Text: HSB791            Text: HSB793


House Study Bill 792

HOUSE FILE BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON SMITH) Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act establishing a pilot physician assistant mental health 2 fellowship program and making appropriations. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 6616YC 82 5 jp/nh/5 PAG LIN 1 1 Section 1. PILOT PHYSICIAN ASSISTANT MENTAL HEALTH 1 2 FELLOWSHIP PROGRAM == APPROPRIATIONS. 1 3 1. A pilot physician assistant mental health fellowship 1 4 program is established to be administered by the department of 1 5 public health with assistance from the college student aid 1 6 commission in accordance with this section. The purpose of 1 7 the program is to determine the effect of making available 1 8 specialized training and support for physician assistants in 1 9 providing mental health services on the efforts to address 1 10 Iowa's shortage of mental health professionals. 1 11 2. The program shall provide for all of the following: 1 12 a. Collaboration with a 220=bed hospital serving a 1 13 13=county area in central Iowa that provides a clinic at the 1 14 Iowa veterans home, a private nonprofit agency headquartered 1 15 in a city with a population of more than 190,000 that operates 1 16 a freestanding psychiatric medical institution for children, a 1 17 private university with a medical school educating osteopathic 1 18 physicians located in a city with a population of more than 1 19 190,000, the Iowa veterans home, and any other clinical 1 20 partner designated for the program. Population figures used 1 21 in this paragraph refer to the most recent certified federal 1 22 census. The clinical partners shall provide supervision, 1 23 clinical experience, training, and other support for the 1 24 program and physician assistant students participating in the 1 25 program. 1 26 b. Elderly, youth, and general population clinical 1 27 experiences. 1 28 c. A fellowship of twelve months for three physician 1 29 assistant students for each year of the program. The program 1 30 shall operate for three years, subject to the funding provided 1 31 for the program. 1 32 d. Supervision of students participating in the program 1 33 shall be provided by the university and the other clinical 1 34 partners participating in the program. 1 35 e. A student participating in the program shall be 2 1 eligible for a stipend of not more than $50,000 for the twelve 2 2 months of the fellowship plus related fringe benefits. In 2 3 addition, the students who complete the program and practice 2 4 in Iowa in mental health professional shortage areas, as 2 5 defined in section 135.80, shall be eligible for up to $20,000 2 6 in loan forgiveness. The stipend and loan forgiveness 2 7 provisions shall be determined by the department and the 2 8 commission, in consultation with the clinical partners. 2 9 f. The state and private entity clinical partners shall 2 10 regularly evaluate and document the experiences with the 2 11 approaches utilized and outcomes achieved by the program to 2 12 identify an optimal model for operating such a program on an 2 13 ongoing basis. The evaluation process shall include but is 2 14 not limited to identifying ways the program's clinical and 2 15 training components could be modified to facilitate other 2 16 student and practicing physician assistants specializing as 2 17 mental health professionals. 2 18 3. There is appropriated from the general fund of the 2 19 state to the department of public health for the following 2 20 fiscal years the following amounts, or so much thereof as is 2 21 necessary, to be used for the pilot physician assistant mental 2 22 health fellowship program in accordance with this section: 2 23 a. FY 2008=2009 ................................ $ 300,000 2 24 b. FY 2009=2010 ................................ $ 300,000 2 25 c. FY 2010=2011 ................................ $ 300,000 2 26 Notwithstanding section 8.33, moneys appropriated in this 2 27 section that remain unencumbered or unobligated at the close 2 28 of a fiscal year shall not revert but shall remain available 2 29 for expenditure for the purposes designated until the close of 2 30 the succeeding fiscal year. 2 31 EXPLANATION 2 32 This bill establishes a pilot physician assistant mental 2 33 health fellowship program to be administered by the department 2 34 of public health with assistance from the college student aid 2 35 commission. The purpose of the program is to determine the 3 1 effect of making available specialized training and support 3 2 for physician assistants in providing mental health services 3 3 on efforts to address Iowa's shortage of mental health 3 4 professionals. 3 5 The program is directed to physician assistant students by 3 6 providing a 12=month fellowship to three students per year. 3 7 Supervision of the student participants is to be performed by 3 8 a collaboration of a university training osteopathic 3 9 physicians, a hospital in central Iowa, a nonprofit agency 3 10 which operates a psychiatric medical institution for children, 3 11 the Iowa veterans home, and other clinical partners. Elderly, 3 12 youth, and general population clinical experiences are to be 3 13 provided to the students participating in the program. The 3 14 participants are eligible for a stipend of up to $50,000 plus 3 15 fringe benefits and loan forgiveness of up to $20,000 if 3 16 employed in a shortage area when beginning practice. The 3 17 state agencies and the clinical partners are required to 3 18 regularly evaluate the program. 3 19 Annual appropriations of $300,000 are provided for the 3 20 program for fiscal years 2008=2009, 2009=2010, and 2010=2011. 3 21 LSB 6616YC 82 3 22 jp/nh/5
Text: HSB791            Text: HSB793