SB 614 — An Act amending the act of April 9, 1929 (P.L.343, No.176), known as The Fiscal Code, providing for primary care workforce initiative; and making an appropriation.

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644 PRINTER'STHE NO.GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.

1285614 THE2025 GENERALINTRODUCED ASSEMBLYBY OFBROOKS, PENNSYLVANIACOLLETT, SENATECOMITTA, BILLFONTANA, SessionKEARNEY, KANE, STEFANO AND ROBINSON, APRIL 14, 2025 REFERRED TO HEALTH AND HUMAN SERVICES, APRIL 14, 2025 AN ACT Amending the act of No.April 9, 1929 (P.L.343, No.176), entitled "An act relating to the finances of the State government;

614 2025 INTRODUCED BY BROOKS, COLLETT, COMITTA, FONTANA, KEARNEY, KANE, STEFANO, ROBINSON AND L.

WILLIAMS, APRIL 14, 2025 SENATOR BROOKS, HEALTH AND HUMAN SERVICES, AS AMENDED, OCTOBER 28, 2025 AN ACT Amending the act of April 9, 1929 (P.L.343, No.176), entitled "An act relating to the finances of the State government;

providing for the settlement, assessment, collection, and lien of taxes, bonus, and all other accounts due the Commonwealth, the collection and recovery of fees and other money or property due or belonging to the Commonwealth, or any agency thereof, including escheated property and the proceeds of its sale, andthe securitiescustody belongingand todisbursement or inother thedisposition possession of thendsfunds Commonwealth, and the settlement of claims against thethee Commonwealth, the resettlement of accounts and appeals to the courts, refunds of moneys erroneously paid to the Commonwealth, auditing the accounts of the Commonwealth and all agencies thereof, of all public officers collecting moneys payable to the Commonwealth, or any agency thereof, and all receipts of appropriations from the Commonwealth, authorizing the Commonwealth to issue tax anticipation notes to defray current expenses, implementing the provisions of section 7(a) of Article VIII of the Constitution of Pennsylvania authorizing and restricting the incurring of certain debt and imposing penalties;

(6) An institution of higher education that meets the requirements of section 3(c) of the act of May 1, 1933 20250SB0614PN1285 - 2 - (P.L.216, No.76), known as The Dental Law.

20250SB0614PN0644 - 2 - "Certified registered nurse practitioner." An individual licensed as a certified registered nurse practitioner under The Professional Nursing Law.

(b) Purpose.--The FQHC primary care workforce initiative shall be a voluntary program to offer a clinical rotation 20250SB0614PN1285 - 3 - placement at a FQHC for a student attending an accredited 20250SB0614PN0644 - 3 - medical college.

(c) Appropriation.--The sum of $2,500,000 is appropriated to <-- the department from the General Fund for grants awarded under this section.

(C)(d) FUNDING.--THEGrant DEPARTMENTawards.--Grants SHALLawarded MAKEby GRANTthe FUNDINGdepartment <--under AVAILABLEthis IFsection SUFFICIENTshall FEDERALbe FUNDS,equal MADEamounts AVAILABLEto FROMeach THEFQHC ONEin BIGthis BEAUTIFULCommonwealth BILLthat ACTis (PUBLICenrolled LAWin 119-21,the 139FQHC STAT.primary care workforce initiative as a stipend to support a preceptor or student.

72), HAVE BEEN APPROPRIATED.

(D) SUSTAINABILITY.--THE DEPARTMENT AND ANY PARTICIPATING HOSPITAL SHALL MAKE EVERY EFFORT TO COMBINE FUNDING AVAILABLE UNDER SUBSECTION (C) WITH GRANTS OR OTHER FUNDING AVAILABLE THROUGH HOSPITALS, LOCAL GOVERNMENTS, NONPROFIT ORGANIZATIONS, PHILANTHROPIC PUBLIC OR PRIVATE PARTNERSHIPS OR STATE-LEVEL CONTINUATION FUNDING TO ENSURE THE LONG-TERM SUSTAINABILITY OF THE PROGRAM.

GRANTS AWARDED UNDER THIS SECTION SHALL BE CONDITIONED ON THE SUBMISSION OF A SUSTAINABILITY PLAN THAT DEMONSTRATES HOW CLINICAL PLACEMENTS WILL CONTINUE BEYOND FIVE YEARS FROM THE DATE THE GRANT WAS AWARDED, INCLUDING EVIDENCE OF PUBLIC-PRIVATE OR PHILANTHROPIC PARTNERSHIP SUPPORT.

(E) GEOGRAPHIC DISTRIBUTION.--THE DEPARTMENT SHALL ENSURE THAT CLINICAL ROTATION PLACEMENTS FUNDED UNDER THIS SECTION ARE GEOGRAPHICALLY DISTRIBUTED IN A MANNER THAT STRENGTHENS RURAL HEALTH CARE WORKFORCE PIPELINES, WITH PRIORITY GIVEN TO ANY FQHC OPERATING IN, OR PRIMARILY SERVING POPULATIONS OF, A RURAL COUNTY.

THE TERM "RURAL COUNTY" SHALL MEAN A COUNTY LOCATED WITHIN THIS COMMONWEALTH WITH A POPULATION DENSITY OF LESS THAN 291 PERSONS PER SQUARE MILE AS DEFINED BY THE CENTER FOR RURAL 20250SB0614PN1285 - 4 - PENNSYLVANIA.

(F) RESIDENCY PREFERENCE.--ANY HOSPITAL IN A RURAL AREA SHALL HAVE THE FIRST RIGHT TO EXTEND OFFERS OF RESIDENCY PLACEMENT TO STUDENTS WHO COMPLETE CLINICAL ROTATIONS FUNDED UNDER THIS SECTION, WHERE APPROPRIATE.

(d) (G) Grant awards.--Grants awarded by the department <-- under this section shall be equal amounts to each FQHC in this Commonwealth that is enrolled in the FQHC primary care workforce initiative as a stipend to support a preceptor or student.

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