By Turner of Coleman, et al.                          H.B. No. 2241
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to health careers promotion for high school students
    1-3  interested in providing health care services in qualified areas.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Chapter 106, Health and Safety Code, is amended
    1-6  by adding Subchapter D to read as follows:
    1-7     SUBCHAPTER D.  HEALTH CAREERS PROMOTION AND EDUCATION PROGRAM
    1-8        Sec. 106.071.  DEFINITIONS.  In this subchapter:
    1-9              (1)  "Fund" means the health careers education fund.
   1-10              (2)  "Qualified area" means an area qualifying under
   1-11  the National Health Services Corps Community Scholarship Program or
   1-12  an area with similar characteristics as identified by the center.
   1-13              (3)  "Postsecondary educational institution" means:
   1-14                    (A)  an institution of higher education, as
   1-15  defined by Section 61.003, Education Code;
   1-16                    (B)  a nonprofit, independent institution
   1-17  approved under Section 61.222, Education Code; or
   1-18                    (C)  a nonprofit, health-related school or
   1-19  program accredited by the Southern Association of Colleges and
   1-20  Schools, the Liaison Committee on Medical Education, the American
   1-21  Osteopathic Association, the Board of Nurse Examiners, the Board of
   1-22  Vocational Nurse Examiners, or, in the case of allied health, an
   1-23  accrediting body recognized by the United States Department of
    2-1  Education.
    2-2              (4)  "Program" means the health careers promotion and
    2-3  education program.
    2-4        Sec. 106.072.  ADMINISTRATION.  (a)  The center shall
    2-5  administer or contract for the administration of the program.
    2-6        (b)  The center may solicit and accept gifts, grants,
    2-7  donations, and contributions to support the program.
    2-8        Sec. 106.073.  HEALTH CAREERS PROMOTION.  The center may
    2-9  establish a program to work with students, communities, and
   2-10  community-based organizations to encourage high school students to
   2-11  pursue health care professional careers.  The center shall give
   2-12  priority to working with communities and students in qualified
   2-13  areas.
   2-14        Sec. 106.074.  LOANS.  (a)  The executive committee may award
   2-15  forgivable educational loans to eligible students under this
   2-16  subchapter.
   2-17        (b)  The executive committee may award forgivable loans to
   2-18  eligible students based on the availability of money in the fund.
   2-19        (c)  If in any year the fund is inadequate to provide loans
   2-20  to all eligible students, the executive committee may award
   2-21  forgivable loans on a priority basis according to the students'
   2-22  academic performance, test scores, and other criteria of
   2-23  eligibility.
   2-24        Sec. 106.075.  STUDENT ELIGIBILITY.  (a)  To be eligible to
   2-25  receive a loan under this subsection, a student must:
    3-1              (1)  be sponsored by an eligible community;
    3-2              (2)  be enrolled in high school at the time of
    3-3  application for the loan;
    3-4              (3)  meet academic requirements as established by the
    3-5  executive committee;
    3-6              (4)  plan to complete a health care professional degree
    3-7  or certificate program;
    3-8              (5)  plan to practice as a health care professional in
    3-9  a qualified area of the state;
   3-10              (6)  meet other requirements as established by the
   3-11  executive committee.
   3-12        (b)  Other requirements for eligibility for a loan under this
   3-13  subchapter must include:
   3-14              (1)  one or more interviews with the student; and
   3-15              (2)  a statement written by the student of the
   3-16  student's reasons for:
   3-17                    (A)  entering the health care profession; and
   3-18                    (B)  wanting to provide health care services to a
   3-19  qualified area in this state.
   3-20        Sec. 106.076.  COMMUNITY ELIGIBILITY.  (a)  To be eligible to
   3-21  sponsor a student under this section, a community must:
   3-22              (1)  be located in a qualified area in this state; and
   3-23              (2)  provide evidence of community sponsorship of the
   3-24  student.
   3-25        (b)  Community sponsorship consists of:
    4-1              (1)  a commitment to fund a percentage of the student's
    4-2  postsecondary educational expenses, including tuition, fees,
    4-3  educational materials, and living expenses; and
    4-4              (2)  a commitment to employ the student on a full-time
    4-5  basis as a health care professional upon the student's completion
    4-6  of the academic program and licensure or certification in the
    4-7  health care profession for which the student is sponsored.
    4-8        (c)  The executive committee shall determine the percentage
    4-9  of educational expenses communities are required to provide under
   4-10  this section.
   4-11        (d)  Community financial support may be satisfied in whole or
   4-12  in part by a grant, a scholarship, or private foundation support.
   4-13        Sec. 106.077.  AMOUNT OF LOAN.  (a)  On confirmation of an
   4-14  eligible student's admission to a postsecondary educational
   4-15  institution or on receipt of an enrollment report of the student at
   4-16  a postsecondary educational institution, and certification of the
   4-17  amount of financial support needed, the executive committee may
   4-18  award a forgivable loan to the student in the amount of not more
   4-19  than the cost of the student's tuition, fees, educational
   4-20  materials, and living expenses.
   4-21        (b)  An eligible student may receive another grant, loan, or
   4-22  scholarship for which the student is eligible in addition to the
   4-23  receipt of a forgivable loan, except that the total amount of funds
   4-24  received may not exceed the reasonable needs of the student as
   4-25  determined by the postsecondary educational institution in which
    5-1  the student is enrolled.
    5-2        Sec. 106.078.  REQUIRED CONTRACT.  (a)  A student may receive
    5-3  assistance under this subchapter only if the student signs a
    5-4  contract agreeing to provide health care services to the sponsoring
    5-5  community upon completion of the academic program and licensure or
    5-6  certification in the health care profession for which the student
    5-7  is sponsored.
    5-8        (b)  The contract must provide that if the student does not
    5-9  provide the required services to the community or provides those
   5-10  services for less than the required time, the student is personally
   5-11  liable to the state for:
   5-12              (1)  the total amount of assistance the student
   5-13  receives from the center and the sponsoring community;
   5-14              (2)  interest on the total amount at a rate set by the
   5-15  executive committee; and
   5-16              (3)  the state's reasonable expenses incurred in
   5-17  obtaining payment, including reasonable attorney's fees.
   5-18        Sec. 106.079.  LOAN FORGIVENESS.  (a)  A loan recipient shall
   5-19  be forgiven the principal and interest of one year's loan for each
   5-20  year the recipient practices as a health care professional
   5-21  providing health care services in the sponsoring community.
   5-22        (b)  A loan recipient must practice as a health care
   5-23  professional providing health care services in the sponsoring
   5-24  community for a minimum of two years.
   5-25        (c)  If the executive committee finds that a sponsoring
    6-1  community is not in need of the student's services and that the
    6-2  community is willing to forgive repayment of the principal balance
    6-3  and interest of the student's loan, the executive committee by rule
    6-4  may provide for the principal balance and interest of the student's
    6-5  loan to be forgiven if the student provides services in another
    6-6  qualified area in this state.
    6-7        Sec. 106.080.  FUND.  (a)  The health careers education fund
    6-8  is established in the state treasury.
    6-9        (b)  The center shall administer the fund.
   6-10        (c)  The fund consists of gifts, grants, donations, the
   6-11  market value of in-kind contributions, and principal and interest
   6-12  payments on forgivable loans deposited to the credit of the fund by
   6-13  the center.
   6-14        (d)  The center shall deposit any principal and interest
   6-15  payments on forgivable loans to the credit of the fund.
   6-16        (e)  The center shall allocate the fund, as available, for
   6-17  forgivable loans and community repayment under this subchapter.
   6-18        (f)  Unless otherwise provided by the General Appropriations
   6-19  Act, the center may use money appropriated to the center to support
   6-20  the fund.
   6-21        Sec. 106.081.  REPORTING, MONITORING.  (a)  The center shall
   6-22  require reports from students, communities, and postsecondary
   6-23  educational institutions as needed to monitor the program.
   6-24        (b)  The sponsoring community shall report to the executive
   6-25  committee the length of time the student provides health care
    7-1  services in the community in accordance with the guidelines
    7-2  established by the executive committee.
    7-3        (c)  A postsecondary educational institution annually shall
    7-4  report the progress and performance of each student to the
    7-5  executive committee in accordance with the guidelines established
    7-6  by the executive committee.  The center shall distribute such
    7-7  reports to the community sponsoring the student.
    7-8        Sec. 106.082.  PROGRAM PROMOTION.  The center shall provide
    7-9  postsecondary educational institutions and communities in qualified
   7-10  areas with information about health care careers and loan
   7-11  opportunities, including information on eligibility and
   7-12  availability of funds under this subchapter.
   7-13        Sec. 106.083.  ADOPTION OF RULES.  (a)  The executive
   7-14  committee shall adopt reasonable rules to enforce the requirements,
   7-15  conditions, and limitations under this subchapter.
   7-16        (b)  The executive committee shall set the rate of interest
   7-17  charged on a forgivable loan under this subchapter.
   7-18        (c)  The executive committee shall adopt rules necessary to
   7-19  ensure compliance with the Civil Rights Act of 1964 (42 U.S.C.
   7-20  Section 200d et seq.)  concerning nondiscrimination in admissions.
   7-21        SECTION 2.  This Act takes effect September 1, 1993.
   7-22        SECTION 3.  The importance of this legislation and the
   7-23  crowded condition of the calendars in both houses create an
   7-24  emergency and an imperative public necessity that the
   7-25  constitutional rule requiring bills to be read on three several
    8-1  days in each house be suspended, and this rule is hereby suspended.