Senate
File
129
-
Enrolled
Senate
File
129
AN
ACT
RELATING
TO
SPECIALTY
AREAS,
SERVICE
COMMITMENT
AREA
DISTANCE
REQUIREMENTS,
AND
PRACTICE-RELATED
REQUIREMENTS
UNDER
THE
RURAL
IOWA
PRIMARY
CARE
LOAN
REPAYMENT
PROGRAM.
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
Section
1.
Section
261.113,
subsection
3,
paragraph
d,
Code
2021,
is
amended
to
read
as
follows:
d.
Within
nine
months
of
graduating
from
the
residency
program
and
receiving
a
permanent
license
in
accordance
with
paragraph
“b”
,
engage
in
the
full-time
practice
of
medicine
and
surgery
or
osteopathic
medicine
and
surgery
specializing
in
family
medicine,
pediatrics,
psychiatry,
internal
medicine,
obstetrics
and
gynecology,
or
general
surgery
for
a
period
of
five
consecutive
years
in
the
service
commitment
area
specified
under
subsection
8
,
unless
the
loan
repayment
recipient
receives
a
waiver
from
the
commission
to
complete
the
years
of
practice
required
under
the
agreement
in
another
service
Senate
File
129,
p.
2
commitment
area
pursuant
to
subsection
8
.
Sec.
2.
Section
261.113,
subsection
10,
Code
2021,
is
amended
to
read
as
follows:
10.
Part-time
practice
——
agreement
amended.
A
person
who
entered
into
an
agreement
pursuant
to
subsection
3
may
apply
to
the
commission
to
amend
the
agreement
to
allow
the
person
to
engage
in
less
than
the
full-time
practice
specified
in
the
agreement
and
under
subsection
3
,
paragraph
“d”
.
If
the
commission
determines
exceptional
circumstances
exist,
the
The
commission
and
the
person
may
consent
to
amend
the
agreement
under
which
the
person
shall
engage
in
less
than
full-time
practice
of
medicine
and
surgery
or
osteopathic
medicine
and
surgery
specializing
in
family
medicine,
pediatrics,
psychiatry,
internal
medicine,
obstetrics
and
gynecology,
or
general
surgery
in
a
service
commitment
area
for
an
extended
period
of
part-time
practice
determined
by
the
commission
to
be
proportional
to
the
amount
of
full-time
practice
remaining
under
the
original
agreement.
For
purposes
of
this
subsection,
“less
than
the
full-time
practice”
means
at
least
seventy
percent
of
a
forty-hour
workweek.
Sec.
3.
Section
261.113,
subsection
13,
paragraph
c,
Code
2021,
is
amended
to
read
as
follows:
c.
“Service
commitment
area”
means
a
city
in
Iowa
with
a
population
of
less
than
twenty-six
thousand
that
is
located
more
than
twenty
miles
from
a
city
with
a
population
of
fifty
thousand
or
more
and
which
that
provides
a
twenty
thousand
dollar
contribution
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
for
each
physician
in
the
community
who
is
participating
in
the
loan
repayment
program
and
which
meets
any
of
the
following
conditions:
(1)
Is
a
city
within
a
federal
mental
health
shortage
area,
as
designated
by
the
health
resources
and
services
administration
of
the
United
States
department
of
health
and
human
services,
if
the
physician
participating
in
the
loan
repayment
program
specializes
in
psychiatry
.
(2)
Is
a
city
in
Iowa
with
a
population
of
less
than
twenty-six
thousand
that
is
located
more
than
twenty
miles
from
a
city
with
a
population
of
fifty
thousand.
The
commission
Senate
File
129,
p.
3
shall
determine
the
distance
between
cities
by
calculating
the
most
direct
driving
route.
______________________________
JAKE
CHAPMAN
President
of
the
Senate
______________________________
PAT
GRASSLEY
Speaker
of
the
House
I
hereby
certify
that
this
bill
originated
in
the
Senate
and
is
known
as
Senate
File
129,
Eighty-ninth
General
Assembly.
______________________________
W.
CHARLES
SMITHSON
Secretary
of
the
Senate
Approved
_______________,
2021
______________________________
KIM
REYNOLDS
Governor