House
File
784
-
Introduced
HOUSE
FILE
784
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
HSB
255)
A
BILL
FOR
An
Act
providing
for
loan
repayment
under
the
rural
Iowa
1
primary
care
loan
repayment
program
to
physicians
who
are
2
national
guard
members
and
practice
full-time
in
service
3
commitment
areas.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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784
Section
1.
Section
261.86,
subsection
6,
Code
2019,
is
1
amended
to
read
as
follows:
2
6.
a.
Notwithstanding
section
8.33
,
funds
appropriated
3
for
purposes
of
this
section
which
remain
unencumbered
or
4
unobligated
at
the
close
of
the
fiscal
year
for
which
the
funds
5
were
appropriated
shall
not
revert
but
shall
be
available
for
6
expenditure
for
the
following
fiscal
year
for
purposes
of
this
7
section
.
8
b.
Notwithstanding
paragraph
“a”
,
if
a
physician
meets
9
the
requirements
for
loan
repayment
under
section
261.113,
10
subsection
7,
paragraph
“b”
,
moneys
which
remain
unencumbered
11
or
unobligated
at
the
close
of
the
fiscal
year
shall
be
12
transferred
to
the
rural
Iowa
primary
care
trust
fund
created
13
under
section
261.113,
subsection
10,
in
an
amount
necessary
to
14
make
payments
in
accordance
with
section
261.113,
subsection
15
7,
paragraph
“b”
.
16
Sec.
2.
Section
261.113,
subsection
7,
Code
2019,
is
amended
17
to
read
as
follows:
18
7.
Rules
for
additional
loan
repayment.
The
commission
shall
19
adopt
rules
to
provide,
in
addition
to
loan
repayment
provided
20
to
eligible
students
pursuant
to
this
section
and
subject
to
21
the
availability
of
surplus
funds
,
for
loan
repayment
to
a
22
physician
if
either
of
the
following
conditions
are
met:
23
a.
Subject
to
the
availability
of
surplus
funds,
the
24
physician
who
received
a
doctor
of
medicine
or
doctor
of
25
osteopathic
medicine
degree
from
an
eligible
university
as
26
provided
in
subsection
2
,
obtained
a
license
to
practice
27
medicine
and
surgery
or
osteopathic
medicine
and
surgery
28
in
this
state,
completed
the
physician’s
residency
program
29
requirement
with
an
Iowa-based
residency
program,
and
is
30
engaged
in
the
full-time
practice
of
medicine
and
surgery
or
31
osteopathic
medicine
and
surgery
as
specified
in
subsection
3
,
32
paragraph
“d”
.
33
b.
Subject
to
the
availability
of
funds
transferred
in
34
accordance
with
section
261.86,
subsection
6,
paragraph
35
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“b”
,
and
deposited
in
accordance
with
subparagraph
(2),
the
1
physician
obtained
a
license
to
practice
medicine
and
surgery
2
or
osteopathic
medicine
and
surgery
in
this
state,
is
engaged
3
in
full-time
practice
of
medicine
and
surgery
or
osteopathic
4
medicine
and
surgery
in
a
service
commitment
area
for
a
period
5
of
five
consecutive
years,
and
is
a
member
of
the
Iowa
national
6
guard.
7
(1)
Notwithstanding
subsection
5,
paragraph
“a”
,
the
amount
8
of
loan
repayment
a
physician
who
meets
the
requirements
of
9
this
paragraph
“b”
shall
receive
shall
not
exceed
thirty
10
thousand
dollars
annually
for
an
eligible
loan.
Payments
11
under
this
paragraph
“b”
may
be
made
for
each
year
of
eligible
12
practice
during
a
period
of
five
consecutive
years
and
shall
13
not
exceed
a
total
of
one
hundred
fifty
thousand
dollars.
14
(2)
Notwithstanding
subsection
11,
paragraph
“c”
,
the
15
service
commitment
area
shall
provide
a
fifteen
thousand
16
dollar
matching
contribution
for
deposit
in
the
rural
Iowa
17
primary
care
trust
fund
for
each
physician
in
the
community
18
who
is
participating
in
the
loan
repayment
program
under
this
19
paragraph
“b”
for
the
purposes
of
this
paragraph.
20
Sec.
3.
Section
261.113,
subsection
10,
Code
2019,
is
21
amended
to
read
as
follows:
22
10.
Trust
fund
established.
A
rural
Iowa
primary
care
23
trust
fund
is
created
in
the
state
treasury
as
a
separate
fund
24
under
the
control
of
the
commission.
The
commission
shall
25
remit
all
repayments
made
pursuant
to
this
section
to
the
26
rural
Iowa
primary
care
trust
fund.
All
moneys
deposited
or
27
paid
into
the
trust
fund
are
appropriated
and
made
available
28
to
the
commission
to
be
used
for
meeting
the
requirements
of
29
this
section
.
However,
moneys
transferred
to
the
rural
Iowa
30
primary
care
trust
fund
pursuant
to
section
261.86,
subsection
31
6,
paragraph
“b”
,
or
deposited
pursuant
to
subsection
7,
32
paragraph
“b”
,
subparagraph
(2),
are
appropriated
and
shall
be
33
available
to
provide
loan
repayment
for
physicians
who
meet
34
the
requirements
of
subsection
7,
paragraph
“b”
.
Moneys
in
35
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the
fund
up
to
the
total
amount
that
an
eligible
student
may
1
receive
for
an
eligible
loan
in
accordance
with
this
section
2
and
upon
fulfilling
the
requirements
of
subsection
3
,
shall
be
3
considered
encumbered
for
the
duration
of
the
agreement
entered
4
into
pursuant
to
subsection
3
.
Notwithstanding
section
8.33
,
5
any
balance
in
the
fund
on
June
30
of
each
fiscal
year
shall
not
6
revert
to
the
general
fund
of
the
state,
but
shall
be
available
7
for
purposes
of
this
section
in
subsequent
fiscal
years.
8
EXPLANATION
9
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
10
the
explanation’s
substance
by
the
members
of
the
general
assembly.
11
This
bill
expands
the
rural
Iowa
primary
care
loan
repayment
12
program
to
provide
that,
subject
to
the
availability
of
13
transferred
or
deposited
funds,
a
physician
licensed
in
this
14
state
who
is
a
member
of
the
Iowa
national
guard
and
is
engaged
15
in
full-time
practice
of
medicine
and
surgery
or
osteopathic
16
medicine
and
surgery
in
a
service
commitment
area
for
a
period
17
of
five
years
qualifies
for
eligible
educational
loan
repayment
18
of
up
to
$30,000
annually.
19
If
a
physician
in
the
Iowa
national
guard
meets
the
20
requirements
for
loan
repayment
as
provided
in
the
bill,
21
moneys
that
were
appropriated
for
purposes
of
the
national
22
guard
educational
assistance
program
that
remain
unencumbered
23
or
unobligated
at
the
close
of
the
fiscal
year
shall
be
24
transferred
to
the
rural
Iowa
primary
care
trust
fund
in
an
25
amount
necessary
to
make
loan
repayments
for
the
physician.
26
The
total
amount
of
loan
repayment
over
the
five-year
period
27
is
limited
to
not
more
than
$150,000.
“Service
commitment
28
area”
is
defined
for
purposes
of
the
program
as
a
city
in
Iowa
29
with
a
population
of
less
than
26,000
that
is
located
more
30
than
20
miles
from
a
city
with
a
population
of
50,000
or
more
31
and
which
provides
a
$20,000
contribution
for
deposit
in
the
32
rural
Iowa
primary
care
trust
fund
for
each
physician
in
the
33
community
who
is
participating
in
the
loan
repayment
program.
34
Under
the
bill,
the
service
commitment
area’s
contribution
for
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a
physician
who
is
a
national
guard
member
is
$15,000.
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