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ARIZONA HOUSE OF REPRESENTATIVESFifty-fifth Legislature Second Regular Session |
House: APPROP DPA 10-2-1-0 |
HB 2691: health care workforce; grant programs
Sponsor: Representative Osborne, LD 13
Caucus & COW
Overview
Appropriates $42,500,000 from the state General Fund (GF) in each of FY 2023 through FY 2027 to the Department of Health Services (DHS) for health workforce development programs and $5,000,000 from the GF in each of FY 2023 through FY 2025 to the Arizona Health Care Cost Containment System (AHCCCS) for a behavioral health workforce training program.
History
DHS is responsible for providing a majority of public health programs outside of AHCCCS. This includes emergency medical services and health education and training programs. DHS is also responsible for maintaining the health professionals workforce database, which receives information from health profession regulatory boards (A.R.S. § 36-104).
AHCCCS, which serves as the state's Medicaid program, provides healthcare services including behavioral health programs. These behavioral health programs include unified mental health programs (excluding the Arizona State Hospital) and addictive behavior programs (A.R.S. § 36-3403).
1.
Appropriates $15,000,000 from the GF in
each of FYs 2023, 2024, 2025, 2026 and 2027 for the Arizona Nurse Education
Investment Program established within DHS. (Sec. 1)
2. Establishes the Arizona Nurse Education Investment Program Fund within DHS, to consist of legislative appropriations and federal funds, be continuously appropriated and be exempt from lapsing. (Sec. 1)
3. Instructs DHS to allocate Arizona Nurse Education Investment Program Fund monies to the Arizona Board of Regents (ABOR) and community college districts based on the number of nursing students who graduate in FY 2022. (Sec. 1)
4. Authorizes ABOR and community college districts to use their allocations to pay for expenses to increase the number of nursing education faculty members, to pay for capital expenses and student support services and to supplement and not supplant existing appropriations. (Sec. 1)
5. Outlines policies for distributing monies to the community college districts and state universities. (Sec. 1)
6. Appropriates $27,000,000 from the GF in each of FYs 2023, 2024, 2025, 2026 and 2027 for the Nurse Clinical Rotation and Licensed Nurse Training Program established within DHS. (Sec. 1)
7. Directs DHS to use the Nurse Clinical Rotation and Licensed Nurse Training Program to provide grants to licensed health care institutions to expand or create clinical training placements for nursing students. (Sec. 1)
8. States that a grant from the Nurse Clinical Rotation and Licensed Nurse Training Program must supplement, and not supplant, existing expenses and that a grant applicant must include matching monies from a revenue source other than the GF. (Sec. 1)
9. Allows DHS to use up to $2,000,000 from the Nurse Clinical Rotation and Licensed Nurse Training Program appropriation as a grant to a statewide hospital association to implement a Licensed Nurse Transition to Practice Program. (Sec. 1)
10. Outlines policies for the Licensed Nurse Transition to Practice Program, including curricula elements and voluntary participation. (Sec. 1)
11. Provides annual reporting requirements that DHS must provide to the Governor and Legislature by December 31, 2023 and each subsequent year. (Sec. 1)
12. Appropriates $500,000 from the GF in each of FYs 2023, 2024, 2025, 2026 and 2027 for the Preceptor Grant Program for Graduate Students established within DHS. (Sec. 1)
13. Distributes the Preceptor Grant Program for Graduate Students appropriation to the three largest statewide nonprofit organizations representing allopathic physicians, osteopathic physicians or advanced practice registered nurses. (Sec. 1)
14. Directs the nonprofit organizations to distribute grants of up to $1,000 to preceptors, with priority given to primary healthcare providers and providers in rural areas. (Sec. 1)
15. Appropriates $5,000,000 from the GF in each of FYs 2023, 2024 and 2025 to AHCCCS for the Demonstration Project Program Fund to distribute to the Maricopa County Community College District and the Navajo County Community College District. (Sec. 1)
16. Outlines permissible uses of the Demonstration Project Program Fund distributions, including to pay for expenses to increase the number of nursing education faculty members and to pay for tuition for eligible students in behavioral health programs. (Sec. 1)
17. Establishes a reporting requirement for AHCCCS, to be delivered to the Governor and Legislature by December 31, 2023 and each subsequent year. (Sec. 1)
18. Defines relevant terms. (Sec. 1)
19. Repeals the health care workforce grant programs established by this act on July 1, 2028. (Sec. 2)
20. Contains a legislative intent clause. (Sec. 3)
Provisions
Committee on Appropriations
1. Requires each university under the jurisdiction of ABOR and each community college to report the number of applications for credit by a member of the United States military that have been received and approved, listing each health care program separately.
2. Expands the Licensed Nurse Training Program to include licensed or certified nurses.
3. Transfers the Nurse Clinical Rotation and Licensed Nursed Training Program from DHS to AHCCCS.
4. Allows AHCCCS to contract with entities to administer elements of the programs it administers.
5. Requires the program administrator of the Licensed Nurse Transition to Practice Program to prioritize critical access hospitals and hospitals in counties with a population under 500,000.
6. Allows unused grant monies for the Licensed Nurse Transition to Practice Program to be rolled over to the next fiscal year.
7. Expands the Preceptor Grant Program for Graduate Students to include dentists.
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11. HB 2691
12. Initials AF Page 0 Caucus & COW
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