83R1962 KEL-F
	By: Branch	H.B. No. 3692

	A BILL TO BE ENTITLED
	AN ACT
	relating to the support of certain resident physicians and
	physician residency programs.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  Section 58.007, Education Code, is amended by
	amending Subsections (a), (b), (e), and (g) and adding Subsection
	(b-1) to read as follows:
	(a)  Nothing in this section or Section 58.006 or 58.008
	shall diminish or abolish the activities of the Family Practice
	Residency Advisory Committee established under Section 61.505. It
	is not the intent of this section to combine or assimilate advisory
	programs but only to add to and enhance the residency training of
	[primary care] physicians in Texas.
	(b)[(1)]  The Graduate Medical Education [Primary Care]
	Residency Expansion Grant Program Advisory Committee is created and
	shall consist of 13 [12] members as follows:
	(1)  eight [(A)  seven] members shall be licensed
	physicians, one appointed by each of the following:
	(A) [(i)]  the Texas Medical Association;
	(B) [(ii)]  the Texas Osteopathic Medical
	Association;
	(C) [(iii)]  the Texas Academy of Family
	Physicians;
	(D) [(iv)]  the Texas Society of the American
	College of Osteopathic Family Physicians;
	(E) [(v)]  the Texas Society of Internal Medicine;
	(F) [(vi)]  the Texas Pediatric Society; [and]
	(G) [(vii)]  the Texas Association of
	Obstetricians and Gynecologists; and
	(H)  the Texas Society of Psychiatric Physicians;
	(2) [(B)]  one member shall be appointed by the Office
	[Texas Department] of Rural Affairs in the Department of
	Agriculture;
	(3) [(C)]  one member shall be appointed by [the Bureau
	of Community Oriented Primary Care at] the Department of State
	Health Services; and
	(4) [(D)]  three members shall be members of the
	public, one appointed by each of the following:
	(A) [(i)]  the governor;
	(B) [(ii)]  the lieutenant governor; and
	(C) [(iii)]  the speaker of the house of
	representatives.
	(b-1) [(2)]  No individual who has a direct financial
	interest in [primary care] residency training programs shall be
	appointed to serve as a member of the advisory committee.
	(e)  The committee shall meet at least annually, and so often
	as requested by the Texas Higher Education Coordinating Board or
	called into meeting by the committee chair.
	(g)  The committee shall review for the Texas Higher
	Education Coordinating Board applications for approval and funding
	of the expansion of existing [primary care] residency programs or
	the establishment of new Accreditation Council for Graduate Medical
	Education or American Osteopathic Association nationally
	accredited residency programs [training program expansion] as
	described in Section 58.008 [and related support programs], make
	recommendations to the board relating to program funding [the
	standards and criteria for approval of residency training and
	related support programs], and perform such other duties as may be
	directed by the board.
	SECTION 2.  Section 58.008, Education Code, is amended to
	read as follows:
	Sec. 58.008.  GRADUATE MEDICAL EDUCATION [PRIMARY CARE]
	RESIDENCY EXPANSION GRANT PROGRAM [EXPANSION]. (a)  Only
	accredited residency programs that offer first-year entering
	residency positions, including programs [positions] in family
	practice, [general] internal medicine, [general] pediatrics, [and]
	obstetrics and gynecology, psychiatry, and surgery, shall be
	eligible for [these] funds under this section.
	(b)  The advisory committee created under Section 58.007
	shall recommend to the Texas Higher Education Coordinating Board an
	allocation of new [primary care] residency positions by residency
	program that are to receive state support in order to increase the
	number of residents in training in this state.
	(b-1)  In [The committee shall take into consideration in]
	recommending an allocation among residency programs [the four
	primary care specialties] designated for expansion, the committee
	shall consider the following factors:
	(1)  the current number [primary care specialties mix]
	of Texas physicians in direct practice and the types of their
	practices;
	(2)  [projections for the primary care specialties mix
	of Texas physicians in direct practice;
	[(3)     the current state-supported primary care
	positions;
	[(4)]  geographic need [shortages] for [primary care]
	physicians;
	(3) [(5)]  federally designated and state-designated
	[state designated] medically underserved areas, and counties that
	are health professional shortage areas;
	(4) [(6)]  the demographics of the Texas population;
	[and]
	(5) [(7)]  the infrastructure of existing residency
	programs;
	(6)  the residency program's history of retention and
	the program's success rate in placing physicians in communities in
	this state following completion of residency training, with an
	emphasis on the program's success rate in placing physicians in
	underserved communities; and
	(7)  the amount of matching funds a residency program
	receives or will receive from community collaborative groups.
	(c)  Once funds are awarded to support a residency program's
	expansion efforts or the establishment of a new [resident position
	of a particular] residency program, the board shall continue to
	award grant funds to support that residency program to ensure the
	successful expansion or establishment of the program [position for
	all three or four postgraduate years of the residency training
	curriculum until the resident physician appointed to that position
	has completed or left the program. The position would then be
	eligible for reallocation by the Primary Care Residency Advisory
	Committee].
	(d)  A grant awarded under this section to an existing or new
	residency program may be used to support the salaries of resident
	physicians in an amount not to exceed $15,000 per resident
	physician.
	(e)  The board shall adopt rules for the administration of
	this section.
	SECTION 3.  This Act takes effect immediately if it receives
	a vote of two-thirds of all the members elected to each house, as
	provided by Section 39, Article III, Texas Constitution.  If this
	Act does not receive the vote necessary for immediate effect, this
	Act takes effect September 1, 2013.