H.F. 2342 Section 1. NEW SECTION . 135.178 Advanced registered nurse 1 practitioner mental health fellowship program —— repeal. 2 1. The department, in cooperation with the college student 3 aid commission, shall establish an advanced registered nurse 4 practitioner mental health fellowship program in accordance 5 with this section. Funding for the program may be provided 6 through the health care workforce shortage fund or the advanced 7 registered nurse practitioner mental health fellowship program 8 account created in section 135.175. The purpose of the program 9 is to determine the effect of specialized training and support 10 for advanced registered nurse practitioners in providing mental 11 health services on addressing Iowa’s shortage of mental health 12 professionals. 13 2. The program shall provide for all of the following: 14 a. Collaboration with a hospital serving a thirteen-county 15 area in central Iowa that provides a clinic at the Iowa 16 veterans home, a private nonprofit agency headquartered in a 17 city with a population of more than one hundred ninety thousand 18 that operates a freestanding psychiatric medical institution 19 for children, a private university with a medical school 20 educating osteopathic physicians located in a city with a 21 population of more than one hundred ninety thousand, the Iowa 22 veterans home, and any other clinical partner designated for 23 the program. Population figures used in this paragraph refer 24 to the most recent certified federal census. The clinical 25 partners shall provide supervision, clinical experience, 26 training, and other support for the program and advanced 27 registered nurse practitioner students participating in the 28 program. 29 b. Elderly, youth, and general population clinical 30 experiences. 31 c. A fellowship of twelve months for three advanced 32 registered nurse practitioner students, annually. 33 d. Supervision of students participating in the program 34 provided by the university and the other clinical partners 35 -1- LSB 5503YH (2) 83 pf/nh 1/ 4

H.F. 2342 participating in the program. 1 e. A student participating in the program shall be eligible 2 for a stipend of not more than fifty thousand dollars for the 3 twelve months of the fellowship plus related fringe benefits. 4 In addition, a student who completes the program and practices 5 in Iowa in a mental health professional shortage area, as 6 defined in section 135.80, shall be eligible for up to twenty 7 thousand dollars in loan forgiveness. The stipend and loan 8 forgiveness provisions shall be determined by the department 9 and the college student aid commission, in consultation with 10 the clinical partners. 11 f. The state and private entity clinical partners shall 12 regularly evaluate and document their experiences with the 13 approaches utilized and outcomes achieved by the program 14 to identify an optimal model for operating the program. 15 The evaluation process shall include but is not limited to 16 identifying ways the program’s clinical and training components 17 could be modified to facilitate other student and practicing 18 advanced registered nurse practitioners specializing as mental 19 health professionals. 20 3. This section is repealed June 30, 2014. 21 Sec. 2. Section 135.175, subsection 1, paragraph a, Code 22 Supplement 2009, is amended to read as follows: 23 a. A health care workforce support initiative is established 24 to provide for the coordination and support of various efforts 25 to address the health care workforce shortage in this state. 26 This initiative shall include the medical residency training 27 state matching grants program created in section 135.176, 28 the health care professional and nursing workforce shortage 29 initiative created in sections 261.128 and 261.129, the safety 30 net provider recruitment and retention initiatives program 31 created in section 135.153A, health care workforce shortage 32 national initiatives, and the physician assistant mental health 33 fellowship program created in section 135.177 , and the advanced 34 registered nurse practitioner mental health fellowship program 35 -2- LSB 5503YH (2) 83 pf/nh 2/ 4

H.F. 2342 created in section 135.178 . 1 Sec. 3. Section 135.175, subsection 5, Code Supplement 2 2009, is amended by adding the following new paragraph: 3 NEW PARAGRAPH . f. The advanced registered nurse 4 practitioner mental health fellowship program account. The 5 advanced registered nurse practitioner mental health fellowship 6 program account shall be under the control of the department 7 and the moneys in the account shall be used for the purposes 8 of the advanced registered nurse practitioner mental health 9 fellowship program as specified in section 135.178. Moneys in 10 the account shall consist of moneys appropriated or allocated 11 for deposit in or received by the fund or the account and 12 specifically dedicated to the advanced registered nurse 13 practitioner mental health fellowship program or the account 14 for the purposes of the account. 15 Sec. 4. IMPLEMENTATION. This Act shall be implemented only 16 to the extent funding is available. 17 EXPLANATION 18 This bill creates an advanced registered nurse practitioner 19 (ARNP) mental health fellowship program as part of the 20 health care workforce support initiative to provide for the 21 coordination and support of various efforts to address the 22 health care workforce shortage in this state. The bill directs 23 the department of public health, in cooperation with the 24 college student aid commission, to establish an ARNP mental 25 health fellowship program, funding for which may be provided 26 through the existing health care workforce shortage fund or 27 the advanced registered nurse practitioner mental health 28 fellowship program account created in the bill. The purpose of 29 the program is to determine the effect of specialized training 30 and support for ARNPs in providing mental health services on 31 addressing Iowa’s shortage of mental health professionals. The 32 bill specifies the parameters of the program, and provides 33 for the repeal of the program June 30, 2014. The bill also 34 creates an advanced registered nursed practitioner mental 35 -3- LSB 5503YH (2) 83 pf/nh 3/ 4

H.F. 2342 health fellowship program account within the health care 1 workforce shortage fund. The advanced registered nurse 2 practitioner mental health fellowship program account is 3 under the control of the department of public health and the 4 moneys in the account are to be used for the purposes of the 5 advanced registered nurse practitioner mental health fellowship 6 program as specified. Moneys in the account consist of moneys 7 appropriated or allocated for deposit in or received by the 8 fund or the account and specifically dedicated to the advanced 9 registered nurse practitioner mental health fellowship program 10 or the account for the purposes of the account. 11 The bill provides that implementation of the program is 12 contingent upon availability of funding. 13 -4- LSB 5503YH (2) 83 pf/nh 4/ 4