HB4289 H ED AM #1
White 3336
The Committee on Education moved to amend the bill on page 1, after the enacting clause, by striking out the remainder of the bill and inserting in lieu thereof the following:
ARTICLE 3. HEALTH PROFESSIONALS STUDENT LOAN PROGRAMS.
§18C-3-3. Health Sciences Service Program; Behavioral Health Workforce Education Initiative; establishment; administration; eligibility.
(a)
There is continued a special revolving fund account under the Higher Education
Policy Commission in the State Treasury formerly known as the Health
Sciences Scholarship Fund. The fund shall be used to accomplish the purposes of
this section. The fund consists of any of the following:
(1) All unexpended health sciences scholarship funds on deposit in the State Treasury on the effective date of this section;
(2) Appropriations as may be provided by the Legislature;
(3)
Repayments, including interest as set by the Vice Chancellor for
Health Sciences or his or her designee, collected from program award
recipients who fail to practice or teach in West Virginia under the terms of an
award agreement or the Health Sciences Scholarship Program previously
established by this section; and
(4) Amounts that may become available from other sources.
Balances
remaining in the fund at the end of the fiscal year do not expire or revert to
the general revenue. All costs associated with the administration of this
section shall be paid from the Health Sciences Service Program Fund under the
direction of the Vice Chancellor for Health Sciences or his or
her designee.
(b) Award preference is given to West Virginia residents. An individual is eligible for consideration for a Health Sciences Service Program award if the individual:
(1) Either:
(A) Is a fourth-year medical student at the Marshall University School of Medicine, West Virginia School of Osteopathic Medicine, or West Virginia University School of Medicine who has been accepted in a primary care or emergency medicine internship/residency program in West Virginia; or
(B)
Is enrolled in an approved education program at a West Virginia institution
leading to a degree or certification in the field of nurse practitioner, nurse
educator, nurse midwife, physician assistant, dentist, pharmacist, physical
therapist, doctoral clinical psychologist, licensed independent clinical social
worker, or other disciplines identified as shortage fields by the Vice
Chancellor for Health Sciences or his or her designee; and
(2)
Signs an agreement to practice for at least two years in an underserved area of
West Virginia or, if pursuing a master’s degree in nursing, signs an agreement
to teach at least two years for a school of nursing located in West Virginia,
as may be determined by the Vice Chancellor for Health Sciences or
his or her designee, after receiving the master’s degree.
(c)
Program awards shall be in an amount set by the Higher Education Policy
Commission of at least $20,000 for medical and dental students and at least
$10,000 for all others and may be awarded by the Vice Chancellor for
Health Sciences or his or her designee, with the advice of an
advisory panel, from the pool of all applicants with a commitment to practice
in an underserved area of West Virginia. This section does not grant or
guarantee any applicant any right to a program award.
(d)
A program award recipient who fails to practice in an underserved area of West
Virginia within six months of the completion of his or her training, or who
fails to complete his or her training or required teaching, is in breach of
contract and is liable for repayment of the program award and any accrued
interest. The granting or renewal of a license to practice in West Virginia
or to reciprocal licensure in another state based upon licensure in West
Virginia is contingent upon beginning payment and continuing payment until
complete repayment of the award and any accrued interest. A license, renewal,
or reciprocity may not be granted to any person whose repayment is in arrears.
The appropriate regulatory board shall inform all other states where a
recipient has reciprocated based upon West Virginia licensure of any refusal to
renew licensure in West Virginia as a result of failure to repay the award.
This provision shall be explained in bold type in the award contract. Repayment
terms, not inconsistent with this section, shall be established by the Vice
Chancellor for Health Sciences or his or her designee pursuant to
the rule required by this section.
(A) A participant may receive a loan repayment program award of up to $10,000 each year in exchange for the participant completing one year of practice in an underserved area.
(B) A participant may not receive a program award for more than three years of practice.
(C) A participant must direct each award received toward the repayment of his or her educational loans.
(2)
There is
created a special revenue fund account under the Higher Education Policy
Commission in the State Treasury known as the Mental Health Provider Student
Loan Repayment Fund. The fund shall be used to accomplish the purposes of
this subsection. The fund shall consist of appropriations as may be
provided by the Legislature. The Treasurer shall deposit all moneys
deposited in or credited to this fund in an interest-bearing account, with the
amount of interest earned being credited to this fund as earned. The moneys in
this special fund shall be expended solely for the purposes of carrying out the
duties related to the implementation and administration of the Mental Health
Provider Student Loan Repayment Program. Any moneys remaining in the fund
at the close of a fiscal year shall be carried forward for use in the next
fiscal year.
(3) There is hereby created the behavioral health workforce education initiative to be administered by the Higher Education Policy Commission. The behavioral health education workforce initiative shall:
(A) Study behavioral health workforce supply and demand by analyzing the geographic and demographic availability of West Virginia behavioral health professionals, including psychiatrists, psychologists, social workers, mental health counselors, substance use disorder counselors, behavioral analysts, peer support providers, primary care physicians, nurses, nurse practitioners, pharmacists, and physician assistants, and develop a strategic plan for education of the behavioral health workforce, prioritizing the need for additional professionals by type and location;
(B) Incentivize and promote careers in behavioral health by:
(i) Providing funds for two additional residents in West Virginia based psychiatry programs. The psychiatry residents participating in this program shall sign an agreement to practice in an underserved area of the state, including the state’s psychiatric hospitals, for at least one year for every year of support received from the program;
(ii) Providing funds for one-year doctoral-level psychology internship stipends in West Virginia. These interns shall train in areas for the state that are underserved by behavioral healthcare providers so as to increase access to such services. The interns participating in this program shall sign an agreement to practice in an underserved area of the state for at least one year for every year of support received from the program; and
(iii) Providing funds for masters’ degree level psychology, social work, and counseling internship stipends in West Virginia. These interns shall train in areas of the state that are underserved by behavioral healthcare providers so as to increase access to such services. The interns participating in this program shall sign an agreement to practice in an underserved area of the state for at least one year for every year of support received from the program.
(C) Assist in the development of pipeline programming by providing funding to implement evidence-based programs designed to interest secondary and post-secondary students, at both the undergraduate and graduate levels, in behavioral health careers;
(D) Improve trainees’ access to clinical supervisors by providing funding to entry level behavioral health practitioners and recent graduates to receive supervision from licensed practicing behavioral health professionals so as to obtain independent licensure;
(E) Assist behavioral health professionals by providing funds to support them in attaining specialized treatment credentials;
(F) Develop learning collaborative partnerships with the state’s institutions of higher education, hospitals, law enforcement, community-based agencies, and consumers and their families in order to support evidence-based, recovery-focused, interdisciplinary curricula and training, which shall address the identified priority needs for behavioral health professionals delivering behavioral health services in law enforcement, hospitals, and community-based agencies;
(G) Assess and increase the training available for behavioral health students and professionals in telehealth techniques, including taking advantage of telehealth networks that currently exist, and other innovative means of care delivery in order to increase access to behavioral health services for all West Virginians; and
(H) Coordinate communication between stakeholders to leverage existing federal and state scholarship, loan repayment, and incentive program funds to increase the number of behavioral health professionals practicing in West Virginia.
(f) Rule. — The Higher Education Policy Commission shall promulgate a rule pursuant to §29A-3A-1 et seq. of this code to implement and administer this section.
(g) As used in this section:
(1) “Training” means:
(A) The entire degree program or certification program for
nurse midwives, nurse practitioners, nurse educators, physician assistants,
dentists, pharmacists, physical therapists, doctoral clinical psychologists,
licensed independent clinical social workers, behavioral health
practitioners, and other disciplines identified as shortage fields by the Vice
Chancellor for Health Sciences or his or her designee; or
(B) Completion of a degree program and an approved residency/internship program for students pursuing a degree in medicine or osteopathy, or as otherwise may be designated for such students in the rule required by this section.
(2) “Underserved area” means any primary care health
professional shortage area or behavioral health care professional shortage
area located in the state as determined by the Bureau for Public Health or
any additional health professional shortage area, including an emergency
medicine professional, determined by the Vice Chancellor for
Health Sciences or his or her designee.
(3) “Behavioral health” means mental health, behavioral health or substance use disorder care, including psychiatrists, psychologists, social workers, mental health counselors, substance use disorder counselors, behavioral analysts, peer support providers, primary care physicians, nurses, nurse practitioners, pharmacists, physician assistants, and other disciplines in similar fields identified as shortage fields by the Chancellor or his or her designee.
(4) “Pipeline” means programs during either secondary or post-secondary education that encourage or emphasize behavioral health careers. “Pipeline programs” are designed to increase student understanding of the field of behavioral health and may include information on potential educational pathways, job shadowing opportunities, career fair and exploration events, availability of dual credit psychology courses in secondary schools, career-focused camp or summer internship experiences, or various other strategies designed to teach students about careers in behavioral health.
Adopted
Rejected