House File 385 - Introduced HOUSE FILE 385 BY KRESSIG (COMPANION TO LSB 2462SS BY DANIELSON) A BILL FOR An Act modifying the rural Iowa advanced registered nurse 1 practitioner and physician assistant loan repayment program 2 and fund and making occupational therapy students eligible 3 for the program. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 2347HH (3) 87 kh/rj
H.F. 385 Section 1. Section 261.114, subsections 1, 2, 3, 7, 8, and 1 10, Code 2017, are amended to read as follows: 2 1. Program established. A rural Iowa advanced registered 3 nurse practitioner and physician assistant health care 4 professional loan repayment program is established to be 5 administered by the college student aid commission for purposes 6 of providing loan repayments for advanced registered nurse 7 practitioner students , occupational therapy students, and 8 physician assistant students who agree to practice as advanced 9 registered nurse practitioners or physician assistants as 10 such in service commitment areas for five years and meet the 11 requirements of this section . 12 2. Eligibility. An individual is eligible to apply to enter 13 into a program agreement with the commission if the individual 14 is enrolled full-time in and receives a recommendation from 15 an eligible university in a curriculum leading to a doctorate 16 of nursing practice degree , a master’s or doctorate of 17 occupational therapy degree, or a masters master’s of physician 18 assistant studies degree. 19 3. Program agreements. A program agreement shall be 20 entered into by an eligible student and the commission when the 21 eligible student begins the final year of study in an academic 22 program leading to eligibility for licensure as a nurse 23 practitioner , occupational therapist, or physician assistant. 24 Under the agreement, to receive loan repayments pursuant to 25 subsection 5 , an eligible student shall agree to and shall 26 fulfill all of the following requirements: 27 a. Receive a graduate-level credential qualifying the 28 credential recipient for a license to practice as an advanced 29 registered nurse practitioner pursuant to chapter 152 , an 30 occupational therapist pursuant to chapter 148B, or a physician 31 assistant pursuant to chapter 148C . 32 b. Within nine months of receiving a degree and obtaining 33 a license in accordance with paragraph “a” , engage in 34 the full-time practice as an advanced registered nurse 35 -1- LSB 2347HH (3) 87 kh/rj 1/ 4
H.F. 385 practitioner , an occupational therapist, or a physician 1 assistant for a period of five consecutive years in the service 2 commitment area specified under subsection 6 , unless the loan 3 repayment recipient receives a waiver from the commission to 4 complete the years of practice required under the agreement in 5 another service commitment area pursuant to subsection 6 . 6 7. Rules for additional loan repayment. The commission 7 shall adopt rules to provide, in addition to loan repayment 8 provided to eligible students pursuant to this section 9 and subject to the availability of surplus funds, loan 10 repayment to an advanced registered nurse practitioner , an 11 occupational therapist, or a physician assistant who, as 12 provided in subsection 3 , received a degree from an eligible 13 university, obtained a license to practice in this state, and 14 is engaged in full-time practice as an advanced registered 15 nurse practitioner , an occupational therapist, or a physician 16 assistant in a service commitment area. 17 8. Part-time practice —— agreement amended. A person who 18 entered into an agreement pursuant to subsection 3 may apply 19 to the commission to amend the agreement to allow the person 20 to engage in less than the full-time practice specified in 21 the agreement and under subsection 3 . If the commission 22 determines exceptional circumstances exist, the commission 23 and the person may consent to amend the agreement under which 24 the person shall engage in less than full-time practice as 25 an advanced registered nurse practitioner , an occupational 26 therapist, or a physician assistant in a service commitment 27 area for an extended period of part-time practice determined by 28 the commission to be proportional to the amount of full-time 29 practice remaining under the original agreement. 30 10. Trust fund established. A rural Iowa advanced 31 registered nurse practitioner and physician assistant health 32 care professional trust fund is created in the state treasury 33 as a separate fund under the control of the commission. 34 The commission shall remit all repayments made pursuant to 35 -2- LSB 2347HH (3) 87 kh/rj 2/ 4
H.F. 385 this section to the rural Iowa advanced registered nurse 1 practitioner and physician assistant health care professional 2 trust fund. All moneys deposited or paid into the trust fund 3 are appropriated and made available to the commission to be 4 used for meeting the requirements of this section . Moneys in 5 the fund up to the total amount that an eligible student may 6 receive for an eligible loan in accordance with this section 7 and upon fulfilling the requirements of subsection 3 shall be 8 considered encumbered for the duration of the agreement entered 9 into pursuant to subsection 3 . Notwithstanding section 8.33 , 10 any balance in the fund on June 30 of each fiscal year shall not 11 revert to the general fund of the state, but shall be available 12 for purposes of this section in subsequent fiscal years. 13 Sec. 2. Section 261.114, subsection 9, paragraph c, 14 subparagraph (3), Code 2017, is amended to read as follows: 15 (3) The person who entered into the agreement, due to a 16 permanent disability, is unable to practice as an advanced 17 registered nurse practitioner , occupational therapist, or 18 physician assistant. 19 Sec. 3. Section 261.114, subsection 11, paragraph c, Code 20 2017, is amended to read as follows: 21 c. “Service commitment area” means a city in Iowa with a 22 population of less than twenty-six thousand that is located 23 more than twenty miles from a city with a population of 24 fifty thousand or more and which provides a two thousand 25 dollar contribution for deposit in the rural Iowa advanced 26 registered nurse practitioner and physician assistant health 27 care professional trust fund for each advanced registered nurse 28 practitioner , occupational therapist, or physician assistant in 29 the community who is participating in the rural Iowa advanced 30 registered nurse practitioner and physician assistant health 31 care professional loan repayment program. 32 EXPLANATION 33 The inclusion of this explanation does not constitute agreement with 34 the explanation’s substance by the members of the general assembly. 35 -3- LSB 2347HH (3) 87 kh/rj 3/ 4
H.F. 385 This bill modifies the rural Iowa advanced registered nurse 1 practitioner and physician assistant loan repayment program and 2 fund by changing the names of the program and fund to the rural 3 Iowa health professional loan repayment program and rural Iowa 4 health professional loan repayment trust fund, and by making 5 occupational therapy students eligible for the program. 6 Currently, an eligible student may enter into a program 7 agreement in the student’s final year of study in an academic 8 program leading to eligibility for licensure as a nurse 9 practitioner or physician assistant. Under the agreement, 10 to receive loan repayments, an eligible student must receive 11 a graduate-level credential and license to practice as an 12 advanced registered nurse practitioner or physician assistant 13 and, within nine months of receiving the degree and obtaining 14 a license, must engage in full-time practice as an advanced 15 registered nurse practitioner or physician assistant for a 16 period of five consecutive years in a service commitment area, 17 which is defined as a city in Iowa with a population of less 18 than 26,000 that is located more than 20 miles from a city with 19 a population of 50,000 or more and which provides a $2,000 20 contribution for deposit in the trust fund for each advanced 21 registered nurse practitioner or physician assistant in the 22 community who is participating in the program. 23 The maximum amount of loan repayment an eligible student can 24 receive under the agreement is $4,000 annually for up to five 25 consecutive years and a total of $20,000. 26 -4- LSB 2347HH (3) 87 kh/rj 4/ 4