each regular legislative session
1174	1151		on the operation of the programs inc luding the progress made in
1175	1152		accomplishing the goals of physician training as to type of
1176	1153		specialties and manpower workforce placement of the kind necessary
1177	1154		to provide adequate health care to the people throughout this state.
1178	1155		The subsidy to the participating hos pital, clinical situation or
1179	1156		training institution per resident or intern shall not exceed any
1180	1157		maximum or minimum amount as may be prescribed by law or as
1181	1158		determined by the Commission. The actual amount of subsidy for
1182	1159		physician training program situations shall be based upon a
1183	1160		determination by the Commission of:
1184	1161		1. The type of primary care residency and internship programs
1185	1162		involved and being conducted;
1186	1163		2. The extent of reimbursement available through third-party
1187	1164		payers and all other sources; and
1188	1165		3. The program and salary costs incurred in the given training
1189	1166		situation.
1190	1167		SECTION 16. AMENDATORY 70 O.S. 2021, Section 697.1, is
1191	1168		amended to read as follows:
1192	1169		Section 697.1 The Legislature recognizes that there is a need
1193	1170		to upgrade the availability of health care services for people of
1194	1171		Oklahoma, and thus, there is a need to improve the balance of
1195	1172		physician manpower health care workforce distribution in the state
1196	1173		both by type of practice and by geographic location. Furthermore,
1197	1174
1198		-	HB4450 HFLR Page 24
1199		-	BOLD FACE denotes Committee Amendments. 1
	1175	+	Req. No. 10923 Page 24 1
1200	1176		2
1201	1177		3
1202	1178		4
1203	1179		5
1204	1180		6
1205	1181		7
1206	1182		8
1207	1183		9
1208	1184		10
1209	1185		11
1210	1186		12
1211	1187		13
1212	1188		14
1213	1189		15
1214	1190		16
1215	1191		17
1216	1192		18
1217	1193		19
1218	1194		20
1219	1195		21
1220	1196		22
1221	1197		23
1222	1198		24
1223	1199
1224	1200		the Legislature recognizes the need to accommodate the increasing
1225	1201		number of graduates from the medical and osteopathic colleges of
1226	1202		Oklahoma by retaining their services as practicing physicians in the
1227	1203		state and by attracting graduates from schools outside the state.
1228	1204		Therefore, it is the intent of the Legislature to increase the
1229	1205		number of internship and residency programs o ffered for the training
1230	1206		of physicians throughout the state through the sha ring by the state
1231	1207		of the costs of such internships and residencies with hosp itals and
1232	1208		other clinical residency training establishments. These programs
1233	1209		shall be designed primarily to emphasize the training of primary
1234	1210		health care and family practice physici ans and to develop manpower
1235	1211		workforce programs to service directly the rural and nonmetropolitan
1236	1212		areas of the state.
1237	1213		SECTION 17. AMENDATORY 70 O.S. 2021, Section 697.2, is
1238	1214		amended to read as follows:
1239	1215		Section 697.2 The Physician Manpower Health Care Workforce
1240	1216		Training Commission is authorized to establish and administer cost-
1241	1217		sharing programs for internship and resid ency physician training.
1242	1218		The Commission shall provide for state assistance by sharing the
1243	1219		cost on a percentage basis, as may be prescribed by law or as
1244	1220		determined by the Commission, of the salar y, fringe benefits,
1245	1221		training and program administration of th e interns and residents as
1246	1222		may be arranged by contract for reimbursement with an accredited and
1247	1223		approved hospital and accredit ed clinical programs throughout the
1248	1224
1249		-	HB4450 HFLR Page 25
1250		-	BOLD FACE denotes Committee Amendments. 1
	1225	+	Req. No. 10923 Page 25 1
1251	1226		2
1252	1227		3
1253	1228		4
1254	1229		5
1255	1230		6
1256	1231		7
1257	1232		8
1258	1233		9
1259	1234		10
1260	1235		11
1261	1236		12
1262	1237		13
1263	1238		14
1264	1239		15
1265	1240		16
1266	1241		17
1267	1242		18
1268	1243		19
1269	1244		20
1270	1245		21
1271	1246		22
1272	1247		23
1273	1248		24
1274	1249
1275	1250		state in cooperation with the Okl ahoma State University College of
1276	1251		Osteopathic Medicine. Such physician training institutions in the
1277	1252		state shall serve as the administrative agent for internship and
1278	1253		residency programs wh ich are located in hospitals and clinical
1279	1254		training programs throughou t the state. Such programs are
1280	1255		affiliated with the instituti ons and approved for funding by t he
1281	1256		Commission. The Commission shall conduct the planning, coordination
1282	1257		and selection of the training programs to assure the effective and
1283	1258		efficient operation of these programs. Not less than seventy-five
1284	1259		percent (75%) of the subsidy for these programs sh all be used in the
1285	1260		training of primary health care and family/general practice
1286	1261		physicians for the rural and medically underserved areas of the
1287	1262		state. Provided that such subsidy may be used for the primary
1288	1263		purpose of increasing the total number of residenc ies funded by this
1289	1264		state, wherever located within the state, during that period in
1290	1265		which residency programs are being established in rural areas;
1291	1266		provided further, that as the residency programs are established and
1292	1267		accredited in rural hospitals, residency positions in such programs
1293	1268		shall be first provided for by the Commission. The Commission sha ll
1294	1269		present a report to the Governor, the Speaker of the House of
1295	1270		Representatives and the President Pro Tempore of the Senate withi n
1296	1271		one (1) month of the beginning of each regular legislative session
1297	1272		on the operation of the programs including the progress m ade in
1298	1273		accomplishing the goals of physician training as to type of
1299	1274
1300		-	HB4450 HFLR Page 26
1301		-	BOLD FACE denotes Committee Amendments. 1
	1275	+	Req. No. 10923 Page 26 1
1302	1276		2
1303	1277		3
1304	1278		4
1305	1279		5
1306	1280		6
1307	1281		7
1308	1282		8
1309	1283		9
1310	1284		10
1311	1285		11
1312	1286		12
1313	1287		13
1314	1288		14
1315	1289		15
1316	1290		16
1317	1291		17
1318	1292		18
1319	1293		19
1320	1294		20
1321	1295		21
1322	1296		22
1323	1297		23
1324	1298		24
1325	1299
1326	1300		specialties and manpower workforce placement of the kind necessary
1327	1301		to provide adequate health care to the people throughout this state.
1328	1302		The subsidy to the participating hospital, clinical situation or
1329	1303		training institution per resident or intern shall not ex ceed any
1330	1304		maximum or minimum amount as may be prescribed by law or as
1331	1305		determined by the Commission. The actual amount of subsidy for
1332	1306		physician training program situations shall be based u pon a
1333	1307		determination by the Commission of:
1334	1308		1. The type of primary car e residency and internshi p programs
1335	1309		involved and being conducted;
1336	1310		2. The extent of reimbursement availa ble through third-party
1337	1311		payers and all other sources; and
1338	1312		3. The program and salar y costs incurred in t he given training
1339	1313		situation.
1340	1314		SECTION 18. AMENDATORY 70 O.S. 2021, Section 697.3 , is
1341	1315		amended to read as follows:
1342	1316		Section 697.3 The Physician Manpower Health Care Workforce
1343	1317		Training Commission shall be composed of seven (7) nine (9) members
1344	1318		appointed by the Governor with the advi ce and consent of the Sen ate.
1345	1319		Upon the expiration of the term of one of the n onphysician members,
1346	1320		three members shall be practicing all opathic physicians, three shall
1347	1321		be practicing osteopathic physicians and, one shall not be a
1348	1322		physician be a practicing physician assistant, one s hall be a
1349	1323		practicing advanced practice registered nurse, and one shall be a
1350	1324
1351		-	HB4450 HFLR Page 27
1352		-	BOLD FACE denotes Committee Amendments. 1
	1325	+	Req. No. 10923 Page 27 1
1353	1326		2
1354	1327		3
1355	1328		4
1356	1329		5
1357	1330		6
1358	1331		7
1359	1332		8
1360	1333		9
1361	1334		10
1362	1335		11
1363	1336		12
1364	1337		13
1365	1338		14
1366	1339		15
1367	1340		16
1368	1341		17
1369	1342		18
1370	1343		19
1371	1344		20
1372	1345		21
1373	1346		22
1374	1347		23
1375	1348		24
1376	1349
1377	1350		member of the general public. The membership shall be appointed
1378	1351		from diverse geographic areas of the state . No board member serving
1379	1352		on November 1, 2001, shall be removed from the board to satisfy the
1380	1353		requirements of this section, but appointments to fill vacancies
1381	1354		subsequent to November 1 , 2001, shall be subject to the requiremen ts
1382	1355		of this section. Three members Members of the Commission shall be
1383	1356		appointed for one-year terms, two members shall be appointed for
1384	1357		three-year terms and two members shall be appointed for five-year
1385	1358		terms, and at the expiration of the initial terms, succeeding terms
1386	1359		of office shall be five (5) years in duration. There shall be al so
1387	1360		twelve additional nonvoting ex officio members of the Commission who
1388	1361		shall serve in an advisory capacity only and include the Dean of the
1389	1362		University of Oklahoma College of Medicine or designee, the Dean of
1390	1363		the University of Oklahoma College of Medicine - Tulsa or designee,
1391	1364		the Chair of the Department of Family Medicine of the University of
1392	1365		Oklahoma Health Sciences Center or designee, the Chair of the
1393	1366		Department of Family Practice of th e University of Oklaho ma College
1394	1367		of Medicine - Tulsa or designee, the Chair of the Department of
1395	1368		General Practice of the Oklahoma College of Osteopathic Medicine and
1396	1369		Surgery or designee, the President of the Oklaho ma Academy of Family
1397	1370		Physicians or designe e, the President of th e Oklahoma State Medical
1398	1371		Association or designee , the President of the Oklahoma S tate
1399	1372		Osteopathic Association or designee, the President of the Oklahoma
1400	1373		Hospital Association or designee, the S tate Commissioner of Health
1401	1374
1402		-	HB4450 HFLR Page 28
1403		-	BOLD FACE denotes Committee Amendments. 1
	1375	+	Req. No. 10923 Page 28 1
1404	1376		2
1405	1377		3
1406	1378		4
1407	1379		5
1408	1380		6
1409	1381		7
1410	1382		8
1411	1383		9
1412	1384		10
1413	1385		11
1414	1386		12
1415	1387		13
1416	1388		14
1417	1389		15
1418	1390		16
1419	1391		17
1420	1392		18
1421	1393		19
1422	1394		20
1423	1395		21
1424	1396		22
1425	1397		23
1426	1398		24
1427	1399
1428	1400		or designee, the Provost of the Univ ersity of Oklahoma Health
1429	1401		Sciences Center or des ignee, and the Dean of the Oklaho ma College of
1430	1402		Osteopathic Medicine and Surgery or designee. Members of the
1431	1403		Commission shall serve without sala ry, but may be reimbursed for
1432	1404		travel expenses in attending meeti ngs and performing their duties
1433	1405		pursuant to the State Travel Reimbursement Act, S ection 500.1 et
1434	1406		seq. of Title 74 of the Oklahoma Statutes.
1435	1407		SECTION 19. AMENDATORY 70 O. S. 2021, Section 697.5, is
1436	1408		amended to read as follows:
1437	1409		Section 697.5 The Physician Manpower Health Care Workforce
1438	1410		Training Commission, in order to perform its official function in
1439	1411		establishing and administe ring physician training programs, shall
1440	1412		have the following spec ific powers, duties and resp onsibilities:
1441	1413		1. To review all available data on physician manpower health
1442	1414		care workforce in Oklahoma in order to determine the current and
1443	1415		projected distribution of physicians by geographic location and by
1444	1416		type of practice, and, to accomplish this review, the Commission
1445	1417		shall obtain information from and work in conjunctio n with the State
1446	1418		Department of Health and all other agencies which gather data and
1447	1419		evaluate health manpower care workforce needs;
1448	1420		2. To review data and information on accredited physicia n
1449	1421		internship and residency programs currently operated by Oklahoma
1450	1422		hospitals and other approved clinical situations, in order to
1451	1423		ascertain the number and distribution by physician s pecialty
1452	1424
1453		-	HB4450 HFLR Page 29
1454		-	BOLD FACE denotes Committee Amendments. 1
	1425	+	Req. No. 10923 Page 29 1
1455	1426		2
1456	1427		3
1457	1428		4
1458	1429		5
1459	1430		6
1460	1431		7
1461	1432		8
1462	1433		9
1463	1434		10
1464	1435		11
1465	1436		12
1466	1437		13
1467	1438		14
1468	1439		15
1469	1440		16
1470	1441		17
1471	1442		18
1472	1443		19
1473	1444		20
1474	1445		21
1475	1446		22
1476	1447		23
1477	1448		24
1478	1449
1479	1450		training and by geographic location of available internship and
1480	1451		residency positions and to evaluate the impact of internship and
1481	1452		residency placement on the establishment of practices by physicians
1482	1453		in that geographic area or similar areas within th e state where
1483	1454		their services are urgently needed;
1484	1455		3. To serve as an agent to advise hospitals, clinics, and
1485	1456		communities on setting up and planning internship and residency
1486	1457		programs which emphasize the provision of additional primary care
1487	1458		physicians to service the rural areas of Oklahoma with primary care
1488	1459		specialties to be define d to include training in the area of
1489	1460		internal medicine, obstetrics and gynecology, pediatrics, emergency
1490	1461		trauma, and family practice;
1491	1462		4. To provide general counsel and advice in th e development,
1492	1463		operation and evaluation of physician internship and residen cy
1493	1464		programs throughout the State of Oklahoma in cooperation with the
1494	1465		efforts of the Oklahoma State Regents for Higher Education and the
1495	1466		state's physician training institutions such as the Oklahoma
1496	1467		University College of Medicine, Oklahoma City and Tulsa cam puses,
1497	1468		and the Oklahoma College of Osteopathic Medicine and Surgery, and
1498	1469		subject to accreditation by official and appropriate accrediting
1499	1470		agencies;
1500	1471		5. To develop the criteria for d etermining the physician
1501	1472		training cost component or associated clinical and hospital training
1502	1473		costs which are or may be nonreimbursable by third party payers in
1503	1474
1504		-	HB4450 HFLR Page 30
1505		-	BOLD FACE denotes Committee Amendments. 1
	1475	+	Req. No. 10923 Page 30 1
1506	1476		2
1507	1477		3
1508	1478		4
1509	1479		5
1510	1480		6
1511	1481		7
1512	1482		8
1513	1483		9
1514	1484		10
1515	1485		11
1516	1486		12
1517	1487		13
1518	1488		14
1519	1489		15
1520	1490		16
1521	1491		17
1522	1492		18
1523	1493		19
1524	1494		20
1525	1495		21
1526	1496		22
1527	1497		23
1528	1498		24
1529	1499
1530	1500		programs proposed by accredited hospitals, clinical situations, or
1531	1501		hospital and clinical progra ms affiliated with and administered by
1532	1502		the College of Medicine, College of Medicine - Tulsa or College of
1533	1503		Osteopathic Medicine and Surgery in order to determine the share for
1534	1504		the state in supporting the salary, benefits, training and program
1535	1505		administration costs incurred by hospitals in supporting of the
1536	1506		interns and residents;
1537	1507		6. To develop the criteria and procedure by which state
1538	1508		matching funds will be awarded to hospitals, accredited clinical
1539	1509		situations, in cooperation with the University of Oklahoma Co llege
1540	1510		of Medicine, University of Oklahoma College of Medicine - Tulsa, and
1541	1511		the Oklahoma College of Osteopathic Medicine and Surgery which shall
1542	1512		administer programs in hospital and clinical situations in the state
1543	1513		to be used to underwrite the salaries, bene fits and associated
1544	1514		training and administration costs provided for the phys ician interns
1545	1515		and residents during their period of training in such a way as to
1546	1516		create an incentive for the development and establishment of
1547	1517		residency and internship positions by ho spitals, clinical
1548	1518		establishments or by affiliation agreement with the Unive rsity of
1549	1519		Oklahoma College of Medicine, University of Oklahoma College of
1550	1520		Medicine - Tulsa and the Oklahoma College of Osteopathic Medicine
1551	1521		and Surgery by providing funds to cover an d to supplement the
1552	1522		nonreimbursable or additional costs incurred in hospita ls for
1553	1523		training activities or for delivery of service in outreach and
1554	1524
1555		-	HB4450 HFLR Page 31
1556		-	BOLD FACE denotes Committee Amendments. 1
	1525	+	Req. No. 10923 Page 31 1
1557	1526		2
1558	1527		3
1559	1528		4
1560	1529		5
1561	1530		6
1562	1531		7
1563	1532		8
1564	1533		9
1565	1534		10
1566	1535		11
1567	1536		12
1568	1537		13
1569	1538		14
1570	1539		15
1571	1540		16
1572	1541		17
1573	1542		18
1574	1543		19
1575	1544		20
1576	1545		21
1577	1546		22
1578	1547		23
1579	1548		24
1580	1549
1581	1550		ambulatory clinical situations which are outside but associated with
1582	1551		the hospitals and clinical establishments participating in the
1583	1552		program;
1584	1553		7. To review and to approve for inclusion in the programs
1585	1554		funded the applications for funds submitted by accredited hospitals
1586	1555		and clinical situations participating in physician training programs
1587	1556		in cooperation with the Univer sity of Oklahoma College of Medicine,
1588	1557		University of Oklahoma College of Med icine - Tulsa and the Oklahoma
1589	1558		College of Osteopathic Medicine and Surgery for the costs of
1590	1559		supplying residents and interns in programs which they administer by
1591	1560		affiliation agreemen ts with hospitals and clinical situations
1592	1561		throughout the state in which the interns and residents are
1593	1562		supervised and funded by the University of Oklahoma College of
1594	1563		Medicine, University of Oklahoma College of Medicine - Tulsa and the
1595	1564		Oklahoma College of Os teopathic Medicine and Surgery and the
1596	1565		hospitals and clinical establishment s pay for the patient care
1597	1566		services rendered in their institutions by these residents and
1598	1567		interns during the period of training;
1599	1568		8. To determine the specific level of funding and t he
1600	1569		priorities used for granting state support to approved hospitals and
1601	1570		clinical situations, in cooperation with the University of Oklahoma
1602	1571		College of Medicine, University of Oklahoma College of Medicine -
1603	1572		Tulsa and the Oklahoma College of Osteopathic Medi cine and Surgery
1604	1573		for approved hospital physician training programs for inte rns and
1605	1574
1606		-	HB4450 HFLR Page 32
1607		-	BOLD FACE denotes Committee Amendments. 1
	1575	+	Req. No. 10923 Page 32 1
1608	1576		2
1609	1577		3
1610	1578		4
1611	1579		5
1612	1580		6
1613	1581		7
1614	1582		8
1615	1583		9
1616	1584		10
1617	1585		11
1618	1586		12
1619	1587		13
1620	1588		14
1621	1589		15
1622	1590		16
1623	1591		17
1624	1592		18
1625	1593		19
1626	1594		20
1627	1595		21
1628	1596		22
1629	1597		23
1630	1598		24
1631	1599
1632	1600		residents and to recommend to the Governor and the Oklahoma
1633	1601		Legislature the total funds needed to carry out the purpose of this
1634	1602		program;
1635	1603		9. To employ a director and any sta ff personnel required to
1636	1604		administer the funding of approved physician train ing programs and
1637	1605		to contract with other state agencies and institutions to conduct
1638	1606		and to perform specified services, functions and aspects in
1639	1607		administering state funds on the speci fied cost-sharing basis
1640	1608		determined by the Commission or for developing prog rams and
1641	1609		community and institutional participation in these training
1642	1610		programs;
1643	1611		10. To ensure that hospitals or clinical situations that can
1644	1612		qualify in all sections of Oklahoma be u tilized, and to take all
1645	1613		steps necessary to assist such hospitals or clinic s in obtaining
1646	1614		necessary recognition or status, or in meeting standards for
1647	1615		accreditation or affiliation so that they may participate in these
1648	1616		physician training programs;
1649	1617		11. To ensure that in programs administered and operated by the
1650	1618		University of Oklahoma College of Medicine, University of Oklahoma
1651	1619		College of Medicine - Tulsa and the Oklahoma College of Osteopathic
1652	1620		Medicine and Surgery in hospitals and clinical situations through out
1653	1621		the state that funds allocated to the colleges are paid by the
1654	1622		hospitals and clinical situations in which the patient care services
1655	1623		are rendered, the funds are expended for such purposes in funding
1656	1624
1657		-	HB4450 HFLR Page 33
1658		-	BOLD FACE denotes Committee Amendments. 1
	1625	+	Req. No. 10923 Page 33 1
1659	1626		2
1660	1627		3
1661	1628		4
1662	1629		5
1663	1630		6
1664	1631		7
1665	1632		8
1666	1633		9
1667	1634		10
1668	1635		11
1669	1636		12
1670	1637		13
1671	1638		14
1672	1639		15
1673	1640		16
1674	1641		17
1675	1642		18
1676	1643		19
1677	1644		20
1678	1645		21
1679	1646		22
1680	1647		23
1681	1648		24
1682	1649
1683	1650		residents and interns in the physician training progra ms that the
1684	1651		colleges have established with the approved hospitals and clini cal
1685	1652		situations which programs are designed to provide primary health
1686	1653		care services to the rural and medically underserved parts of the
1687	1654		state;
1688	1655		12. To conduct and to administer a pro gram of physician and
1689	1656		health manpower care workforce placement services thr oughout the
1690	1657		State of Oklahoma. Placement services shall be made available to
1691	1658		communities, hospitals , health care facilities, physician and health
1692	1659		professional training institutions, health profess ional associations
1693	1660		and organizations, individual physicians , health professional s,
1694	1661		students in physician and health professional training institutions
1695	1662		and schools, and other interested parties in such a way so as to
1696	1663		further the purposes of improving the di stribution of physicians and
1697	1664		health professionals practicin g or available for pr actice in the
1698	1665		state and improving in the availability of health care services t o
1699	1666		the people of the state. Said placement service shall include but
1700	1667		not be limited to assisting communities in matching with, contacting
1701	1668		and recruiting physicians and health pr ofessionals to practice in
1702	1669		communities in the state. The Commission shall deve lop criteria and
1703	1670		procedures for the conduct and performance of placement services and
1704	1671		employ any staff, contract for services with any private agency,
1705	1672		nonprofit corporation or i nstitution to facilitate the performance
1706	1673		of placement services.
1707	1674
1708		-	HB4450 HFLR Page 34
1709		-	BOLD FACE denotes Committee Amendments. 1
	1675	+	Req. No. 10923 Page 34 1
1710	1676		2
1711	1677		3
1712	1678		4
1713	1679		5
1714	1680		6
1715	1681		7
1716	1682		8
1717	1683		9
1718	1684		10
1719	1685		11
1720	1686		12
1721	1687		13
1722	1688		14
1723	1689		15
1724	1690		16
1725	1691		17
1726	1692		18
1727	1693		19
1728	1694		20
1729	1695		21
1730	1696		22
1731	1697		23
1732	1698		24
1733	1699
1734	1700		SECTION 20. AMENDATORY 70 O.S. 2021, Section 697.6, is
1735	1701		amended to read as follows:
1736	1702		Section 697.6 Funds appropriated to carry out the provisions o f
1737	1703		this act shall be allocated so that no less than forty percent (40%)
1738	1704		of all participating residents a nd interns in each school year must
1739	1705		participate in a rural program outs ide the Oklahoma City and Tulsa
1740	1706		metropolitan areas. The Physician Manpower Health Care Workforce
1741	1707		Training Commission, in accordance with primary care specialty
1742	1708		accreditation standards, shall promulgate and adopt rules
1743	1709		designating the time allo cation spent by the residents and interns
1744	1710		participating in this program outside the Oklahoma C ity and Tulsa
1745	1711		metropolitan areas.
1746	1712		SECTION 21. AMENDATORY 70 O.S. 2021, Section 697.7, is
1747	1713		amended to read as follows:
1748	1714		Section 697.7 The Physician Manpower Health Care Workforce
1749	1715		Training Commission is hereby authorized to enter into contractual
1750	1716		arrangements with residency training programs at the Un iversity of
1751	1717		Oklahoma College of Medicine, University of Oklaho ma-Tulsa Medical
1752	1718		College, or the Oklahoma College of Osteopathic Medicine and
1753	1719		Surgery, in order to enhance available funding f or the training of
1754	1720		primary care residents and to pay the cost of the salary stipend and
1755	1721		expenses of the resident physician for the period of time spent in
1756	1722		the residency programs. Monies received by the Commission from the
1757	1723		participating residency training program under the provisions of
1758	1724
1759		-	HB4450 HFLR Page 35
1760		-	BOLD FACE denotes Committee Amendments. 1
	1725	+	Req. No. 10923 Page 35 1
1761	1726		2
1762	1727		3
1763	1728		4
1764	1729		5
1765	1730		6
1766	1731		7
1767	1732		8
1768	1733		9
1769	1734		10
1770	1735		11
1771	1736		12
1772	1737		13
1773	1738		14
1774	1739		15
1775	1740		16
1776	1741		17
1777	1742		18
1778	1743		19
1779	1744		20
1780	1745		21
1781	1746		22
1782	1747		23
1783	1748		24
1784	1749
1785	1750		this section shall be deposited to, and disbursed from, the
1786	1751		"Residency Revolving Fund" hereby crea ted in the State Treasury.
1787	1752		The fund shall be a continuing fund not subject to legislative
1788	1753		appropriation or fiscal year limita tions. Expenditures from the
1789	1754		fund shall be made on warrants issued by the State Treasurer against
1790	1755		claims filed by the Commission with the Director of the Office o f
1791	1756		Management and Enterprise Services for approval and payment.
1792	1757		SECTION 22. AMENDATORY 70 O.S. 2021, Section 697.8, is
1793	1758		amended to read as follows:
1794	1759		Section 697.8 A community may enter into a contract with a
1795	1760		resident physician in training whereby the resident agrees to
1796	1761		establish a practice in the community upon the completio n of his the
1797	1762		individual's residency. The Physician Manpower Health Care
1798	1763		Workforce Training Commission shall have the authority to receive
1799	1764		funds direct from that community for the purpose of paying the
1800	1765		resident involved to the ext ent of the contractual arr angements.
1801	1766		Monies received by the Commission under the provisions of this
1802	1767		section shall be deposited to, and disbursed from, the "Community
1803	1768		Residency Revolving Fund" hereby created in the State Treasury. The
1804	1769		fund shall be a cont inuing fund not subject to legislative
1805	1770		appropriation or fiscal year limitations. Expenditures from said
1806	1771		fund shall be made on warrants issued by the State Treasurer against
1807	1772		claims filed by the Commission with the Director of the Office of
1808	1773		Management and Enterprise Services for app roval and payment.
1809	1774
1810		-	HB4450 HFLR Page 36
1811		-	BOLD FACE denotes Committee Amendments. 1
	1775	+	Req. No. 10923 Page 36 1
1812	1776		2
1813	1777		3
1814	1778		4
1815	1779		5
1816	1780		6
1817	1781		7
1818	1782		8
1819	1783		9
1820	1784		10
1821	1785		11
1822	1786		12
1823	1787		13
1824	1788		14
1825	1789		15
1826	1790		16
1827	1791		17
1828	1792		18
1829	1793		19
1830	1794		20
1831	1795		21
1832	1796		22
1833	1797		23
1834	1798		24
1835	1799
1836	1800		SECTION 23. AMENDATORY 70 O.S. 2021, Section 697.9, is
1837	1801		amended to read as follows:
1838	1802		Section 697.9 There is hereby created and established the
1839	1803		Community Preceptor Physician Training and Work Experience
1840	1804		Scholarship Fund which fund shal l be administered by the Physician
1841	1805		Manpower Health Care Workforce Training Commission for the purpose
1842	1806		of providing state matchin g funds assistance and encouraging the
1843	1807		development of a program whereby the state in conjunction with given
1844	1808		communities, hospita ls or clinical training situations funds the
1845	1809		stipends and living expenses for medical students who agree to work
1846	1810		in these given communities during the vacation times during the
1847	1811		course of their education in the University of O klahoma College of
1848	1812		Medicine or the Oklahoma College of Osteopathic Medicine and
1849	1813		Surgery. The Commission shall develop procedures for determining
1850	1814		the matching funds participation of communities and of the state for
1851	1815		a given student and coordinate with the p hysician training
1852	1816		institutions in the state for the selection of students to
1853	1817		participate in the program and the selection of physicians who will
1854	1818		supervise students and hospitals and clinical situations in which
1855	1819		the training and experience occurs in the del ivery of primary health
1856	1820		care to rural and medically underserved areas with the purpose of
1857	1821		providing medical and osteopathic students an opportunity to develop
1858	1822		relationships with communities and encourage them to locate their
1859	1823		practices in areas of medical n eed.
1860	1824
1861		-	HB4450 HFLR Page 37
1862		-	BOLD FACE denotes Committee Amendments. 1
	1825	+	Req. No. 10923 Page 37 1
1863	1826		2
1864	1827		3
1865	1828		4
1866	1829		5
1867	1830		6
1868	1831		7
1869	1832		8
1870	1833		9
1871	1834		10
1872	1835		11
1873	1836		12
1874	1837		13
1875	1838		14
1876	1839		15
1877	1840		16
1878	1841		17
1879	1842		18
1880	1843		19
1881	1844		20
1882	1845		21
1883	1846		22
1884	1847		23
1885	1848		24
1886	1849
1887	1850		SECTION 24. AMENDATORY 70 O.S. 2021, Section 697. 10, is
1888	1851		amended to read as follows:
1889	1852		Section 697.10 A. The Physician Manpower Health Care Workforce
1890	1853		Training Commission is authorized to e nter into contractual
1891	1854		arrangements with individual hospitals and clini cal programs for the
1892	1855		reimbursement of intern or resident salary cost not to exceed the
1893	1856		limits established by Section 697.2 of this title. Provided, that
1894	1857		residency and internship positio ns created prior to the spring
1895	1858		semester 1975 shall be eligible for par ticipation in the cost-
1896	1859		sharing program for inter nship and residency training as established
1897	1860		by Sections 697.1 through 697.8 of this title, only if partial
1898	1861		funding of said positions will allow the creation of addition al
1899	1862		positions in whole or in part at the participating hospital or
1900	1863		clinical situation. T he participating hospital or clinical
1901	1864		situation shall document in a manner specified by the Commission the
1902	1865		extent to which funding of a pr eviously created and establish ed
1903	1866		position contributes directly to the creation of additional
1904	1867		positions at the particip ating hospital or clinical situation.
1905	1868		B. The Commission is authorized, in cooperation with the
1906	1869		Oklahoma Health Care Authority, to enter i nto contractual
1907	1870		arrangements with the University of Oklahoma College o f Medicine and
1908	1871		the Oklahoma State University Col lege of Osteopathic Medicine for
1909	1872		the reimbursement of intern and resident professional liability
1910	1873		insurance cost which shall not be subject to the limits established
1911	1874
1912		-	HB4450 HFLR Page 38
1913		-	BOLD FACE denotes Committee Amendments. 1
	1875	+	Req. No. 10923 Page 38 1
1914	1876		2
1915	1877		3
1916	1878		4
1917	1879		5
1918	1880		6
1919	1881		7
1920	1882		8
1921	1883		9
1922	1884		10
1923	1885		11
1924	1886		12
1925	1887		13
1926	1888		14
1927	1889		15
1928	1890		16
1929	1891		17
1930	1892		18
1931	1893		19
1932	1894		20
1933	1895		21
1934	1896		22
1935	1897		23
1936	1898		24
1937	1899
1938	1900		in Section 697.2 of this title. Any and al l intern and resident
1939	1901		positions are eligible for reimbursement of intern and resident
1940	1902		professional liability insurance cost.
1941	1903		C. There is hereby created in the State Treasury a revolving
1942	1904		fund for the Physician Manpower Health Care Workforce Training
1943	1905		Commission to be designated the "Intern and Residents Professional
1944	1906		Liability Insurance Fund". The fund shall be a continuing fund, not
1945	1907		subject to fiscal year limitations, and shall consist of all monies
1946	1908		received by the Physician Manpower Health Care Workforce Training
1947	1909		Commission for reimbursement of intern and residency professional
1948	1910		liability insurance costs. All monies accruing to the credit of the
1949	1911		fund are hereby appropriated and may be budge ted and expended by the
1950	1912		Physician Manpower Health Care Workforce Training Commission for
1951	1913		such costs. Expenditures from the fund shall be made upon warrants
1952	1914		issued by the State Treasurer against claims filed as prescribed by
1953	1915		law with the Director of the Off ice of Management and Enterprise
1954	1916		Services for approval and payment.
1955	1917		SECTION 25. AMENDATORY 70 O.S. 2021, Section 697.11, is
1956	1918		amended to read as follows:
1957	1919		Section 697.11 A. In addition to internship and residency
1958	1920		programs previously established and funded, it is t he intent of the
1959	1921		Legislature that the Physician Manpower Health Care Workforce
1960	1922		Training Commission, in cooperation with the Oklahoma Health Care
1961	1923		Authority, establish a Critical Need Internship and Residency
1962	1924
1963		-	HB4450 HFLR Page 39
1964		-	BOLD FACE denotes Committee Amendments. 1
	1925	+	Req. No. 10923 Page 39 1
1965	1926		2
1966	1927		3
1967	1928		4
1968	1929		5
1969	1930		6
1970	1931		7
1971	1932		8
1972	1933		9
1973	1934		10
1974	1935		11
1975	1936		12
1976	1937		13
1977	1938		14
1978	1939		15
1979	1940		16
1980	1941		17
1981	1942		18
1982	1943		19
1983	1944		20
1984	1945		21
1985	1946		22
1986	1947		23
1987	1948		24
1988	1949
1989	1950		Program. The purpose of the Program is to fund in ternship and
1990	1951		residency programs ac ross the state in areas of critical need. The
1991	1952		determination of areas of critical need shall be made through a
1992	1953		cooperative effort between the University of Oklahoma College of
1993	1954		Medicine and the Oklahoma State University Col lege of Osteopathic
1994	1955		Medicine. The findings shall be reported to the Commission by July
1995	1956		1, 2006, and every three (3) years thereafter.
1996	1957		B. The University of Oklahoma College of Medicine and the
1997	1958		Oklahoma State University College of Osteopathic Medicine shal l
1998	1959		annually provide to the Commissi on a report outlining the areas of
1999	1960		physician shortages in each specialty area. The report shall be the
2000	1961		basis for the cooperative funding of critical need physician
2001	1962		specialties for the current fiscal year .
2002	1963		C. There is hereby created in the State Treasury a revolving
2003	1964		fund for the Physician Manpower Health Care Workforce Training
2004	1965		Commission to be designated the "Critical Need Internship and
2005	1966		Residency Fund". The fund shall be a continuing fund, not subject
2006	1967		to fiscal year limitations, and shall consist of all monies received
2007	1968		by the Physician Manpower Health Care Workforce Training Commission
2008	1969		for funding internship and r esidency programs in areas of critical
2009	1970		need. All monies accruing to the credit of the fund are hereby
2010	1971		appropriated and may be budgeted and exp ended by the Physician
2011	1972		Manpower Health Care Workforce Training Commission for such costs.
2012	1973		Expenditures from the fund shall be made upo n warrants issued by the
2013	1974
2014		-	HB4450 HFLR Page 40
2015		-	BOLD FACE denotes Committee Amendments. 1
	1975	+	Req. No. 10923 Page 40 1
2016	1976		2
2017	1977		3
2018	1978		4
2019	1979		5
2020	1980		6
2021	1981		7
2022	1982		8
2023	1983		9
2024	1984		10
2025	1985		11
2026	1986		12
2027	1987		13
2028	1988		14
2029	1989		15
2030	1990		16
2031	1991		17
2032	1992		18
2033	1993		19
2034	1994		20
2035	1995		21
2036	1996		22
2037	1997		23
2038	1998		24
2039	1999
2040	2000		State Treasurer against claims filed as prescribed by law with th e
2041	2001		Director of the Office of Man agement and Enterprise Services for
2042	2002		approval and payment.
2043	2003		SECTION 26. AMENDATORY 70 O.S. 2021, Section 697.12, is
2044	2004		amended to read as follows:
2045	2005		Section 697.12 The Physician Manpower Health Care Workforce
2046	2006		Training Commission shall es tablish and administer a cost-sharing
2047	2007		scholarship program for the provision of physician services at the
2048	2008		various correctional facilities under the Department of Corrections
2049	2009		and the surrounding or nearby communities. Except as otherwise
2050	2010		specified herein, the scholarship program shall be administered
2051	2011		pursuant to the requirements prescribed by law for and as part of
2052	2012		the Oklahoma Community Educ ation Scholarship Program. Each
2053	2013		scholarship available hereunder shall be funded on a percentage
2054	2014		cost-sharing basis as follows: One-half (1/2) of the costs to be
2055	2015		provided by the Commission, one-fourth (1/4) of the costs to be
2056	2016		provided by the Department of Corrections and one-fourth (1/4) of
2057	2017		the costs to be provided by a community. Each physician, who has
2058	2018		participated in the scholarship program hereunder, shall devote
2059	2019		one-half (1/2) of his or her professional time to medical car e and
2060	2020		treatment of inmates at a state correctional facility and one -half
2061	2021		(1/2) of his or her professional time to medical serv ices in the
2062	2022		community which shared the cost of a scholarship hereunde r, for the
2063	2023
2064		-	HB4450 HFLR Page 41
2065		-	BOLD FACE denotes Committee Amendments. 1
	2024	+	Req. No. 10923 Page 41 1
2066	2025		2
2067	2026		3
2068	2027		4
2069	2028		5
2070	2029		6
2071	2030		7
2072	2031		8
2073	2032		9
2074	2033		10
2075	2034		11
2076	2035		12
2077	2036		13
2078	2037		14
2079	2038		15
2080	2039		16
2081	2040		17
2082	2041		18
2083	2042		19
2084	2043		20
2085	2044		21
2086	2045		22
2087	2046		23
2088	2047		24
2089	2048
2090	2049		period of time as required under the Oklahoma Comm unity Education
2091	2050		Scholarship Program.
2092	2051		SECTION 27. AMENDATORY 70 O.S. 2021, Section 697.15, is
2093	2052		amended to read as follows:
2094	2053		Section 697.15 In order for any hospital or clin ic to be
2095	2054		eligible to receive funds through the Physician Manpower Health Care
2096	2055		Workforce Training Commission for residency or internship positions,
2097	2056		such hospital or clinic shall affirm tha t students receiving their
2098	2057		medical education in Oklahoma will be give n special consideration
2099	2058		for all residency and internship positions.
2100	2059		SECTION 28. AMENDATORY 70 O.S. 2021, Section 697.16, is
2101	2060		amended to read as follows:
2102	2061		Section 697.16 Effective July 1, 1982, all positions of the
2103	2062		Physician Manpower All future appointments of personnel to the
2104	2063		Health Care Workforce Training Commission except the Executive
2105	2064		Director who shall remain in the unclassified service, shall become
2106	2065		subject to the Merit System of Personnel Administration. All
2107	2066		incumbent employees shall be classified without the need to pass
2108	2067		examinations and shall be allocated in accordance with the
2109	2068		recommended classifications as p roposed by the Merit System be in
2110	2069		the unclassified service. Any clas sified employee occupying a
2111	2070		position in the Commission prior to July 1, 2022, shall retain the
2112	2071		right to remain in the classified service. However, at the time
2113	2072
2114		-	HB4450 HFLR Page 42
2115		-	BOLD FACE denotes Committee Amendments. 1
	2073	+	Req. No. 10923 Page 42 1
2116	2074		2
2117	2075		3
2118	2076		4
2119	2077		5
2120	2078		6
2121	2079		7
2122	2080		8
2123	2081		9
2124	2082		10
2125	2083		11
2126	2084		12
2127	2085		13
2128	2086		14
2129	2087		15
2130	2088		16
2131	2089		17
2132	2090		18
2133	2091		19
2134	2092		20
2135	2093		21
2136	2094		22
2137	2095		23
2138	2096		24
2139	2097
2140	2098		such position becomes vacant, it shall be placed in the unclassified
2141	2099		service.
2142	2100		SECTION 29. AMENDATORY 70 O.S. 2021, Section 697.17, is
2143	2101		amended to read as follows:
2144	2102		Section 697.17 A. There is hereby established the Nu rsing
2145	2103		Student Assistance Program which shall be administered by the
2146	2104		Physician Manpower Health Care Workforce Training Commission. The
2147	2105		purpose of the program sh all be to encourage persons to enter
2148	2106		nursing education progra ms and to practice in areas of this state in
2149	2107		which there is an urgent need for nursing services or in
2150	2108		institutions or agencies of this state which provide funds on a
2151	2109		matching basis with the Physician Manpower Health Care Workforce
2152	2110		Training Commission for the support of nursing stude nts. The
2153	2111		Nursing Student Assistance Program shall be administered by rules
2154	2112		adopted by the Physician Manpower Health Care Workforce Training
2155	2113		Commission.
2156	2114		B. Only students who are residents of this state shall be
2157	2115		eligible to participate in the Nursing Student Assistan ce Program.
2158	2116		C. If a person receiving Nursing Student Assistance Program
2159	2117		funds fails to fully comply with the provisions of the contract for
2160	2118		the funds, the person shall refund t o the Physician Manpower Health
2161	2119		Care Workforce Training Commission all monie s received by the person
2162	2120		pursuant to the provisions of the contract plus a one -time
2163	2121		liquidated damages assessmen t of five percent (5%) of the total
2164	2122
2165		-	HB4450 HFLR Page 43
2166		-	BOLD FACE denotes Committee Amendments. 1
	2123	+	Req. No. 10923 Page 43 1
2167	2124		2
2168	2125		3
2169	2126		4
2170	2127		5
2171	2128		6
2172	2129		7
2173	2130		8
2174	2131		9
2175	2132		10
2176	2133		11
2177	2134		12
2178	2135		13
2179	2136		14
2180	2137		15
2181	2138		16
2182	2139		17
2183	2140		18
2184	2141		19
2185	2142		20
2186	2143		21
2187	2144		22
2188	2145		23
2189	2146		24
2190	2147
2191	2148		amount dispersed to the person i n lieu of interest. The Commission
2192	2149		shall prorate the amount to be repaid in the event the obligation
2193	2150		was partially fulfilled.
2194	2151		D. There is hereby created in the State Treasury a revolving
2195	2152		fund for the Physician Manpower Health Care Workforce Training
2196	2153		Commission to be designated the "Nursing Student Assistance Fund".
2197	2154		The fund shall be a continuing fund, not subject to fiscal year
2198	2155		limitations, and shall consist of all n onappropriated monies ,
2199	2156		including community match money of appropriate d funds, grants,
2200	2157		gifts, and repayment of scholarships received by the Physician
2201	2158		Manpower Health Care Workforce Training Commission. All mon ies
2202	2159		accruing to the credit of the fu nd are hereby appropriated and m ay
2203	2160		be budgeted and expended by the Physician Manpower Health Care
2204	2161		Workforce Training Commission for such scholarshi ps as may be
2205	2162		provided for pursuant t o the Nursing Student Assistance Program.
2206	2163		Expenditures from the fund shall be made upon warrants issued by the
2207	2164		State Treasurer against claims filed as p rescribed by law wit h the
2208	2165		Director of the Office of Management and Enterprise Services for
2209	2166		approval and payment.
2210	2167		SECTION 30. AMENDATORY 70 O.S. 2021, Se ction 697.18, is
2211	2168		amended to read as follows:
2212	2169		Section 697.18 A community may enter into a contract with a
2213	2170		physician who is a graduate from an accredite d medical school
2214	2171		whereby such physician agrees to establish a practice in that
2215	2172
2216		-	HB4450 HFLR Page 44
2217		-	BOLD FACE denotes Committee Amendments. 1
	2173	+	Req. No. 10923 Page 44 1
2218	2174		2
2219	2175		3
2220	2176		4
2221	2177		5
2222	2178		6
2223	2179		7
2224	2180		8
2225	2181		9
2226	2182		10
2227	2183		11
2228	2184		12
2229	2185		13
2230	2186		14
2231	2187		15
2232	2188		16
2233	2189		17
2234	2190		18
2235	2191		19
2236	2192		20
2237	2193		21
2238	2194		22
2239	2195		23
2240	2196		24
2241	2197
2242	2198		community. The Physician Manpower Health Care Workforce Training
2243	2199		Commission shall have the authority to receive funds direct from
2244	2200		that community for the purpose of paying the ph ysician involved to
2245	2201		the extent of the contractual arrangement. Monies received by the
2246	2202		Commission under the provis ions of this section shall be deposited
2247	2203		to and disbursed from, the "C ommunity Match Revol ving Fund" hereby
2248	2204		created in the State Treasury. The fund shall be a continuing fund
2249	2205		not subject to legislative appropriation of fisca l year limitations.
2250	2206		Expenditures from said fund shal l be made on warrants issued by the
2251	2207		State Treasurer against claims f iled by the Commission with the
2252	2208		Director of the Offic e of Management and Enterprise Servi ces for
2253	2209		approval and payment.
2254	2210		SECTION 31. AMENDATORY 70 O.S. 2021, Section 697.19, is
2255	2211		amended to read as follows:
2256	2212		Section 697.19 A. There is hereby established the Omnibus
2257	2213		Budget Reconciliation Act Program (OBRA) which shall be administered
2258	2214		by the Physician Manpower Health Care Workforce Training Commission.
2259	2215		The purpose of the program shall be to encourage persons to enter
2260	2216		nursing education programs and to practice in nursing homes of this
2261	2217		state in which there is an urgent need for nursing serv ices which
2262	2218		provide funds on a matchi ng basis with the Physician Manpower Health
2263	2219		Care Workforce Training Commission for the supp ort of nursing
2264	2220		students. The OBRA Program shall be administered by rules under the
2265	2221
2266		-	HB4450 HFLR Page 45
2267		-	BOLD FACE denotes Committee Amendments. 1
	2222	+	Req. No. 10923 Page 45 1
2268	2223		2
2269	2224		3
2270	2225		4
2271	2226		5
2272	2227		6
2273	2228		7
2274	2229		8
2275	2230		9
2276	2231		10
2277	2232		11
2278	2233		12
2279	2234		13
2280	2235		14
2281	2236		15
2282	2237		16
2283	2238		17
2284	2239		18
2285	2240		19
2286	2241		20
2287	2242		21
2288	2243		22
2289	2244		23
2290	2245		24
2291	2246
2292	2247		Oklahoma Nursing Student Assistance Program ad opted by the Physician
2293	2248		Manpower Health Care Workforce Training Commission.
2294	2249		B. Only students who are residents of this state shall be
2295	2250		eligible to participate in the OBRA Program.
2296	2251		C. If a person receiving OBRA Progra m funds fails to fully
2297	2252		comply with the provisions of the contract for said fu nds, the
2298	2253		person shall refund to the Physician Manpower Health Care Workforce
2299	2254		Training Commission all monies receiv ed by the person pursuant to
2300	2255		the provisions of the contract plus interest at the rate o f twelve
2301	2256		percent (12%) from the date of disbursement of said funds and shall
2302	2257		be liable for any other liquidated damages as specified in the
2303	2258		contract.
2304	2259		D. There is hereby created in the State Treasury a revolving
2305	2260		fund for the Physician Manpower Health Care Workforce Training
2306	2261		Commission to be designated the "OBRA Fund". The fund shall be a
2307	2262		continuing fund, not subject to fiscal year limitations, and sha ll
2308	2263		consist of all nonappropriated monies, including local nur sing home
2309	2264		association match money of appropriated funds, grants, gi fts, and
2310	2265		repayment of scholarships r eceived by the Physician Manpower Health
2311	2266		Care Workforce Training Commission. All monies acc ruing to the
2312	2267		credit of said fund are hereby appropriated and may be budgeted and
2313	2268		expended by the Physician Manpower Health Care Workforce Training
2314	2269		Commission for such scholarships as may be provided for pursu ant to
2315	2270		the OBRA Program. Expenditures from said fund shall be made upon
2316	2271
2317		-	HB4450 HFLR Page 46
2318		-	BOLD FACE denotes Committee Amendments. 1
	2272	+	Req. No. 10923 Page 46 1
2319	2273		2
2320	2274		3
2321	2275		4
2322	2276		5
2323	2277		6
2324	2278		7
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2326	2280		9
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2333	2287		16
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2338	2292		21
2339	2293		22
2340	2294		23
2341	2295		24
2342	2296
2343	2297		warrants issued by the State Treasurer against claims filed as
2344	2298		prescribed by law with the Director of the Office of Management and
2345	2299		Enterprise Services for approval and payment.
2346	2300		SECTION 32. AMENDATORY 70 O.S . 2021, Section 697. 20, is
2347	2301		amended to read as follows:
2348	2302		Section 697.20 A. There is hereby created the "Osteopathic
2349	2303		Internship and Residency Program" which shall be conducted and
2350	2304		administered by the Physician Manpower Health Care Workforce
2351	2305		Training Commission. The purpose of this program is to provide for
2352	2306		the fair and necessary distribution of funds allocated to it by the
2353	2307		Legislature to provide monies to the following programs under the
2354	2308		Physician Manpower Health Care Workforce Training Program:
2355	2309		1. The Doctor of Osteopathy Residency Program (OSU/COM);
2356	2310		2. The Osteopathic General Practice Residency Program
2357	2311		(OSU/COM); and
2358	2312		3. The Osteopathic Internship Program (OSU/COM).
2359	2313		B. The Physician Manpower Health Care Workforce Training
2360	2314		Commission is hereby authorized to distribute such monies to the
2361	2315		funds specified in Sections 697.2 and 697.6 of this title necessary
2362	2316		to fund the programs specified in this section.
2363	2317		SECTION 33. AMENDATORY 70 O.S. 2021, Section 697.21, is
2364	2318		amended to read as follow s:
2365	2319		Section 697.21 A. There is hereby established the Physician
2366	2320		Assistant Scholarship Program. The purpose of the program is to
2367	2321
2368		-	HB4450 HFLR Page 47
2369		-	BOLD FACE denotes Committee Amendments. 1
	2322	+	Req. No. 10923 Page 47 1
2370	2323		2
2371	2324		3
2372	2325		4
2373	2326		5
2374	2327		6
2375	2328		7
2376	2329		8
2377	2330		9
2378	2331		10
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2381	2334		13
2382	2335		14
2383	2336		15
2384	2337		16
2385	2338		17
2386	2339		18
2387	2340		19
2388	2341		20
2389	2342		21
2390	2343		22
2391	2344		23
2392	2345		24
2393	2346
2394	2347		encourage persons to enter physician assistant education programs
2395	2348		and to practice in rural and medically underserved areas of this
2396	2349		state. The Physician Assistant Scholarship Program shall be
2397	2350		administered by the Physician Manpower Health Care Workforce
2398	2351		Training Commission pursuant to rules promulgated by the Com mission
2399	2352		and shall be funded based on an annual estimate of need as
2400	2353		determined by the Comm ission. Awards made pursuant to this Program
2401	2354		shall be subject to the availabi lity of funds. The number of and
2402	2355		amount of each award shall be determined by the Commiss ion based on
2403	2356		the availability of funds.
2404	2357		B. Only students who have be en admitted as a stu dent in an
2405	2358		accredited physician assistant program shall be eligible to
2406	2359		participate in the Physician Assistant Scho larship Program.
2407	2360		C. If a person receiving Physician Assistant Scholarship
2408	2361		Program monies fails to fully comply with the p rovisions of the
2409	2362		contract for the monies, the person shall refund to the Physician
2410	2363		Manpower Health Care Workforce Training Commission a ll monies
2411	2364		received by the person pursuant to the pro visions of the contra ct
2412	2365		plus interest at a rate that equals the prime interest rate plus one
2413	2366		percent (1%) from the date of disbursement of the funds and shall be
2414	2367		liable for any other liquidated damages as specified in the
2415	2368		contract.
2416	2369		D. There is hereby crea ted in the State Trea sury a revolving
2417	2370		fund for the Physician Manpower Health Care Workforce Training
2418	2371
2419		-	HB4450 HFLR Page 48
2420		-	BOLD FACE denotes Committee Amendments. 1
	2372	+	Req. No. 10923 Page 48 1
2421	2373		2
2422	2374		3
2423	2375		4
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2440	2392		21
2441	2393		22
2442	2394		23
2443	2395		24
2444	2396
2445	2397		Commission to be designated the "Physician Assistant Scholarship
2446	2398		Fund". The fund shall be a continuing fund, not subject to fiscal
2447	2399		year limitations, and s hall consist of all m onies received by the
2448	2400		Physician Manpower Health Care Workforce Training Commission for
2449	2401		implementation of the Physician Assistant Scholarship Program. All
2450	2402		monies accruing to the credit of the fund are hereby appropriated
2451	2403		and may be budgeted and expended by the Physician Manpower Health
2452	2404		Care Workforce Training Commission fo r such scholarships as may be
2453	2405		provided for pursuant to the Physician Assistant Sch olarship
2454	2406		Program. Expenditures from the fund shall be made upon warrants
2455	2407		issued by the State Treasurer ag ainst claims filed as prescribed by
2456	2408		law with the Director of the Office of Management and Enterprise
2457	2409		Services for approval and payment.
2458	2410		SECTION 34. AMENDATORY 70 O.S. 2021, Section 697.21a, is
2459	2411		amended to read as follows:
2460	2412		Section 697.21a The Physician Manpower Health Care Workforce
2461	2413		Training Commission shall promulgate rules to enforce the provisions
2462	2414		of this act.
2463	2415		SECTION 35. It being immediately necessary for the prese rvation
2464	2416		of the public peace, health or safety, an emergency is hereby
2465	2417		declared to exist, by reason whereof this act shall take effect and
2466	2418		be in full force from and after its passage an d approval.
2467	2419
2468		-	COMMITTEE REPORT BY: COMMITTEE ON JOINT COMMITTEE ON APPROPRIATIONS
2469		-	AND BUDGET, dated 03/02/2022 – DO PASS, As Amended.
	2420	+	58-2-10923 JM 03/02/22
	2421	+
	2422	+	Req. No. 10923 Page 49 1
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