Bill Text: HI SB439 | 2023 | Regular Session | Introduced
Bill Title: Relating To Healthcare Preceptors.
Spectrum: Partisan Bill (Democrat 5-0)
Status: (Introduced - Dead) 2023-01-30 - Re-Referred to HHS, CPN/WAM. [SB439 Detail]
Download: Hawaii-2023-SB439-Introduced.html
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THE SENATE |
S.B. NO. |
439 |
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THIRTY-SECOND LEGISLATURE, 2023 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
Relating to HealthCare Preceptors.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
The purpose of the existing healthcare preceptor income tax credit established under section 235-110.25, Hawaii Revised Statutes, is to incentivize volunteer preceptors to offer professional instruction, training, and supervision to students and residents seeking careers as healthcare providers in Hawaii. During the implementation of the tax credit, many providers trained eligible students, but only a small subset met the eligibility requirements due to the primary care qualifying criterion for the preceptor.
Thus, the legislature recognizes that those programs training physicians, advanced practice registered nurses, pharmacists, and physician assistants in primary care also require training from specialty preceptors who support primary care, in addition to training from primary care providers. The legislature further recognizes that the healthcare workforce has shortages that extend beyond the current professions included in the tax credit whose workforce expansion is also limited by available preceptors, including social workers, physician assistants, and registered dieticians. The legislature also finds that the definition of "volunteer-based supervised clinical training rotation" may be clarified to facilitate the preceptor credit assurance committee's implementation of the tax credit.
Therefore, the purpose of this Act is to:
(1) Amend the definitions
of "preceptor" and "volunteer- based supervised clinical
training rotation" to improve accessibility for providers to receive
income tax credits for acting as preceptors;
(2) Add physician
assistants, social workers, and registered dieticians to the list of preceptors;
provided that any recognized preceptor may train any eligible student to become
eligible for the preceptor tax credit;
(3) Include physician
assistant, registered dietitian and social worker students in the definition of
eligible students; and
(4) Revise the membership
of the preceptor credit assurance committee to include the director of health.
SECTION 2. Section 235-110.25, Hawaii Revised Statutes, is amended by amending subsection (g) to read as follows:
"(g) For the purposes of this section:
"Academic program" means an academic degree granting program or graduate medical education program that:
(1) Holds either its principal accreditation or a physical location in Hawaii; and
(2) Provides education to students, of whom more than fifty per cent are residents of Hawaii.
"Advanced practice registered nurse student" means an individual participating in a nationally accredited academic program that is for the education of advanced practice registered nurses and recognized by the state board of nursing pursuant to chapter 457.
"Eligible
professional degree or training certificate" means a degree or certificate
that fulfills a requirement to be a physician, [or] osteopathic
physician, or physician assistant, pursuant to chapter 453[,];
an advanced practice registered nurse, pursuant to chapter 457[, or];
a pharmacist, pursuant to chapter 461[.]; a registered dietician
pursuant to 448B, or social worker, pursuant to chapter 467E.
"Eligible
student" means an advanced practice registered nurse student, medical
student, [or] pharmacy student, physician assistant student,
registered dietician student, or social work student, who is enrolled in an
academic program.
"Medical student" means an individual participating in a nationally accredited academic program leading to the medical doctor or doctor of osteopathy degree. "Medical student" includes graduates from nationally accredited academic programs who have continued their training, in the role of resident or fellow, to obtain the additional qualifications needed for medical licensure, pursuant to chapter 453, or specialty certification.
"Nationally
accredited" means holding an institutional accreditation by name to offer
post-secondary medical primary care education.
Accreditation for medical students shall be offered by the Liaison
Committee on Medical Education or American Osteopathic Association Commission
on Osteopathic College Accreditation.
Accreditation for advanced practice registered nurse students shall be
offered by the Commission on Collegiate Nursing Education. Accreditation for pharmacy students shall
be offered by the Accreditation Council for Pharmacy Education. Accreditation for physician assistant
students shall be offered by the Accreditation Review Commission on Education
for the Physician Assistant, Inc.
Accreditation for social work students shall be offered by the Council
on Social Work Education. Accreditation
for registered dietician students shall be offered by the Accreditation Council
for Education in Nutrition and Dietetics.
"Pharmacy student" means an individual participating in an academic program that is nationally accredited for the training of individuals to become registered pharmacists pursuant to chapter 461.
"Physician assistant student" means an individual participating in an academic program that is nationally accredited for the education of physician assistants to become a nationally certified and licensed physician assistant pursuant to section 453-5.3.
"Preceptor"
means a physician [or], osteopathic physician or physician
assistant, licensed pursuant to chapter 453[,]; an advanced
practice registered nurse, licensed pursuant to chapter 457[,]; registered
dietician, licensed pursuant to 448B, social worker, licensed pursuant to
chapter 467E, or a pharmacist, licensed pursuant to chapter 461, who is a
resident of Hawaii [and who], maintains a professional [primary
care] practice in [this] the State[.], and whose
specialty supports the development and training of an eligible student in
primary care.
"Primary care" means the principal point of continuing care for patients provided by a healthcare provider, including health promotion, disease prevention, health maintenance, counseling, patient education, diagnosis and treatment of acute and chronic illnesses, and coordination of other specialist care that the patient may need.
"Registered dietician student"
means an individual participating in an academic program that is nationally
accredited for the training of individuals to become licensed registered
dieticians pursuant to chapter 448B.
"Social work student" means an
individual participating in an academic program that is nationally accredited
for the training of individuals to become a social worker licensed pursuant to
chapter 467E.
"Volunteer-based
supervised clinical training rotation" means [an uncompensated] a
period of supervised clinical training [of] to an eligible
student that totals at least eighty hours of supervisory time annually, in which
a preceptor provides personalized instruction, training, and supervision to an
eligible student to enable the eligible student to obtain an eligible
professional degree or training certificate[.]; provided that, while
a preceptor may be compensated for providing standard clinical services, the
preceptor shall be:
(1) Uncompensated for the clinical
training above or beyond clinical salary or reimbursements for clinical
services; or
(2) Uncompensated for the provision of clinical training services from tuition funds or from state general funds."
SECTION 3. Section 321-2.7, Hawaii Revised Statutes, is amended to read as follows:
"[[]§321-2.7[]] Preceptor credit assurance committee. (a)
There is established the preceptor credit assurance committee within the
department of health. The committee
shall develop and implement a plan for certifying healthcare preceptor tax
credits under section 235-110.25, including:
(1) Developing a process ensuring that
requests for credit certification are reviewed and verifications are processed
no later than [thirty] sixty days following the close of each
calendar year; and
(2) Developing the documentation process for the committee to certify a preceptor for the tax credit; provided that the documentation to be collected shall include:
(A) The preceptor's name, address, place of practice, and Hawaii provider license number;
(B) Dates and hours of volunteer-based supervised clinical training rotation per eligible student;
(C) Attestation that the preceptor is
uncompensated for the volunteer-based supervised clinical training rotation; [and]
provided that, if the preceptor is compensated for providing standard
clinical services, attestation that the preceptor is:
(i) Uncompensated for the clinical training
above or beyond clinical salary or reimbursements for clinical services; or
(ii) Uncompensated for the provision of clinical training services
from tuition funds or from state general funds;
(D) Itemized specialties that support
the development and training of the eligible student in primary care; and
[(D)] (E)
Other information deemed necessary by the committee.
(b) The committee shall be composed of [representatives]:
(1) The director of health, or
the director's designee; and
(2) Representatives of:
[(1)] (A) The Hawaii/Pacific basin area health
education center;
[(2)] (B) The center for nursing; and
[(3)] (C) Academic programs with eligible
students.
(c) Members of the committee shall be immune from civil liability for any official act, decision, or omission performed for the purpose for which the committee was established, except for any acts, decisions, or omissions that constitute gross negligence or wilful misconduct.
(d) The proceedings of the committee shall not be subject to part I of chapter 92.
(e) As used in this section, "academic program", "eligible student", "preceptor", "primary care", and "volunteer-based supervised clinical training rotation" shall have the same meanings as in section 235-110.25."
SECTION 4. Statutory material to be repealed is bracketed and stricken. New statutory material is underscored.
SECTION 5. This Act shall take effect on July 1, 2023; provided that section 2 of this Act shall apply to taxable years beginning after December 31, 2022.
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INTRODUCED BY: |
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Report Title:
Preceptors; Healthcare Preceptor Tax Credit; Preceptor Credit Assurance Committee
Description:
Amends the definition of "preceptor" and "volunteer-based supervised clinical training rotation" to improve accessibility for providers to receive income tax credits for acting as preceptors. Includes the Director of Health as a member of the Preceptor Credit Assurance Committee.
The summary description
of legislation appearing on this page is for informational purposes only and is
not legislation or evidence of legislative intent.
