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.

PRIOR PRINTER'S NO.NOS.

644644, 1285 PRINTER'S NO.

12851530 THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL Session of No.

614 2025 INTRODUCED BY BROOKS, COLLETT, COMITTA, FONTANA, KEARNEY, KANE, STEFANO, ROBINSON AND L.DUSH, APRIL 14, 2025 AS AMENDED ON THIRD CONSIDERATION, MARCH 23, 2026 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;

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;

affecting every department, board, commission, and officer of the State government, every political subdivision of the State, and certain officers of such subdivisions, every person, association, and corporation required to pay, assess, or collect taxes, or to make returns or reports under the laws imposing taxes for State purposes, or to pay license fees or other moneys to the Commonwealth, or any agency thereof, every State depository and every debtor or creditor of the Commonwealth," providing for FQHC primary care workforce <-- initiative;

ARTICLE I-M FQHC PRIMARY CARE WORKFORCE INITIATIVE <-- Section 101-M.

(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.

20250SB0614PN1530 - 2 - "Certified registered nurse practitioner." An individual licensed as a certified registered nurse practitioner under The Professional Nursing Law.

"FQHC." A federally qualified health center as defined under <-- 42 U.S.C.

"ELIGIBLE ADMINISTRATIVE ENTITY." AN ORGANIZATION THAT:

<-- (1) IS THE FEDERALLY DESIGNATED PRIMARY CARE ASSOCIATION FOR THIS COMMONWEALTH UNDER 42 U.S.C.

§ 254B (RELATING TO HEALTH CENTERS);

(2) REPRESENTS, SUPPORTS AND PROVIDES TECHNICAL ASSISTANCE TO FQHCS OR FQHC LOOK-ALIKES IN THIS COMMONWEALTH;

AND (3) HAS STATEWIDE MEMBERSHIP CONSISTING PRIMARILY OF FQHCS OR FQHC LOOK-ALIKES.

"FACILITATING ENTITY." AN ENTITY THAT PARTICIPATES IN COORDINATING, SUPPORTING OR FACILITATING CLINICAL ROTATION PLACEMENTS UNDER THE INITIATIVE, INCLUDING THE DEPARTMENT, AN FQHC, AN FQHC LOOK-ALIKE, A RURAL HOSPITAL, A RURAL HEALTH CLINIC OR AN ELIGIBLE ADMINISTRATIVE ENTITY.

THE TERM DOES NOT INCLUDE A STUDENT OR PRECEPTOR.

"FEDERALLY QUALIFIED HEALTH CENTER" OR "FQHC." A HEALTH CENTER THAT RECEIVES A FEDERAL PUBLIC HEALTH SERVICES GRANT UNDER THE PUBLIC HEALTH SERVICE ACT (58 STAT.

682, 42 U.S.C.

§ 254B) OR ANOTHER HEALTH CENTER DESIGNATED BY THE UNITED STATES HEALTH RESOURCES AND SERVICES ADMINISTRATION AS A FEDERALLY QUALIFIED HEALTH CENTER.

"FQHC LOOK-ALIKE." A PUBLIC OR NOT-FOR-PROFIT HEALTH CENTER 20250SB0614PN1530 - 3 - THAT MEETS THE ELIGIBILITY REQUIREMENTS TO RECEIVE A FEDERAL PUBLIC HEALTH SERVICES GRANT UNDER THE PUBLIC HEALTH SERVICE ACT BUT DOES NOT RECEIVE GRANT FUNDING.

"INITIATIVE." THE FACILITATING ENTITY PRIMARY CARE WORKFORCE INITIATIVE ESTABLISHED IN SECTION 102-M.

"PARTICIPATING FQHC." AN FQHC OR FQHC LOOK-ALIKE THAT PARTICIPATES IN THE INITIATIVE ESTABLISHED IN SECTION 102-M.

"Preceptor." A primary care practitioner supervising or directing a student enrolled in the FQHC primary care workforce <-- initiative.

"Primary care practitioner." A physician, physician assistant, certified registered nurse practitioner, dentist or psychiatrist employed by a FQHC.FQHC FACILITATING ENTITY.

<-- "Student." An individual currently satisfying clinical <-- rotation from an accredited medical college at a FQHC and enrolled in the FQHC primary care workforce initiative.

WHO IS:

<-- (1) ENROLLED IN AN ACCREDITED MEDICAL COLLEGE;

(2) FULFILLING THE REQUIREMENTS OF THE MEDICAL COLLEGE;

AND (3) ENROLLED IN OR SEEKING TO BE ENROLLED IN THE INITIATIVE.

FQHC FACILITATING ENTITY primary care workforce <-- initiative.

(a) Establishment.--Within one year of NOT LATER THAN ONE <-- 20250SB0614PN1530 - 4 - YEAR AFTER the effective date of this subsection, the department shall establish the FQHC FACILITATING ENTITY primary care <-- workforce initiative within the department.

(b) Purpose.--The FQHC primary care workforce initiative <-- shall be a voluntary program to offer a clinical rotation 20250SB0614PN1285<-- - 3 - placement at a FQHC THROUGH WHICH A PARTICIPATING FQHC, FQHC <-- LOOK-ALIKE, RURAL HOSPITAL OR RURAL HEALTH CLINIC OFFERS CLINICAL ROTATION PLACEMENTS AT THEIR RESPECTIVE FACILITIES for a student attending an accredited medical college.

(c) Appropriation.--TheFunding.--The sumdepartment ofshall $2,500,000make isgrant appropriatedfunding to <-- theavailable departmentif sufficient Federal funds, made available from the GeneralOne FundBig forBeautiful grantsBill awardedAct under(Public thisLaw section.119-21, 139 Stat.

Money72), shallhave notbeen beappropriated. distributed under this section until the establishment of the FQHC primary care workforce initiative by the department.

(C) FUNDING.--THEFUNDING.-- <-- (1) THE DEPARTMENT SHALL MAKE GRANT FUNDING <-- AVAILABLE FOR THE INITIATIVE IF SUFFICIENT FEDERAL FUNDS, MADE AVAILABLE FROM THE ONE BIG BEAUTIFUL BILL ACT (PUBLIC LAW 119-21, 139 STAT.

(D)(2) SUSTAINABILITY.--THENOT DEPARTMENTLESS ANDTHAN ANY50% PARTICIPATINGOF HOSPITALFUNDS SHALLEXPENDED MAKEEACH EVERYFISCAL EFFORTYEAR TO COMBINE FUNDING AVAILABLE UNDER SUBSECTIONTHE (C)INITIATIVE WITHSHALL GRANTSBE ORUSED OTHERFOR FUNDINGPRECEPTORSHIPS AVAILABLEINVOLVING THROUGHSTUDENTS HOSPITALS,DESCRIBED LOCALUNDER GOVERNMENTS,PARAGRAPH NONPROFIT(1) ORGANIZATIONS, PHILANTHROPIC PUBLIC OR PRIVATE(2) PARTNERSHIPSOF OR STATE-LEVEL CONTINUATION FUNDING TO ENSURE THE LONG-TERMDEFINITION SUSTAINABILITY OF THE"STUDENT" PROGRAM.IN SECTION 101-M.

GRANTSIF AWARDEDSUFFICIENT UNDERAPPLICANTS THISFROM SECTIONSTUDENTS SHALLDESCRIBED BEUNDER CONDITIONEDPARAGRAPH ON(1) THEOR SUBMISSION(2) OF ATHE SUSTAINABILITYDEFINITION PLANOF THAT"STUDENT" DEMONSTRATESIN HOWSECTION CLINICAL101-M PLACEMENTSARE WILLNOT CONTINUEFILLED BEYONDAFTER FIVEEVERY YEARSREASONABLE FROMRECRUITMENT EFFORT BY THE DATEDEPARTMENT AT FACILITATING ENTITIES AND PARTICIPATING TRAINING SITES, THE GRANTREMAINING WASFUNDS AWARDED,MAY INCLUDINGBE EVIDENCEALLOCATED OFTO PUBLIC-PRIVATEOTHER ORELIGIBLE PHILANTHROPICSTUDENTS PARTNERSHIPPARTICIPATING SUPPORT.IN THE INITIATIVE.

(E)(D) GEOGRAPHICADMINISTRATION DISTRIBUTION.--THEFOR DEPARTMENTFQHCS SHALLAND ENSUREFQHC THATLOOK-ALIKES.--FOR CLINICALADMINISTRATION ROTATIONOF PLACEMENTSTHE FUNDEDINITIATIVE UNDERWITH THISRESPECT SECTIONTO AREPARTICIPATING GEOGRAPHICALLY20250SB0614PN1530 DISTRIBUTED- IN5 A- MANNERFQHCS THATAND STRENGTHENSFQHC RURALLOOK-ALIKES, HEALTHTHE CAREDEPARTMENT WORKFORCEMAY PIPELINES,AWARD WITHGRANTS PRIORITYTO GIVENELIGIBLE ADMINISTRATIVE ENTITIES TO ANYADMINISTER FQHCAND OPERATINGFACILITATE IN,STUDENT ORPLACEMENT, PRIMARILYPRECEPTOR SERVINGSUPPORT, POPULATIONSREPORTING OF,AND AOTHER RURALFUNCTIONS COUNTY.NECESSARY TO IMPLEMENT THE INITIATIVE.