ARC 4671C
PUBLIC HEALTH DEPARTMENT[641]
Notice of Intended Action
Proposing rule making related to medical residency training state matching grants program and providing an opportunity for public comment
The Public Health Department hereby proposes to amend Chapter 108, “Medical Residency Training State Matching Grants Program,” Iowa Administrative Code.
Legal Authority for Rule Making
This rule making is proposed under the authority provided in Iowa Code section 135.176 as amended by 2019 Iowa Acts, House File 532.
State or Federal Law Implemented
This rule making implements, in whole or in part, Iowa Code section 135.176 as amended by 2019 Iowa Acts, House File 532.
Purpose and Summary
2019 Iowa Acts, House File 532, section 1, adds to the criteria for awarding medical residency training state matching grants a preference for candidates who are residents of Iowa, attended and earned an undergraduate degree from an Iowa college or university, or attended and earned a medical degree from a medical school in Iowa. This preference is in addition to the previous preference in the residency specialty. 2019 Iowa Acts, House File 532, section 2, adds a requirement that the residency program offer the residency participants the opportunity to participate in a rural rotation to expose the residents to the rural areas of the state. The proposed amendments will incorporate these changes.
Fiscal Impact
This rule making has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rule making, no impact on jobs has been found.
Waivers
Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to the Department’s waiver and variance provisions contained in 641—Chapter 178.
Public Comment
Any interested person may submit written comments concerning this proposed rule making. Written comments in response to this rule making must be received by the Department no later than 4:30 p.m.	on October 15, 2019. Comments should be directed to:

Susan Dixon
Department of Public Health
Lucas State Office Building
321 East 12th Street
Des Moines, Iowa 50319
Email: susan.dixon@idph.iowa.gov	
Public Hearing
No public hearing is scheduled at this time. As provided in Iowa Code section 17A.4(1)“b,” an oral presentation regarding this rule making may be demanded by 25 interested persons, a governmental subdivision, the Administrative Rules Review Committee, an agency, or an association having 25 or more members.
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
The following rule-making actions are proposed:
	Item 1. Adopt the following new subrule 108.3(5):
	108.3(5) A sponsor shall offer persons to whom a primary care, including psychiatry, residency position is awarded, the opportunity to participate in a rural rotation to expose the resident to the rural areas of the state.
	Item 2. Amend rule 641—108.5(135), catchwords, as follows:
641—108.5(135) Review Application and review process.
	Item 3. Amend subrule 108.5(2) as follows:
	108.5(2) The department shall establish a request for proposal process for sponsors eligible to receive funding. The request for proposal and review process and review criteria for preference in awarding the grants shall be described in the request for proposal, including preference in the residency specialty and preference for candidates who are residents of Iowa, attended and earned an undergraduate degree from an Iowa college or university, or attended and earned a medical degree from a medical school in Iowa. This residency specialty preference may be reflective of a subspecialty where particular demands for services have been demonstrated, of geographic areas of preference, or of other particular preferences that advance the objectives of the program.