Nevada 2019 Regular Session Status: In Committee 2 R cosponsors

AB 358 — Makes certain changes to attract certain health professionals to practice in Nevada. (BDR 34-851)

Last action — (No further action taken.)

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Assembly
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2019 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Summary

AN ACT relating to health care; creating the Tomorrow's Doctors Program; authorizing the Nevada Office of Rural Health within the University of Nevada School of Medicine to enter into education loan repayment assistance contracts with certain practitioners; establishing the Nevada Office of Rural Health within the Office of Statewide Initiatives of the University of Nevada School of Medicine; making appropriations; and providing other matters properly relating thereto.

Bill Text

What changed in the latest version

235 added · 159 removed

235 line(s) added, 159 removed.

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A.B.
EXEMPT (Reprinted with amendments adopted on April 22, 2019) FIRST REPRINT A.B.
358–ASSEMBLYMEN HAFEN , KRAMER , LEAVITT, TITUS;AND H ARDY M ARCH 20, 2019 ____________ JOINT S PONSOR :
358–ASSEMBLYMEN HAFEN , KRAMER , LEAVITT, TITUS;
SENATOR HAMMOND ____________ Referred to Committee on Education SUMMARY—Makes certain changes to attract medical professionals to practice in Nevada.
HARDY , KRASNER AND TOLLES M ARCH 20, 2019 ____________ JOINT S PONSOR :
SENATOR HAMMOND ____________ Referred to Committee on Education SUMMARY—Makes certain changes to attract certain health professionals to practice in Nevada.
establishing the Nevada Office of Rural Health within the Office of Statewide Initiatives of the University of Nevada School of Medicine;
of this bill creates the Program for the purpose of providing education loanion 8 repayment assistance to certain practitioners.
Sections 2-12 of this bill establish the Tomorrow’s Doctors Program.
Section 8 repayment assistance to certain practitioners.
Section 9 of this bill authorizes the Office to enter into education loan repayment assistance contracts with certain practitioners if:
Section 8 authorizes the Office, in administering the Program, to work with:
(1) the practitioner locates to or continues to practice in a rural county and the practitioner has a written repayment assistance to the practitioner;
(1) the Office of the Western Regional Education Compact;
(2) the education loan repaymentation loan assistance provided by the Office through the Program does not exceed any such assistance provided by the rural hospital;
and (2) any other relevant federal, state and local governmental agencies, bodies and officials.
Section 9 of this bill authorizes the Nevada Office of Rural Health to enter into education loan repayment assistance contracts with certain practitioners if:
(1) the least 5 years, the practitioner locates to or continues to practice in such a rural at county and, if the practitioner practices in a rural hospital, the practitioner has a written commitment from a rural hospital that the rural hospital will provide education loan repayment assistance to the practitioner;
(2) the practitioner - *AB358_R1* – 2 – practices in a rural hospital, the education loan repayment assistance provided by the Office through the Program does not exceed any such assistance provided by the rural hospital;
Section 10 of this bill requires the Office to adopt regulations governing the administration of the Program.
Section 10 of this Program.
Section 11 of this bill authorizes the Office to accept gifts, grants, bequests and donations to fund the Program in addition to any direct legislative appropriation.
Section 11 of this bill authorizes the Office to accept gifts, grants,he bequests and donations to fund the Program in addition to any direct legislative appropriation.
Section 12 of this bill requires the Office to submit session of the Legislature a written report concerning the Program.o the next regular - *AB358* – 2 – Program for the purpose of entering into education loan repayment assistanceon to the contracts with certain practitioners.
Section 12 of this bill requires the Office to submit to the Director of the Legislative Counsel Bureau for transmittal to the next regular session of the Legislature a written report concerning the Program.
Existing law establishes the Nevada Office of Rural Health within the University of Nevada School of Medicine.
(NRS 396.906) Section 12.7 of this bill Initiatives of the University of Nevada School of Medicine.
Sections 12.3 and 16.5 of this bill make conforming changes.
Section 13 of this bill makes an appropriation to the Nevada Office of Rural Health for allocation to the Program for the purpose of entering into education loan repayment assistance contracts with certain practitioners.
§ 2541-1) Federal law authorizes the Secretary of Health and Human Services to make grants to states for the purpose of assisting the states in operating loan repayment programs for the loans of health professionals who may not be made to a state unless the state agrees that it will match the federals grants received for such loan repayment programs.
§ 2541-1) Federal law authorizes the Secretary of Health and operating loan repayment programs for the loans of health professionals whoates in provide primary health services in health professional shortage areas.
Such grants may not be made to a state unless the state agrees that it will match the federal grants received for such loan repayment programs.
“Education loan repayment assistance” means assistance provided to a practitioner whereby the Office and a rural hospital provide money pursuant to sections 2 to 12, inclusive, of this act to the practitioner for the repayment of the education loans of the practitioner.
“Education loan repayment assistance” means assistance provided to a practitioner whereby the Office and, if the practitioner practices in a rural hospital, a rural hospital, provide money pursuant to sections 2 to 12, inclusive, of this act to the practitioner for the repayment of the education loans of the practitioner that were accrued by the practitioner while attending a college or university in this State.
Sec.
- *AB358_R1* – 3 – Sec.
“Practitioner” means a physician licensed under chapter 630, 630A or 633 of NRS, dentist, licensed nurse, dispensing optician, optometrist, registered physical therapist, podiatric physician, licensed psychologist, chiropractor, doctor of Oriental medicine in any form, medical laboratory director or technician, pharmacist or other person whose principal occupation is the provision of services for health.
“Practitioner” means a physician licensed under chapter 630, 630A or 633 of NRS, dentist, licensed nurse, dispensing optician, optometrist, registered physical therapist, podiatric physician, licensed psychologist, medical laboratory director or technician, pharmacist, person licensed to engage in social work pursuant to chapter 641B of NRS, marriage and family therapist, clinical professional counselor or other person whose principal occupation is the provision of services for health.
6.5.
“Rural county” means a county in this State whose population is less than 100,000.
Sec.
“Rural hospital” has the meaning ascribed to it in NRS 449.0177.
“Rural hospital” means a hospital located within a rural county that is medically underserved.
- *AB358* – 3 – Sec.
Sec.
Sec.
In administering the Program, the Office may work with:
and(a) The Office of the Western Regional Education Compact;
(b) Any other relevant federal, state and local governmental ageSec.
In addition to any money received by the practitioner for the repayment of loans pursuant to NRS 396.903, the Office may enter into an education loan repayment assistance contract with a practitioner if the following conditions are met:
In addition to any money received by the practitioner for the repayment of loans pursuant to NRS 396.903, the Office may enter into an education loan repayment assistance contract with a practitioner if:
The practitioner:
(a) The practitioner:
(a) Agrees to practice in a rural county that is medically underserved for at least 5 years;
(1) Locates to or continues to practice in a rural county;
(b) Locates to or continues to practice in such a rural county;
and (2) Has a written commitment from a rural hospital that the rural hospital will provide education loan repayment assistance to the practitioner;
and (c) If the practitioner practices in a rural hospital, has a written commitment from the rural hospital that the rural hospital will provide education loan repayment assistance to the practitioner;
(b) The education loan repayment assistance provided by the Program does not exceed the education loan repayment assistance provided by the rural hospital;
and (c) The practitioner is otherwise eligible for education loan repayment assistance pursuant to any regulations adopted by the Office pursuant to section 10 of this act.
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As used in this section, “rural county” means a county in this State whose population is less than 100,000.
If the practitioner practices in a rural hospital, the education loan repayment assistance provided by the Program does not exceed the education loan repayment assistance provided by the rural hospital;
and - *AB358_R1* – 4 – 3.
The practitioner is otherwise eligible for education loan repayment assistance pursuant to any regulations adopted by the Office pursuant to section 10 of this act.
The Office shall adopt regulations governing the administration of the Program, including, without limitation, reg1.atiHow a practitioner may apply to participate in the Program;
The Office shall adopt regulations governing the administration of the Program, including, without limitation, regulations that prescribe:
1.
How a practitioner may apply to participate in the Program;
The procedure for verifying the amount provided by a rural hospital to a practitioner for education loan repayment assistance;
If a practitioner practices in a rural hospital, the procedure for verifying the amount provided by the rural hospital to the practitioner for education loan repayment assistance;
Criteria for modifying or waiving conditions or penalties for good cause shown by the practitioner or in a case where a practitioner has shown extreme hardship.
Criteria for modifying or waiving conditions or penalties for good cause shown by the practitioner or in a case where a praSec.
- *AB358* – 4 – Sec.
In addition to any direct legislative appropriation from the State General Fund, the Office may accept gifts, grants, bequests and donations to fund the Program.
In addition to any direct legislative appropriation from the State General Fund, the Office may accept gifts, grants, beqSec.
Sec.
12.3.
NRS 396.903 is hereby amended to read as follows:
396.903 1.
The University of Nevada School of Medicine may authorize the Nevada Health Service Corps to administer a program under which money for loans is repaid on behalf of a practitioner for each year he or she practices in an area of Nevada in which a shortage of that type of practitioner exists, as determined by the Nevada Office of Rural Health within the Office of Statewide Initiatives of the University of Nevada School of Medicine and the Nevada Health Service Corps.
- *AB358_R1* – 5 – 2.
To qualify for the program, a practitioner required to be licensed pursuant to the provisions of chapter 630, 630A, 633 or 634 of NRS must have completed his or her primary care residency and hold an active license issued pursuant to chapter 630, 630A, 633 or 634 of NRS.
All other practitioners must have completed training in a certified program and have an active license, certification or registration from the State of Nevada.
Sec.
12.7.
NRS 396.906 is hereby amended to read as follows:
396.906 1.
The Nevada Office of Rural Health is hereby established within the Office of Statewide Initiatives of the University of Nevada School of Medicine to administer matters relating to the delivery of health care services to rural and frontier areas in this state.
The Nevada Office of Rural Health shall:
(a) Evaluate the need for programs concerning the delivery of health care services to rural and frontier areas in this state and make recommendations to the University of Nevada School of Medicine and the Legislature to carry out such programs;
and (b) Establish, administer and coordinate programs which affect the delivery of health care services to rural and frontier areas in this state, including, without limitation, programs relating to:
(1) The education and training of providers of health care who provide services in rural and frontier areas;
(2) The needs of rural and frontier areas for health care effectively delivered;r in which such health care services may be (3) The delivery of health care services to rural and frontier areas;(4) The financing of the delivery of health care services to rural and frontier areas;
or (5) The collection of data necessary for the Nevada Office of Rural Health to carry out its duties concerning the delivery of health care services to rural and frontier areas.
2.
Any gift, donation, bequest, grant or other source of money received by the Nevada Office of Rural Health may be used to carry out the provisions of this section.
Sec.
There is hereby appropriated from the State General Fund to the Nevada Office of Rural Health within the University of Nevada School of Medicine the sum of $250,000 for allocation to the Tomorrow’s Doctors Program created pursuant to section 8 of this act for the purpose of entering into education loan repayment assistance contracts with practitioners pursuant to section 9 of this act.
There is hereby appropriated from the State General Fund to the Nevada Office of Rural Health within the Office of Statewide Initiatives of the University of Nevada School of Medicine the sum of $250,000 for allocation to the Tomorrow’s Doctors Program created pursuant to section 8 of this act for the purpose of entering into education loan repayment assistance contracts with practitioners pursuant to section 9 of this act.
Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2021, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2021, by either the entity to which the money was appropriated or the entity to which the money was subsequently Fund on or before September 17, 2021.everted to the State General Sec.
Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2021, by the entity to which the appropriation is made or any entity - *AB358_R1* – 6 – to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 17, 2021, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 17, 2021.
Sec.
There is hereby appropriated from the State General Fund to the Office of Finance for the purpose of funding Graduate Medical Education Grants the following sums:
There is hereby appropriated from the State General Fund to the Office of Finance for the purpose of funding GraduaFor the Fiscal Year 2019-2020.............................
- *AB358* – 5 – For the Fiscal Year 2019-2020.............................
$10,500,000 2.
$10,500,000 subsection 1 must not be committed for expenditure after June 30, 2021, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2020, and September 17, 2021, respectively, by either the entity to which the money was appropriated or the entity to which the money was subsequently granted or transferred, and must be reverted to the State General Fund on or before September 18, 2020, and September 17, 2021, respectively.
Any remaining balance of the appropriation made by subsection 1 must not be committed for expenditure after June 30, 2021, by the entity to which the appropriation is made or any entity to which money from the appropriation is granted or otherwise transferred in any manner, and any portion of the appropriated money remaining must not be spent for any purpose after September 18, 2020, and September 17, 2021, respectively, by to which the money was subsequently granted or transferred, andtity must be reverted to the State General Fund on or before September 18, 2020, and September 17, 2021, respectively.
16.5.
The Legislative Counsel shall, in preparing supplements to the Nevada Administrative Code, appropriately change any references to an officer, agency or other entity whose name is changed or whose responsibilities are transferred pursuant - *AB358_R1* – 7 – agency or other entity.is act to refer to the appropriate officer, Sec.
H - *AB358*
H - *AB358_R1*
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Amendments

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Action History

  1. (No further action taken.)

  2. From printer. To engrossment. Engrossed. First reprint. To committee.

  3. Read second time. Amended. (Amend. No. 536.) Rereferred to Committee on Ways and Means. Exemption effective. To printer.

  4. From committee: Amend, and do pass as amended.

  5. Notice of eligibility for exemption.

  6. From printer. To committee.

  7. Read first time. Referred to Committee on Education. To printer.

Sponsors

Sponsorship breakdown

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8 sponsors · 0 co-sponsors · 59 not signed on

Sponsors (8)

Co-sponsors (0)

None.

Not signed on (59)

59 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare education
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Frequently asked questions

What does AB 358 do?
AN ACT relating to health care; creating the Tomorrow's Doctors Program; authorizing the Nevada Office of Rural Health within the University of Nevada School of Medicine to enter into education loan repayment assistance contracts with certain practitioners; establishing the Nevada Office of Rural Health within the Office of Statewide Initiatives of the University of Nevada School of Medicine; making appropriations; and providing other matters properly relating thereto.
Who sponsors AB 358?
AB 358 is sponsored by Assemblyman Glen Leavitt, Assemblywoman Robin Titus, Assemblywoman Lisa Krasner, Hardy, Melissa R.. (Republican), Hafen, Gregory T., II (Republican), Scott Hammond, Jill Tolles, and Al Kramer.
What is the current status of AB 358?
This bill died with 2019 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track AB 358?
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