SF 129 — A bill for an act relating to specialty areas, service commitment area distance requirements, and practice-related requirements under the rural Iowa primary care loan repayment program. (Formerly SSB 1042.) Effective date: 07/01/2021.

KSenate iFile m129 R- eEnrolled ySenate nFile o129 lAN dACT sRELATING OTO fSPECIALTY fAREAS, iSERVICE cCOMMITMENT eAREA oDISTANCE fREQUIREMENTS, tAND hPRACTICE-RELATED eREQUIREMENTS GUNDER oTHE vRURAL eIOWA rPRIMARY nCARE oLOAN rREPAYMENT APROGRAM. d a m Gregg G O V E R N O R L T g o v e r n o r March 22,2021 The Honorable Paul Pate Sccretan'ofStateofIowa StateCapitol Des Moines,Iowa 50319 Dear Mr.Secretan-, Ihereby transrnit:

SenateFile129,anActrelatingtospecialt)'areas,sendeecommitmentareadistanceBE requirements,andpractice-relatedrequirementsundertheRuralIowaPrimaiyCareLoanIT RepaymentProgram.ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

The aboveSenateFileisherebyapprovedon thisdate.

Sincerelv Kimllevi (iovernor of Iowa cc:

Secretan- of the Senate Clerk of the House STATE CAPITOL DES MOINES,IOWA 50319 515.281.5211 FAX 515.725.3527 WWW.GOVERNOR.IOWA.GOV i m n n n n n n S e n a t e F i l e 1 2 9 A N A C T R E L A T I N G T O S P E C I A L T Y A R E A S , S E R V I C E C O M M I T M E N T A R E A D I S T A N C E REQUIREMENTS, AND PRACTICE-RELATED REQUIREMENTS UNDER THE R U R A L I O W A P R I M A R Y C A R E L O A N R E P A Y M E N T P R O G R A M .

B E I T E N A C T E D B Y T H E G E N E R A L A S S E M B L Y O F T H E S T A T E O F I O W A :

Section 261.113, subsection 3, paragraph d.d, Code 2021, is amended to read as follows:

Coded. 2021, is amended to read as follows:

<3.Within nine months of graduating from the residency program and receiving a permanent license in accordance with paragraph “b”, engage in the full-time practice of medicine and surgery or osteopathic medicine and surgery specializing in family medicine, pediatrics, psychiatry, internal medicine, obstetrics and gynecology, or general surgery for a period of five consecutive years in the service commitment area specified under subsection 8, unless the loan repayment recipient receives a waiver from the commission to complete the years of practice required under the agreement in another service Senate File 129, p.

Within2 nine months of graduating from the residency program and receiving a permanent license in accordance with paragraph engage in the full-time practice of medicine and surgery or osteopathic medicine and surgery specializing in family medicine, pediatrics, psychiatry, internal medicine, obstetrics and gynecology, or general surgery for a period of five consecutive years in the service commitment area specifiedpursuant underto subsection 8,8. unless the loan repayment recipient receives a waiver from the commission to complete the years of practice required under the agreement in another service Senate File 129, p.

2 conunitment area pursuant to subsection 8.

Section 261.113, subsection 10, Code 2021, is aamended mto e n dt o read aas sfollows: f o l l o w s :

Part-time practice ——— agreement amended,amended. A person who entered into an agreement pursuant to subsection 3 may apply to the commission to amend the agreement to allow the person to engage in less than the full-time practice specified in the agreement and under subsection 3, paragraph ^d^.

IfA theperson commissionwho determinesentered exceptionalinto circumatancesan exist,agreement thepursuant Theto commissionsubsection and3 themay personapply mayto consentthe commission to amend the agreement underto whichallow the person shallto engage in less than the full-time practice ofspecified medicine and surgery or osteopathic medicine and surgery specializing in familythe medicine,agreement pediatrics, psychiatry, internal medicine, obstetrics and gynecology, or general surgery in a service commitment area for an extended period of part-time practice determined by the commission to be proportional to the amount of full-time practice remaining under thesubsection original3, agreement.paragraph “d”.

ForIf purposesthe ofcommission thisdetermines subsection,exceptional ^lesscircumstances thanexist, the full-timeThe practice"commission meansand atthe leastperson seventymay percentconsent to amend the agreement under which the person shall engage in less than full-time practice of medicine and surgery or osteopathic medicine and surgery specializing in family medicine, pediatrics, psychiatry, internal medicine, obstetrics and gynecology, or general surgery in a forty-hourservice workweek.commitment area for an extended period of part-time practice determined by the commission to be proportional to the amount of full-time practice remaining under the original agreement.

For purposes of this subsection, “less than the full-time practice” means at least seventy percent of a forty-hour workweek.

Section 261.113, subsection 13, paragraph c.c, Code 2021, is amended to read as follows:

Codec. 2021, is amended to read as follows:

c,“Service "^Service commitment area*'area” means a city in Iowa with a population of less than twenty-six thousand that is located more than twenty miloomiles from a city with a population of fifty thousand or more and which that provides a twenty thousand dollar contribution for deposit in the rural Iowa primary care trust fund for each physician in the community who is participating in the loan repayment program and which meets any of the following conditions:

(1) Is a city within a federal mental health shortage area, as designated by the health resources and services administration of the United States department of health and human services, if the physician participating in the loan repayment program specializes in psychiatry.psychiatry .

The commission Senate File 129, p*p. 3 shall determine the distance between cities by calculating the most direfit driving route.

A3 Kshall ECdetermine H A P M A N P A TG R A S S L E Y President of the Senatedistance Speakerbetween ofcities th^Houseby Icalculating hereby certify that this bill originated in the Senatemost anddirect isdriving knownroute. as Senate File 129, Eighty-ninth General Assembly.

W______________________________ ,______________________________ CJAKE HCHAPMAN APAT RGRASSLEY SPresident Mof Ithe T H S O N Secretary o£^he Senate ApprovedSpeaker f'of ,the 2021House K I Mhereby Rcertify Ethat Ythis Nbill Ooriginated Lin Dthe SSenate Gand ois vknown eas rSenate nFile o129, rEighty-ninth General Assembly.

______________________________ W.

CHARLES SMITHSON Secretary of the Senate Approved _______________, 2021 ______________________________ KIM REYNOLDS Governor