House Amendment 1331 PAG LIN 1 1 Amend Senate File 389, as amended, passed, and 1 2 reprinted by the Senate, as follows: 1 3 #1. Page 40, line 7, by striking the word 1 4 <portion> and inserting the following: <portions>. 1 5 #2. Page 40, line 10, by inserting after the word 1 6 <program> the following: <and the physician assistant 1 7 mental health fellowship program>. 1 8 #3. Page 43, by inserting after line 25, the 1 9 following: 1 10 <(5) The physician assistant mental health 1 11 fellowship account. The physician assistant mental 1 12 health fellowship account shall be under the control 1 13 of the department of public health and the moneys in 1 14 the account shall be used for the purposes of the 1 15 physician assistant mental health fellowship program 1 16 as specified in this section. Moneys in the account 1 17 shall consist of moneys received by the fund or the 1 18 account and specifically dedicated to the physician 1 19 assistant mental health fellowship account." 1 20 #4. Page 43, line 34, by inserting after the word 1 21 <program,> the following: <the physician assistant 1 22 mental health fellowship program,>. 1 23 #5. Page 52, by inserting after line 28, the 1 24 following: 1 25 < . PHYSICIAN ASSISTANT MENTAL HEALTH FELLOWSHIP 1 26 PROGRAM. 1 27 a. The department of public health, in cooperation 1 28 with the commission, shall establish a physician 1 29 assistant mental health fellowship program to provide 1 30 fellowships to physician assistants to determine the 1 31 effect of making available specialized training and 1 32 support to physician assistants in providing mental 1 33 health services on efforts to address Iowa's shortage 1 34 of mental health professionals. 1 35 b. The program shall provide for all of the 1 36 following: 1 37 (1) Collaboration with a two=hundred=twenty=bed 1 38 hospital serving a thirteen=county area in central 1 39 Iowa that provides a clinic at the Iowa veterans home, 1 40 a private nonprofit agency headquartered in a city 1 41 with a population of more than one hundred ninety 1 42 thousand that operates a freestanding psychiatric 1 43 medical institution for children, a private university 1 44 with a medical school educating osteopathic physicians 1 45 located in a city with a population of more than one 1 46 hundred ninety thousand, the Iowa veterans home, and 1 47 any other clinical partner designated for the program. 1 48 Population figures used in this subparagraph refer to 1 49 the most recent certified federal census. The 1 50 clinical partners shall provide supervision, clinical 2 1 experience, training, and other support for the 2 2 program and physician assistant students participating 2 3 in the program. 2 4 (2) Elderly, youth, and general population 2 5 clinical experiences. 2 6 (3) A fellowship of twelve months for three 2 7 physician assistant students for each year of the 2 8 program. 2 9 (4) Supervision of students participating in the 2 10 program shall be provided by the university and the 2 11 other clinical partners participating in the program. 2 12 (5) A student participating in the program shall 2 13 be eligible for a stipend of not more than fifty 2 14 thousand dollars for the twelve months of the 2 15 fellowship plus related fringe benefits. In addition, 2 16 the students who complete the program and practice in 2 17 Iowa in mental health professional shortage areas, as 2 18 defined in section 135.80, shall be eligible for up to 2 19 twenty thousand dollars in loan forgiveness. The 2 20 stipend and loan forgiveness provisions shall be 2 21 determined by the department and the commission, in 2 22 consultation with the clinical partners. 2 23 (6) The public and private entity clinical 2 24 partners shall regularly evaluate and document the 2 25 experiences with the approaches utilized and outcomes 2 26 achieved by the program to identify an optimal model 2 27 for operating such a program on an ongoing basis. The 2 28 evaluation process shall include but is not limited to 2 29 identifying ways the program's clinical and training 2 30 components could be modified to facilitate other 2 31 student and practicing physician assistants 2 32 specializing as mental health professionals.> 2 33 #6. By renumbering as necessary. 2 34 2 35 2 36 2 37 WESSEL-KROESCHELL of Story 2 38 SF 389.305 83 2 39 pf/rj/22906 -1-