SB 131: University of California: medical education.
- Session Year: 2015-2016
- House: Senate
- Latest Version Date: 2015-05-12
Existing provisions of the California Constitution establish the University of California as a public trust under the administration of the Regents of the University of California. The University of California system includes 10 campuses, which are located in Berkeley, Davis, Irvine, Los Angeles, Merced, Riverside, San Diego, San Francisco, Santa Barbara, and Santa Cruz.
This bill would express findings and declarations of the Legislature relating to the role of the University of California with respect to access to health care in the San Joaquin Valley.
The bill would appropriate $1,855,000 from the General Fund to the regents each fiscal year, commencing with the 201617 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education, as specified.
Existing provisions of the California Constitution establish the University of California as a public trust under the administration of the Regents of the University of California. The University of California system includes 10 campuses, which are located in Berkeley, Davis, Irvine, Los Angeles, Merced, Riverside, San Diego, San Francisco, Santa Barbara, and Santa Cruz.
This bill would express findings and declarations of the Legislature relating to the role of the University of California with respect to access to health care in the San Joaquin Valley.
The bill would appropriate $1,855,000 from the General Fund to the regents each fiscal year, commencing with the 201617 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education, as specified.
Existing provisions of the California Constitution establish the University of California as a public trust under the administration of the Regents of the University of California. The University of California system includes 10 campuses, which are located in Berkeley, Davis, Irvine, Los Angeles, Merced, Riverside, San Diego, San Francisco, Santa Barbara, and Santa Cruz.
This bill would express findings and declarations of the Legislature relating to the role of the University of California with respect to access to health care in the San Joaquin Valley.
The bill would appropriate $1,855,000 from the General Fund to the regents each fiscal year, commencing with the 201617 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education, as specified.
The Legislature finds and declares all of the following:
(a)The federal Patient Protection and Affordable Care Act (Public Law 111-148) provides millions of previously uninsured Californians access to health services, including physician care. As a result of this additional demand for physician services, Californias projected statewide physician shortfall is 17,000 by 2015.
(b)The San Joaquin Valley, which runs from Stockton to Bakersfield, is rich in cultural diversity and is the nations leading agricultural region. However, the valley is disproportionately affected by the states physician shortage, which is expected to intensify in the years ahead given the high rate of population growth in the area. Access to health care is 31 percent lower in the San Joaquin Valley than in the rest of California.
(c)Access to physicians in the San Joaquin Valley is already well below the recommended level of 60 to 80 primary care physicians per 100,000 people, with only 48 primary care physicians per 100,000 people in the valley. Additionally, more than 30 percent of California physicians are over 60 years of age.
(c)
(d)Several regions of the San Joaquin Valley are federally designated medically underserved areas (MUAs). The calculation of MUAs involves four variables: ratio of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years of age or over.
(d)
(e)UC Merceds Merced San Joaquin Valley Program in Medical Education (PRIME) (SJV PRIME) is providing a key interim resource for training valley health care providers. This program accomplishes all of the following:
(1)Strengthens the desire for new physicians to practice in the San Joaquin Valley, which is one of Californias most medically underserved areas.
(2)Reduces health disparities and inequalities in the San Joaquin Valley.
(3)Forms lasting relationships between the program and communities, hospitals, clinics, and physicians to enhance health care in the region.
(e)
(f)Students who take part in PRIME a program in medical education at a University of California medical school benefit from firsthand experience with interdisciplinary health care by providing care in medically underserved communities, working with patients and families from culturally diverse backgrounds, and developing a true understanding of the issues and conditions that impact access to and quality of health care in the region.
(f)
(g)Despite its the numerous benefits for its it provides to the region, SJV PRIME lacks an ongoing source of funding for its current enrollment as well as the financial resources to expand capacity to meet the needs of the valley.
(g)
(h)Given the San Joaquin Valleys health care needs, it is essential for the State of California to continue developing the valleys health care resources by sustaining the current SJV PRIME enrollment and expanding that programs capacity.
SEC. 2.The sum of one million eight hundred fifty-five thousand dollars ($1,855,000) is hereby appropriated from the General Fund to the Regents of the University of California each fiscal year, commencing with the 201617 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley Program in Medical Education to admit up to 12 students per year and operate the program with up to 48 student participants from across the four-year curriculum annually.
The Legislature finds and declares all of the following:
(a)The federal Patient Protection and Affordable Care Act (Public Law 111-148) provides millions of previously uninsured Californians access to health services, including physician care. As a result of this additional demand for physician services, Californias projected statewide physician shortfall is 17,000 by 2015.
(b)The San Joaquin Valley, which runs from Stockton to Bakersfield, is rich in cultural diversity and is the nations leading agricultural region. However, the valley is disproportionately affected by the states physician shortage, which is expected to intensify in the years ahead given the high rate of population growth in the area. Access to health care is 31 percent lower in the San Joaquin Valley than in the rest of California.
(c)Several regions of the San Joaquin Valley are federally designated Medically Underserved Areas medically underserved areas (MUAs). The calculation of MUAs involves four variables: ratio of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years of age or over.
(d)UC Merceds San Joaquin Valley Program in Medical Education (PRIME) is providing a key interim resource for training valley health care providers. This program accomplishes all of the following:
(1)Strengthens the desire for new physicians to practice in the San Joaquin Valley, which is one of Californias most medically underserved areas.
(2)Reduces health disparities and inequalities in the San Joaquin Valley.
(3)Forms lasting relationships between the program and communities, hospitals, clinics, and physicians to enhance health care in the region.
(e)Students who take part in PRIME benefit from firsthand experience with interdisciplinary health care by providing care in medically underserved communities, working with patients and families from culturally diverse backgrounds, and developing a true understanding of the issues and conditions that impact access to and quality of health care in the region.
(f)Despite its numerous benefits for its region, PRIME lacks an ongoing source of funding for its current enrollment as well as the financial resources to expand capacity to meet the needs of the valley.
(g)Given the San Joaquin Valleys health care needs, it is essential for the State of California to continue developing the valleys health care resources by sustaining the current PRIME enrollment and expanding that programs capacity.
SEC. 2.The sum of one million eight hundred fifty-five thousand dollars ($1,855,000) is hereby appropriated from the General Fund to the Regents of the University of California each fiscal year, commencing with the 201617 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley PRIME program Program in Medical Education to admit up to 12 students per year and operate the program with up to 48 student participants from across the four-year curriculum annually.
The Legislature finds and declares all of the following:
(a)The federal Patient Protection and Affordable Care Act provides millions of previously uninsured Californians access to health services, including physician care. As a result of this additional demand for physician services, Californias projected statewide physician shortfall is 17,000 by 2015.
(b)The San Joaquin Valley, which runs from Stockton to Bakersfield, is rich in cultural diversity and is the nations leading agricultural region. However, the valley is disproportionately affected by the states physician shortage, which is expected to intensify in the years ahead given the high rate of population growth in the area. Access to health care is 31 percent lower in the San Joaquin Valley than in the rest of California.
(c)Several regions of the San Joaquin Valley are federally designated Medically Underserved Areas (MUAs). The calculation of MUAs involves four variables: ratio of primary medical care physicians per 1,000 population, infant mortality rate, percentage of the population with incomes below the poverty level, and percentage of the population 65 years of age or over.
(d)UC Merceds San Joaquin Valley Program in Medical Education (PRIME) is providing a key interim resource for training valley health care providers. This program accomplishes all of the following:
(1)Strengthens the desire for new physicians to practice in the San Joaquin Valley, which is one of Californias most medically underserved areas.
(2)Reduces health disparities and inequalities in the San Joaquin Valley.
(3)Forms lasting relationships between the program and communities, hospitals, clinics, and physicians to enhance health care in the region.
(e)Students who take part in PRIME benefit from firsthand experience with interdisciplinary health care by providing care in medically underserved communities, working with patients and families from culturally diverse backgrounds, and developing a true understanding of the issues and conditions that impact access to and quality of health care in the region.
(f)Despite its numerous benefits for its region, PRIME lacks an ongoing source of funding for its current enrollment as well as the financial resources to expand capacity to meet the needs of the valley.
(g)Given the San Joaquin Valleys health care needs, it is essential for the State of California to continue developing the valleys health care resources by sustaining the current PRIME enrollment and expanding that programs capacity.
SEC. 2.The sum of one million eight hundred fifty-five thousand dollars ($1,855,000) is hereby appropriated from the General Fund to the Regents of the University of California each fiscal year, commencing with the 201617 fiscal year, for allocation to the University of California to support expansion of the San Joaquin Valley PRIME program to admit up to 12 students per year and operate the program with up to 48 student participants from across the four-year curriculum annually.
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Date
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Status
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|---|---|
| Jan 22, 2015 | Introduced. Read first time. To Com. on RLS. for assignment. To print. |
| Jan 23, 2015 | From printer. May be acted upon on or after February 22. |
| Feb 5, 2015 | Referred to Com. on B. & F.R. |
| Apr 13, 2015 | Re-referred to Com. on RLS. |
| Apr 13, 2015 | Withdrawn from committee. |
| Apr 16, 2015 | Re-referred to Com. on ED. |
| Apr 17, 2015 | Set for hearing April 22. |
| Apr 28, 2015 | From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 721.) (April 22). |
| Apr 29, 2015 | Read second time and amended. Re-referred to Com. on APPR. |
| May 8, 2015 | Set for hearing May 18. |
| May 12, 2015 | From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR. |
| May 18, 2015 | May 18 hearing: Placed on APPR. suspense file. |
| May 23, 2015 | Set for hearing May 28. |
| May 28, 2015 | May 28 hearing: Held in committee and under submission. |
| Feb 1, 2016 | Returned to Secretary of Senate pursuant to Joint Rule 56. |
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Date
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Description
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Location
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Votes
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|---|---|---|---|---|
| May 18, 2015 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
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| Apr 22, 2015 | Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] | Senate Standing Committee on Education |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
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Organization
|
Position
|
Date
|
|---|---|---|
| California Academy Of Family Physicians | * Support | Apr 22, 2015 |
| Department of Insurance | ** Support | Apr 22, 2015 |
| Family Health Care Network | * Support | Apr 22, 2015 |
| SJV Prime Program | * Support | Apr 22, 2015 |
| The Voice of Accountable Physician Groups | ** Support | Apr 22, 2015 |
| u None received. | ** Against | Apr 22, 2015 |
SB 131 (Cannella) Page 2 of 2
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
SB 131 (Cannella) - University of California: medical education.
|
|
Version: May 12, 2015 |
Policy Vote: ED. 9 - 0 |
Urgency: No |
Mandate: No |
Hearing Date: May 18, 2015 |
Consultant: Jillian Kissee |
This bill meets the criteria for referral to the Suspense File.
Bill Summary:
This bill, commencing with the 2016-17 fiscal year, appropriates $1.86 million General Fund annually to the Regents of the University of California (UC) to support the expansion of the San Joaquin Valley (SJV) Program in Medical Education (PRIME).
Fiscal Impact:
This bill increases costs to the state by $1,855,000 General Fund annually.
The annual appropriation included in this bill does not take into account the time necessary to ramp up the program to get to a total enrollment of 48 students. Therefore, in initial years, funding provided will likely exceed expenses. See staff comments.
Potentially significant cost pressure to expand PRIME programs at other UC campuses.
Background:
UC operates six schools of medicine in Davis, Irvine, Los Angeles, Riverside, San Diego, and San Francisco. In 2014-15, total enrollment in these programs was approximately 3,000 medical students and more than 5,000 medical residents. Nearly 50% of medical students and medical residents in California are trained by the UC.
UC PRIME is a medical education program focused on meeting the needs of California’s underserved populations in both rural communities and urban areas by combining specialized coursework, structured clinical experiences, advanced independent study, and mentoring. These activities are organized and structured to prepare students as future physician leaders. Each new program has an area of focus that is selected based upon faculty expertise, the populations served by each school and its medical center, and other local considerations.
The
UC currently operates six Programs in Medical Education (PRIME) each
with a unique focus. For example, Rural PRIME at Davis emphasizes
outreach and rural healthcare; PRIME at Irvine emphasizes Latino
health issues; and PRIME San Joaquin Valley emphasizes improving the
health of people in the Central Valley region. As of 2014-15, there
are an estimated 333 medical students in PRIME.
SJV PRIME
was established in 2010 as a partnership between UC Merced, UC Davis
School of Medicine, and UCSF Fresno to train medical students in the
region. The first class of students entered the program in the fall
of 2011. There are currently 27 students enrolled in the
program.
Proposed Law:
This bill appropriates $1,855,000 General Fund annually to the UC Regents beginning with the 2016-17 fiscal year to support expansion of the San Joaquin Valley Program in Medial Education to admit up to 12 students per year and operate the program with up to 48 student participants from across the four-year curriculum annually.
Related Legislation:
AB 174 (Gray, 2015) appropriates the same amount in General Fund to the UC for the SJV PRIME program and $1 million to support a two-year planning effort for establishing a traditional medical school at UC Merced. The bill was held on suspense in the Assembly Appropriations Committee.
SB 841 (Canella, 2014) as introduced, was identical to AB 174 but was subsequently amended to remove the appropriation for the UC Merced medical school. This bill was held in this committee.
Staff Comments:
The annual appropriation included in this bill does not take into account the time necessary to ramp up the program to get to a total enrollment of 48 students. Therefore, in initial years, there will likely be more funding than expenses.
Current costs for SJV PRIME are $35,000 per student and an additional $175,000 in administrative costs related to program operation. With an estimated enrollment of 36 students in 2016-17, if the first cohort of 12 students is accepted, program costs would be $1.4 million. In subsequent years, costs would be: $1.6 million in 2017-18 for 40 students; $1.7 million in 2018-19 for 44 students; and by the 2019-20 academic year, program costs would reach the appropriation level provided in this bill.
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SB 131 (Cannella) Page 3 of 3
SENATE COMMITTEE ON EDUCATION
Senator Carol Liu, Chair
2015 - 2016 Regular
Bill No: SB 131
Author: |
Cannella |
||
Version: |
January 22, 2015 Hearing Date: April 22, 12015 |
||
Urgency: |
No |
Fiscal: |
Yes |
Consultant: |
Olgalilia Ramirez |
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Subject: University of California: medical education
SUMMARY
This bill commencing with the 2016-17 fiscal year, appropriates $1.86 million from the State General Fund to the Regents of the University of California (UC) to support the expansion of the San Joaquin Valley (SJV) Program in Medical Education (PRIME).
BACKGROUND
UC operates six schools of medicine at Davis, Irvine, Los Angeles, Riverside, San Diego, and San Francisco. In 2014-15, total enrollment in these programs was approximately 3,000 medical students and more than 5,000 medical residents. Nearly 50% of medical students and medical residents in California are trained by the UC.
Programs in Medical Education (PRIME)
UC PRIME is an innovative training program focused on meeting the needs of California’s underserved populations in both rural communities and urban areas by combining specialized coursework, structured clinical experiences, advanced independent study, and mentoring. These activities are organized and structured to prepare highly motivated, socially conscious students as future clinicians, leaders, and policymakers. Each new program has an area of focus that is selected based upon faculty expertise, the populations served by each school and its medical center, and other local considerations. Each continues to develop and improve its guidelines for admission and recruitment of students and its new curriculum designed to educate and train future physician leaders, researchers and advocates for the communities they will serve.
ANALYSIS
This bill commencing with the 2016-17 fiscal year, appropriates $1.86 million from the State General Fund to the Regents of the University of California (UC) to support the expansion of SJV PRIME. Specifically, this bill:
Makes findings and declarations in support of the proposed appropriations.
Appropriates funds to support expansion of the SJV PRIME program to admit up to 12 students per year and operate the program with up to 48 student participants over the four-year curriculum annually.
STAFF
COMMENTS
Need for the bill. According to the author, California faces a shortage in the number of physicians available to serve its residents, and the San Joaquin Valley (SJV) is disproportionately affected by this shortage. Furthermore access to health care in the SJV which extends from Stockton to Bakersfield is already well below the recommended level of primary care physicians. The author also asserts that despite its numerous benefits for the SJV, the Program in Medical Education (PRIME) program lacks ongoing funding for its current enrollment as well as the financial resources needed to expand capacity as an interim step to meeting the region’s health care needs. This bill seeks to expand the number of physicians that can serve the state and address the need of quality health care in SJV.
San Joaquin Valley PRIME Program. Building on the success of the PRIME program at all UC medical schools and its medical education programs throughout the state, the UC Regents approved the UC Merced SJV PRIME program in September 2010 to help provide a unique solution to the healthcare issues of the central valley.
The program is a collaboration between UC Davis, UC Merced, and the University of San Francisco’s Fresno Medical Education Program and intended to strengthen the recruitment and retention of new physicians in the San Joaquin Valley – one of California’s most medically underserved areas. The SJV Prime program allows a small number of students to enroll in the UC Davis Medical School and complete the clinic portion of their degree in SJV clinics thereby strengthening the desire for new physicians to practice in the area.
Recognizing the health problems in the valley, the program partners with communities to reverse long-standing health inequities and address the social determinants of health disparities. The program also actively promotes inter–professional education as a pathway toward improved health and health care. For the 2015 academic year, only eight students were admitted to SJV PRIME and overall enrollment in the program stands at 27 students. This bill would appropriate funds to support 12 students per year and operate the SJV PRIME program with up to 48 student participants.
Author’s amendments. The author wishes to make the following technical amendment: As recommended by Senate Engrossing and Enrolling on page 3 line 14 strike out “PRIME,” and insert “Program in Medical Education.”
Related and prior legislation.
AB 174 (Gray, 2015) appropriates the same amount of funds to the UC from the General Fund for the SJV PRIME program and $1 million to support a two-year planning effort for establishing a traditional medical school at UC Merced. The bill was held on Suspense in the Assembly Appropriations Committee.
SB 841 (Canella, 2014) as introduced was identical to AB 174 but was subsequently amended to remove the appropriation for the UC, Merced Medical School. This bill was held in the Senate Appropriations Committee.
SUPPORT
AFSCME
Department of Insurance
The Voice of Accountable Physician Groups
OPPOSITION
None received.
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Bill Author
