House File 2601 - Introduced
HOUSE FILE
BY D. OLSON, FREVERT, HEDDENS,
SWAIM, WENDT, FOEGE, DAVITT,
R. OLSON, LENSING, JOCHUM, and
WINCKLER
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to dental health, by establishing a mobile dental
2 health delivery program and a dentist recruitment program,
3 establishing revolving funds, and making appropriations.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
5 TLSB 5645HH 81
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PAG LIN
1 1 Section 1. NEW SECTION. 135.27 MOBILE DENTAL HEALTH
1 2 DELIVERY PROGRAM == ESTABLISHED == REVOLVING FUND.
1 3 1. A mobile dental health delivery program shall be
1 4 established by the department, involving the transportation of
1 5 portable dental equipment for on=site comprehensive dental
1 6 care. The objective of the program shall be to improve the
1 7 dental health and provide preventative dental screening and
1 8 care for targeted at=risk and special care populations,
1 9 including but not limited to rural, underserved, elderly,
1 10 youth, and racial or ethnic minority populations. The program
1 11 shall involve transportation of the dental equipment to long=
1 12 term care facilities, group homes, head start centers,
1 13 schools, women in crisis clinics, and other satellite sites
1 14 for delivery of dental services to at=risk and special care
1 15 populations to be determined by the department by rule.
1 16 2. To be eligible for participation in the program, an
1 17 applicant must be a community empowerment area board as
1 18 provided in section 28.6 which commits a local match
1 19 contribution to the program in an amount or form, and
1 20 according to criteria, to be established by the department by
1 21 rule. Local contributions may include providing space for
1 22 setting up a mobile dental clinic for utilization of the
1 23 portable dental equipment, providing dental health
1 24 professionals to staff a mobile dental clinic, and possible
1 25 minimum financial contributions.
1 26 3. The department shall, either directly or by contract
1 27 with an entity selected by the department, collect and analyze
1 28 data regarding the operation of the program. The data to be
1 29 collected and analyzed shall be determined by the department
1 30 by rule. The analysis of the data shall include an assessment
1 31 of whether the program has resulted in a financial savings,
1 32 whether it appears to improve dental health outcomes, and
1 33 whether it assists local health institutions in developing
1 34 wellness activities that promote better community health and
1 35 economic vitality. A report of the data collected and
2 1 analyzed, and conclusions reached, shall be submitted to the
2 2 department and the general assembly by January 15 annually.
2 3 4. A mobile dental health delivery revolving fund is
2 4 created in the state treasury as a separate fund under the
2 5 control of the department. The department shall deposit
2 6 amounts appropriated for the establishment of the program, and
2 7 funds received from any other source for purposes of the
2 8 program, into the revolving fund for use in establishing,
2 9 maintaining, and administering the program, and for purposes
2 10 of data collection and analysis. Notwithstanding section
2 11 8.33, any balance in the fund on June 30 of any fiscal year
2 12 shall not revert to the general fund of the state.
2 13 Notwithstanding section 12C.7, subsection 2, interest or
2 14 earnings on moneys in the revolving fund shall be credited to
2 15 the fund.
2 16 Sec. 2. NEW SECTION. 261.23A DENTIST RECRUITMENT PROGRAM
2 17 == REVOLVING FUND.
2 18 1. A dentist recruitment program is established to be
2 19 administered by the college student aid commission for the
2 20 university of Iowa college of dentistry. The program shall
2 21 consist of a forgivable loan program and a rural community
2 22 loan repayment program for dentists. The commission shall
2 23 regularly adjust the dentist service requirement under each
2 24 aspect of the program to provide, to the extent possible, an
2 25 equal financial benefit for each period of service required.
2 26 From funds appropriated for purposes of the program by the
2 27 general assembly, the commission shall pay a fee to the
2 28 university of Iowa college of dentistry for administration of
2 29 the program. A portion of the fee shall be paid by the
2 30 commission to the university based upon the number of dental
2 31 students and dentists recruited under subsections 2 and 3.
2 32 2. a. The university of Iowa college of dentistry shall
2 33 provide recommendations to the commission for students who
2 34 meet the eligibility requirements of the forgivable loan
2 35 program under this subsection. A forgivable loan may be
3 1 awarded to a resident of Iowa who meets both of the following
3 2 conditions:
3 3 (1) Is enrolled on a full=time basis at the university of
3 4 Iowa college of dentistry.
3 5 (2) Agrees to practice dentistry in an area in this state
3 6 underserved by dentists for a period of time to be determined
3 7 by the commission at the time the loan is awarded.
3 8 b. The loan shall be for a term set by the commission.
3 9 Interest on the loan shall begin to accrue the day following
3 10 the date on which the student graduates from the university,
3 11 or on the date the student graduates from a residency program,
3 12 whichever date is later. If the student completes the period
3 13 of practice in the underserved area established by the
3 14 commission and agreed to by the student, the loan amount shall
3 15 be forgiven. Neither the loan amount nor the interest on the
3 16 loan amount shall be forgiven if the dentist fails to complete
3 17 the required time period of practice in the underserved area
3 18 of this state.
3 19 3. A dentist who graduated from the university of Iowa
3 20 college of dentistry shall be eligible for the rural community
3 21 loan repayment program if the dentist agrees to practice in an
3 22 eligible rural community in this state. The university of
3 23 Iowa college of dentistry shall recruit and place dentists in
3 24 rural communities that have agreed to provide additional funds
3 25 for the dentist's loan repayment. The contract for the loan
3 26 repayment shall stipulate the time period the dentist shall
3 27 practice in an eligible rural community in this state and
3 28 shall also stipulate that the dentist repay any funds paid on
3 29 the dentist's loan by the commission if the dentist fails to
3 30 practice in an eligible rural community in this state for the
3 31 required period of time. For purposes of this subsection,
3 32 "eligible rural community" means a rural community in this
3 33 state underserved by dentists that agrees to match state funds
3 34 provided on at least a dollar=for=dollar basis for the loan
3 35 repayment of a dentist who practices in the eligible rural
4 1 community.
4 2 4. The commission shall adopt rules pursuant to chapter
4 3 17A to administer this section.
4 4 5. A dentist recruitment revolving fund is created in the
4 5 state treasury as a separate fund under the control of the
4 6 commission. The commission shall deposit payments made by
4 7 dentist recruitment program recipients and the proceeds from
4 8 the sale of loans made pursuant to subsection 2 into the
4 9 dentist recruitment revolving fund. Moneys credited to the
4 10 fund shall be used to supplement moneys appropriated for the
4 11 dentist recruitment program, for loan forgiveness to eligible
4 12 dentists, and to pay for loan or interest repayment defaults
4 13 by eligible dentists. Notwithstanding section 8.33, any
4 14 balance in the fund on June 30 of any fiscal year shall not
4 15 revert to the general fund of the state. Notwithstanding
4 16 section 12C.7, subsection 2, interest or earnings on moneys in
4 17 the dentist recruitment revolving fund shall be credited to
4 18 the fund.
4 19 Sec. 3. DENTIST RECRUITMENT PROGRAM. There is
4 20 appropriated from the general fund of the state to the college
4 21 student aid commission for the fiscal year beginning July 1,
4 22 2006, and ending June 30, 2007, the following amount, or so
4 23 much thereof as is necessary, to be used for the purpose
4 24 designated:
4 25 For deposit in the dentist recruitment revolving fund
4 26 established pursuant to section 261.23A:
4 27 .................................................. $ 250,000
4 28 Sec. 4. MOBILE DENTAL HEALTH DELIVERY PROGRAM. There is
4 29 appropriated from the general fund of the state to the Iowa
4 30 department of public health for the fiscal year beginning July
4 31 1, 2006, and ending June 30, 2007, the following amount, or so
4 32 much thereof as is necessary, to be used for the purpose
4 33 designated:
4 34 For deposit in the mobile dental health delivery revolving
4 35 fund established pursuant to section 135.27:
5 1 .................................................. $ 876,000
5 2 Of the amount appropriated pursuant to this section,
5 3 $40,000 shall be allocated to the department for the costs of
5 4 administering the program.
5 5 EXPLANATION
5 6 This bill relates to dental health and the practice of
5 7 dentistry by establishing a mobile dental health delivery
5 8 program and a dentist recruitment program.
5 9 The bill provides that a mobile dental health delivery
5 10 program shall be established by the Iowa department of public
5 11 health. The program will involve transporting portable dental
5 12 equipment for on=site comprehensive dental care to improve the
5 13 dental health and care for targeted at=risk and special care
5 14 populations specified in the bill. The bill states that the
5 15 dental equipment will be transported to long=term care
5 16 facilities, group homes, head start centers, schools, women in
5 17 crisis clinics, and other satellite sites for delivery of
5 18 dental services to at=risk and special care populations to be
5 19 determined by the department by rule. The bill appropriates
5 20 $876,000 to the department for the 2006=2007 fiscal year for
5 21 the program, with $40,000 to be retained by the department to
5 22 cover administrative costs.
5 23 The bill provides that an applicant for the program must be
5 24 a community empowerment area board as provided in Code section
5 25 28.6 which commits a local match contribution to the program,
5 26 to be determined by rule. The bill provides examples of local
5 27 contributions, and provides that the department shall, either
5 28 directly or by contract with an entity selected by the
5 29 department, collect and analyze data to be determined by the
5 30 department by rule regarding the operation of the program.
5 31 The data to be collected and analyzed shall be determined by
5 32 the department by rule, and the analysis shall include an
5 33 assessment of whether the program has resulted in a financial
5 34 savings, whether it appears to improve dental health outcomes,
5 35 and whether it assists local health institutions in developing
6 1 wellness activities that promote better community health and
6 2 economic vitality. The bill states that a report of the data
6 3 collected and analyzed, and conclusions reached, shall be
6 4 submitted to the department and the general assembly by
6 5 January 15 annually.
6 6 The bill creates a mobile dental health delivery revolving
6 7 fund in the state treasury as a separate fund under the
6 8 control of the department, into which amounts appropriated for
6 9 the program, and funds received from any other source, shall
6 10 be deposited for use in establishing, maintaining, and
6 11 administering the program, and for purposes of data collection
6 12 and analysis. Moneys in the fund do not revert to the general
6 13 fund and the interest or earnings on moneys in the fund are
6 14 credited to the fund.
6 15 The bill also establishes a dentist recruitment program to
6 16 be administered by the college student aid commission for the
6 17 university of Iowa college of dentistry. The program consists
6 18 of a loan forgiveness program for students who agree to
6 19 practice in underserved areas upon graduation and a rural
6 20 community loan repayment program for dentists who agree to
6 21 serve in eligible rural communities. The bill appropriates
6 22 $250,000 to the college student aid commission for the 2006=
6 23 2007 fiscal year for the program. An eligible rural community
6 24 is a rural community underserved by dentists that agrees to
6 25 match state funds provided for the dentist's loans on at least
6 26 a $1=for=$1 basis.
6 27 From funds appropriated for the program by the general
6 28 assembly, the commission must pay a fee to the university of
6 29 Iowa college of dentistry for administration of the program
6 30 based upon the number of dental students and dentists
6 31 recruited.
6 32 Students are eligible for the loan forgiveness program if
6 33 they are residents of Iowa, are enrolled on a full=time basis
6 34 at the university of Iowa college of dentistry, and agree to
6 35 practice dentistry in an area underserved by dentists for a
7 1 period of time to be determined by the commission at the time
7 2 the loan is awarded.
7 3 A dentist who graduated from the university of Iowa college
7 4 of dentistry is eligible for the rural community loan
7 5 repayment program if the dentist agrees to practice in an
7 6 eligible rural community in this state for a time agreed to by
7 7 the dentist and the commission.
7 8 The dentist recruitment revolving fund is created in the
7 9 state treasury as a separate fund under the control of the
7 10 commission. Moneys in the fund derive from payments made by
7 11 dentist recruitment program recipients and the proceeds from
7 12 the sale of loans. Moneys in the fund must be used to
7 13 supplement moneys appropriated for the dentist recruitment
7 14 program, for loan forgiveness to eligible dentists, and to pay
7 15 for loan or interest repayment defaults by eligible dentists.
7 16 Moneys in the fund do not revert to the general fund and
7 17 interest or earnings on moneys in the fund are credited to the
7 18 fund.
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