HF 1447

as introduced - 89th Legislature (2015 - 2016) Posted on 03/04/2015 11:34am

A bill for an act
relating to health; implementing investment priorities of the Legislative Health
Care Workforce Council; establishing a grant program to expand clinical
training of advanced practice registered nurses, physician assistants, and mental
health professionals; establishing a grant program to expand primary care
residency training; providing an incentive payment for health professions student
preceptors and medical resident preceptors; appropriating money; proposing
coding for new law in Minnesota Statutes, chapter 144.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [144.1504] COMPREHENSIVE HEALTH CARE WORKFORCE
PLANNING.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The Minnesota Health Care Workforce Council is
established to: (1) provide ongoing policy and program monitoring and coordination;
(2) provide health care workforce education and training, trends, changes in health care
delivery, practice, and financing; and (3) recommend appropriate public and private
sector efforts to address identified workforce needs. The council shall focus on health
care workforce supply, demand, and distribution; cultural competence and minority
participation in health professions education; oral health, mental health, and primary care
training and practice; and data evaluation and analysis. The council shall collaborate with
other workforce planning entities.
new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin (a) The Minnesota Health Care Workforce Council shall
consist of 22 members appointed as follows:
new text end

new text begin (1) two members of the senate, one appointed by the majority leader and one
appointed by the minority leader;
new text end

new text begin (2) two members of the house of representatives, one appointed by the speaker of the
house and one appointed by the minority leader;
new text end

new text begin (3) eight members appointed by the governor who are health care workforce experts;
new text end

new text begin (4) one member appointed by the Minnesota Hospital Association;
new text end

new text begin (5) one member appointed by the Minnesota Medical Association;
new text end

new text begin (6) one member appointed by the Minnesota Chamber of Commerce;
new text end

new text begin (7) one member appointed by the University of Minnesota;
new text end

new text begin (8) one member appointed by the Minnesota State Colleges and Universities system;
new text end

new text begin (9) the commissioner of human services or a designee;
new text end

new text begin (10) the commissioner of employment and economic development or a designee;
new text end

new text begin (11) the commissioner of education or a designee;
new text end

new text begin (12) one member representing the governor's office; and
new text end

new text begin (13) the commissioner of health or a designee.
new text end

new text begin (b) Appointments must be made by September 1, 2015. The commissioner of health
shall convene the first meeting no later than October 1, 2015. Members of the council
shall elect a chair at the first meeting.
new text end

new text begin (c) Except for section 15.059, subdivision 3, section 15.059 shall apply to the council
and to all council member appointments, except those members who are commissioners
or their designees. The members of the council shall receive no compensation other
than reimbursement for expenses. Notwithstanding section 15.059, subdivision 6, the
council shall not expire.
new text end

new text begin Subd. 3. new text end

new text begin Comprehensive health care workforce plan. new text end

new text begin (a) The commissioner of
health, in consultation with the Minnesota Health Care Workforce Council, shall prepare
a comprehensive health care workforce plan every five years. The first plan must be
submitted to the legislature by January 15, 2017, and every five years thereafter.
new text end

new text begin (b) The comprehensive health care workforce plan must include, but is not limited
to, the following:
new text end

new text begin (1) an assessment of the current supply and distribution of health care providers in
the state, trends in health care delivery and reform, and the effects of such trends on
workforce needs;
new text end

new text begin (2) five-year projections of the demand and supply of health professionals to meet
the needs of health care within the state;
new text end

new text begin (3) identification of all funding sources for which the state has administrative control
that are available for health professions training;
new text end

new text begin (4) recommendations on how to rationalize and coordinate the state-supported
programs for health professions training; and
new text end

new text begin (5) recommendations on actions needed to meet the projected demand for health
professionals over the five years of the plan.
new text end

new text begin (c) Beginning July 1, 2018, and each year in which a comprehensive health care
workforce plan is not due, the commissioner of health, in consultation with the Minnesota
Health Care Workforce Council, shall submit a report to the governor and legislature on
the progress made toward achieving the projected goals of the current comprehensive
health care workforce plan during the previous calendar year.
new text end

new text begin Subd. 4. new text end

new text begin Staff. new text end

new text begin The commissioner of health shall provide staff and administrative,
research, and planning services to the Minnesota Health Care Workforce Council.
new text end

Sec. 2.

new text begin [144.1505] PRIMARY CARE AND MENTAL HEALTH PROFESSIONS
CLINICAL TRAINING EXPANSION GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin For purposes of this section, the following definitions
apply:
new text end

new text begin (1) "eligible physician assistant program" means a program that is located
in Minnesota and is currently accredited as a physician assistant program by the
Accreditation Review Commission on Education for the Physician Assistant or is a
candidate for accreditation;
new text end

new text begin (2) "eligible advanced practice registered nurse program" means a program that is
located in Minnesota and is currently accredited as a master's level or postmaster's level
advanced practice registered nurse program by the Commission on Collegiate Nursing
Education or by the Accreditation Commission for Education in Nursing, or is a candidate
for accreditation;
new text end

new text begin (3) "eligible mental health professional training program" means a program that is
located in Minnesota and is listed as a mental health professionals training program by the
appropriate accrediting body for psychiatric nursing, clinical social work, psychology,
marriage and family therapy, or licensed professional clinical counseling, or is a candidate
for accreditation;
new text end

new text begin (4) "eligible project" means a project to establish or expand clinical training for
physician assistants, advanced practice registered nurses, or mental health professionals
in Minnesota; and
new text end

new text begin (5) "mental health professional" means an individual providing clinical services
in the treatment of mental illness who meets one of the definitions in section 245.462,
subdivision 18.
new text end

new text begin Subd. 2. new text end

new text begin Program. new text end

new text begin (a) The commissioner of health shall award health professional
training site grants to eligible physician assistant, advanced practice registered nurse, and
mental health professional programs to plan and implement expanded clinical training. A
planning grant shall not exceed $75,000 and a training grant shall not exceed $150,000 for
the first year, $100,000 for the second year, and $50,000 for the third year per program.
new text end

new text begin (b) Funds may be used for:
new text end

new text begin (1) establishing or expanding clinical training for physician assistants, advanced
practice registered nurses, and mental health professionals in Minnesota;
new text end

new text begin (2) recruitment, training, and retention of students and faculty;
new text end

new text begin (3) travel and lodging for students;
new text end

new text begin (4) faculty, student, and preceptor salaries, incentives, or other financial support;
new text end

new text begin (5) development and implementation of cultural competency training;
new text end

new text begin (6) evaluations;
new text end

new text begin (7) training site improvements, fees, equipment, and supplies required to establish,
maintain, or expand a physician assistant, advanced practice registered nurse, or mental
health professional training program; and
new text end

new text begin (8) supporting clinical education in which trainees are part of a primary care team
model.
new text end

new text begin Subd. 3. new text end

new text begin Applications. new text end

new text begin Eligible physician assistant, advanced practice registered
nurse, and mental health professional programs seeking a grant shall apply to the
commissioner. Applications must include a description of the number of additional
students who will be trained using grant funds; attestation that funding will be used to
support an increase in the number of clinical training slots; a description of the problem that
the proposed project will address; a description of the project, including all costs associated
with the project, sources of funds for the project, detailed uses of all funds for the project,
and the results expected; and a plan to maintain or operate any component included in
the project after the grant period. The applicant must describe achievable objectives, a
timetable, and roles and capabilities of responsible individuals in the organization.
new text end

new text begin Subd. 4. new text end

new text begin Consideration of applications. new text end

new text begin The commissioner shall review each
application to determine whether or not the application is complete and whether
the program and the project are eligible for a grant. In evaluating applications, the
commissioner shall score each application based on factors including, but not limited to,
the applicant's clarity and thoroughness in describing the project and the problems to be
addressed, the extent to which the applicant has demonstrated that the applicant has made
adequate provisions to assure proper and efficient operation of the training program once
the grant project is completed, the extent to which the proposed project is consistent with
the goal of increasing access to primary care and mental health services for rural and
underserved urban communities, the extent to which the proposed project incorporates
team-based primary care, and project costs and use of funds.
new text end

new text begin Subd. 5. new text end

new text begin Program oversight. new text end

new text begin The commissioner shall determine the amount of
a grant to be given to an eligible program based on the relative score of each eligible
program's application, other relevant factors discussed during the review, and the funds
available to the commissioner. Appropriations made to the program do not cancel and
are available until expended. During the grant period, the commissioner may require and
collect from programs receiving grants any information necessary to evaluate the program.
new text end

Sec. 3.

new text begin [144.1506] PRIMARY CARE RESIDENCY EXPANSION GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin For purposes of this section, the following definitions
apply:
new text end

new text begin (1) "eligible primary care residency program" means a program that meets the
following criteria:
new text end

new text begin (i) is located in Minnesota;
new text end

new text begin (ii) trains medical residents in the specialties of family medicine, general internal
medicine, general pediatrics, psychiatry, geriatrics, or general surgery; and
new text end

new text begin (iii) is accredited by the Accreditation Council for Graduate Medical Education or
presents a credible plan to obtain accreditation; and
new text end

new text begin (2) "eligible project" means a project to establish a new eligible primary care
residency program or create at least one new residency slot in an existing eligible primary
care residency program; and
new text end

new text begin (3) "new residency slot" means the creation of a new residency position and the
execution of a contract with a new resident in a residency program.
new text end

new text begin Subd. 2. new text end

new text begin Expansion grant program. new text end

new text begin (a) The commissioner of health shall award
primary care residency expansion grants to eligible primary care residency programs to
plan and implement new residency slots. A planning grant shall not exceed $75,000, and a
training grant shall not exceed $150,000 per new residency slot for the first year, $100,000
for the second year, and $50,000 for the third year of the new residency slot.
new text end

new text begin (b) Funds may be spent to cover the costs of:
new text end

new text begin (1) planning related to establishing an accredited primary care residency program;
new text end

new text begin (2) obtaining accreditation by the Accreditation Council for Graduate Medical
Education or another national body that accredits residency programs;
new text end

new text begin (3) establishing new residency programs or new resident training slots;
new text end

new text begin (4) recruitment, training, and retention of new residents and faculty;
new text end

new text begin (5) travel and lodging for new residents;
new text end

new text begin (6) faculty, new resident, and preceptor salaries related to new residency slots;
new text end

new text begin (7) training site improvements, fees, equipment, and supplies required for new
family medicine resident training slots; and
new text end

new text begin (8) supporting clinical education in which trainees are part of a primary care team
model.
new text end

new text begin Subd. 3. new text end

new text begin Applications for expansion grants. new text end

new text begin Eligible primary care residency
programs seeking a grant shall apply to the commissioner. Applications must include the
number of new family medicine residency slots planned or under contract; attestation that
funding will be used to support an increase in the number of available residency slots;
a description of the training to be received by the new residents, including the location
of training; a description of the project, including all costs associated with the project;
all sources of funds for the project; detailed uses of all funds for the project; the results
expected; and a plan to maintain the new residency slot after the grant period. The
applicant must describe achievable objectives, a timetable, and roles and capabilities of
responsible individuals in the organization.
new text end

new text begin Subd. 4. new text end

new text begin Consideration of expansion grant applications. new text end

new text begin The commissioner shall
review each application to determine whether or not the residency program application
is complete and whether the proposed new residency program and any new residency
slots are eligible for a grant. The commissioner shall award grants to support up to six
family medicine, general internal medicine, or general pediatrics residents; four psychiatry
residents; two geriatrics residents; and two general surgery residents. If insufficient
applications are received from any eligible specialty, funds may be redistributed to
applications from other eligible specialties.
new text end

new text begin Subd. 5. new text end

new text begin Program oversight. new text end

new text begin During the grant period, the commissioner may
require and collect from grantees any information necessary to evaluate the program.
Appropriations made to the program do not cancel and are available until expended.
new text end

Sec. 4.

new text begin [144.1507] HEALTH PROFESSIONS PRECEPTOR INCENTIVE
GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following definitions
apply.
new text end

new text begin (b) "Commissioner" means the commissioner of health.
new text end

new text begin (c) "Mental health professional" means an individual providing clinical services
in the treatment of mental illness who meets one of the definitions in section 245.462,
subdivision 18.
new text end

new text begin (d) "Preceptor" means a physician, advanced practice registered nurse, physician
assistant, or mental health professional who receives no additional compensation for
serving as a preceptor to a medical resident or medical student, advanced practice
registered nurse, physician assistant, or mental health professional student.
new text end

new text begin (e) "Sponsoring institution" means a hospital, school, or consortium located in
Minnesota that sponsors and maintains primary organizational and financial responsibility
for a clinical medical education program in Minnesota and which is accountable to the
accrediting body.
new text end

new text begin (f) "Teaching institution" means a hospital, medical center, clinic, or other
organization that conducts a clinical medical education program in Minnesota.
new text end

new text begin Subd. 2. new text end

new text begin Program. new text end

new text begin (a) The commissioner of health shall award grants to sponsoring
institutions on behalf of those eligible preceptors who submit applications to the
sponsoring institution. Notwithstanding any law to the contrary, funds awarded to grantees
in a grant agreement do not lapse until expended by the grantee.
new text end

new text begin (b) Sponsoring institutions receiving grants must distribute all funds directly to
eligible preceptors.
new text end

new text begin Subd. 3. new text end

new text begin Preceptor eligibility. new text end

new text begin To be eligible for an incentive payment under this
section, a preceptor must have:
new text end

new text begin (1) served as a health professions student preceptor or medical resident preceptor for
at least 12 weeks during the preceding year; and
new text end

new text begin (2) received no compensation for preceptor services in the preceding year.
new text end

new text begin Subd. 4. new text end

new text begin Applications. new text end

new text begin Eligible preceptors seeking an incentive grant shall apply to
one sponsoring institution using forms provided by the commissioner. Applications must
include the time period and number of hours spent as a preceptor in the preceding year, the
teaching institutions for whom the applicant served as a preceptor in the preceding year,
the number of students or residents for whom the applicant served as a preceptor in the
preceding year, and a signed statement that the preceptor received no compensation for
preceptor services in the preceding year. Sponsoring institutions and teaching institutions
may assist in completing preceptor applications.
new text end

new text begin Subd. 5. new text end

new text begin Consideration of applications. new text end

new text begin Sponsoring institutions shall compile all
eligible preceptor applications and submit to the commissioner. The commissioner may
request additional information from sponsoring institutions necessary for verification of
preceptor application data. The commissioner shall review each sponsoring institution
application to determine whether the preceptor application data is complete and whether
the sponsoring institution is eligible for a grant.
new text end

new text begin Subd. 6. new text end

new text begin Distribution of funds. new text end

new text begin The commissioner shall set a per-preceptor award
amount each year by dividing the available funds by the number of eligible preceptors.
The commissioner shall distribute available funds to all eligible sponsoring institutions
proportionately based on the number of eligible preceptors included in the sponsoring
institution's application. Sponsoring institutions shall distribute the per-preceptor award
amount to each eligible preceptor.
new text end

new text begin Subd. 7. new text end

new text begin Program oversight. new text end

new text begin The commissioner may require additional information
or data from preceptors necessary for oversight of the program. During the grant period,
the commissioner may require and collect from sponsoring institutions receiving grants
any information necessary to evaluate the program.
new text end

Sec. 5. new text begin APPROPRIATION.
new text end

new text begin (a) $2,100,000 in fiscal year 2016 and $2,100,000 in fiscal year 2017 are appropriated
from the general fund to the commissioner of health for the purposes of the primary
care and mental health professions clinical training expansion grant program created
in Minnesota Statutes, section 144.1505.
new text end

new text begin (b) $2,100,000 in fiscal year 2016 and $2,100,000 in fiscal year 2017 are appropriated
from the general fund to the commissioner of health for the purposes of the primary care
residency expansion grant program created in Minnesota Statutes, section 144.1506.
new text end

new text begin (c) $....... in fiscal year 2016 and $....... in fiscal year 2017 are appropriated from the
general fund to the commissioner of health for the purposes of the primary care residency
expansion grant program created in Minnesota Statutes, section 144.1507.
new text end

new text begin (d) $....... in fiscal year 2016 and $....... in fiscal year 2017 are appropriated from
the general fund to the commissioner of health to provide administrative, planning, and
research support to the Minnesota Health Care Workforce Council established under
Minnesota Statutes, section 144.1504, and the comprehensive health care workforce plan
required under Minnesota Statutes, section 144.1504, subdivision 3.
new text end